Update quiz April 2016
The Update quiz April 2016 has just been posted.
Bob Dunn
ST elevation in gastric volvulus
The ECG in acute coronary syndromes page has been updated with gastric volvulus added to the possible caused of ST elevation.
Thiamine deficiency due to alcohol
The Ethanol page has been updated with information about the rarity of thiamine deficiency in the Australian population after thiamine supplementation of flour was introduced in 1991.
Umbilical cord clamping
The Normal labour & delivery page has been updated with information indicating that holding the baby at vaginal level whilst waiting to clamp the umbilical cord is no longer considered necessary. Fetal transfusion is unchanged by placing the baby on the mother’s stomach.
RBBB with RV pacing
The Complications of pacemakers page has been updated indicating that RBBB may still be normal in patients with RV pacing leads.
Oesophageal reflux management
The Oesophageal causes of chest pain page has been updated with additional management to prevent symptoms.
Hypomelanosis of Ito
The Phakomatoses page has been updated with a segment on Hypomelanosis of Ito.
Perimortem Caesarian section
The Advanced cardiac life support page has been updated with additional information about the technique of performing a perimortem Caesarian section following publication of the article: Parry, R, Asmussen, T, Smith, JE. Perimortem caesarean section. Emerg Med J 2015
Ear foreign bodies
The segment on Ear foreign bodies on the Ingested foreign bodies page has been revised and updated with additional information about the various options for removal.
Geographic tongue
The Oral conditions page has been updated with a short segment on Geographic tongue.
Statin myopathy
A small segment on statin induced autoimmune myopathy has been added to the Neuropathies and myopathies page.
Hydroxycobalamin adverse effects
Some additional details about the (mostly red discolouration) adverse effects of hydroxycobalamin has been added to the Cyanide page.
Cost effectiveness analysis
The Financial issues page has been updated with additional information about different forms of cost effectiveness analysis.
Supracondylar fractures
The segment on Supracondylar fractures on the Elbow injuries page has been updated including more specific information about reduction of these injuries in the ED
Molluscum contagiousum
A segment on Molluscum contagiosum has been added to the General Dermatology page.
Candidiasis
A short new topic on Candidiasis has been added to the Infectious diseases section.
Peri-prosthetic joint infections
A short segment on periprosthetic joint infections has been added to the Septic arthritis page.
Assessment of sepsis
The Assessment of sepsis page has been updated with some additional information about the diagnostic accuracy of CRP and PCT. Enguix-Armada, A, Escobar-Conesa, R, La Torre, AG, et al. Usefulness of several biomarkers in the management of septic patients: C-reactive protein, procalcitonin, presepsin and mid-regional pro-adrenomedullin. Clin Chem Lab Med 2016;54(1):163-8.
Polycystic kidney disease
The Polycystic kidney disease page has been revised and updated following the recent review article: Simms, RJ. Autosomal dominant polycystic kidney disease. BMJ 2016;352:i679. .
Legionnaires disease
The Infectious agents causing CAP page has been updated with additional information about Legionnaires disease.