Dunn RJ
Bob Dunn The long and slow process of increasing the font size of the captions and footnotes for the 1000 or so images in the manual is finally completed. This should make reading the texts in these areas substantially easier.
The Suicide risk page has been revised and updated with particular reference to the limitations of the SAD PERSONS index (and its modification).
The Affective disorders page has been divided to create new pages called Self harm, Suicide risk and Bipolar disorder.
The damage caused by the computer gremlin that mysteriously removed the ‘I’ from ‘Image’ on a number of pages on the site has been repaired.
The Chronic Renal Failure page has been renamed Chronic Kidney Disease and revised and updated.
For pupils of pupils, and for those (like me) who get their Holmes Adie’s confused with their Argyle Robinson’s, a table summarising the examination findings of the most common pupillary abnormalities has been added to the bottom of the new Pupillary abnormalities page.
The topics of Holmes Adie pupil and Horner’s syndrome have been updated in the Pupillary abnormalities page.
The Assessment of vision page has been subdivided and the new pages Pupillary abnormalities and Abnormal eye movements have been created.
A new page on the Eaton Lambert syndrome (or Lambert Eaton syndrome if you are from North America) has been added to the Weakness chapter.
A new segment on the MERS Co-V infection has been added to the Respiratory Coronavirus infections page, which has been renamed (but now includes) from SARS.
The Urinalysis page has been extensively updated and moved to near the start of the Urogenital Disorders section, in the Urinary Disorders chapter, along with the Other Diagnostic Procedures page..
The Acute Renal Failure page has been updated with some information regarding ATN, FeNa and urinary SG in renal failure.
The Extracorporeal Vascular Access page has been extensively edited and new content added, particularly with regard to the assessment of shunt problems and shunt care..
A new segment on vasopressin in cardiac arrest has been added to the Advanced Life Support page.
The Other antimicrobials page has been updated with additional information about the potential toxicity and drug interactions from oral (not topical) ketoconozole. Some additional links have also been added with the Tinea page.
The mechanisms of injury associated with the need for trauma centre care have been added to the Trauma Teams page.
A small section about when it may be safe to re-challenge a patient with penicillin ‘allergy’ has been added to the Anaphylaxis page.
Details of the ;Sepsis six’ care bundle and more specific recommendations regarding the initial IV fluid volume in sepsis have been added to the Management of Sepsis page.
The Renal calculi page has been updates with some additional information regarding the use of CT in the diagnosis of suspected ureteric colic.
The Assessment of Sepsis page has been updated with some additional information regarding the likely progression of patients with severe sepsis to septic shock and additional information about the role of lactate in sepsis .