Dunn RJ
Bob Dunn The Risk stratification of ACS page has been updated following the recent publication of the Australian Heart Foundation 2016 Guidelines on ACS. Chew, DP, Scott, IA, Cullen, L, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016. Med … Read more
The Anaesthetic risk page has been updated with additional information about pre-operative testing and risk of miscarriage related to surgery.
Some additional information about the potential limitations of single cortisol levels has been added to the Adrenal insufficiency page.
The Burns page has had some minor updates following the publication of the following article. Sheridan, RL, Ingelfinger, JR. Fire-Related Inhalation Injury. New England Journal of Medicine 2016;375(5):464-69.
The Ascites page has been updated with some additional information about the clinical features of ascites.
The Other gynaecological disorders page has been updated with some additional information about vaginal prolapse.
Just in case you were wondering, an irregularly irregular pulse has an LR+ of 25 for AFib.
The Pericardial tamponade page has been updated including the diagnostic accuracy of pulsus paradoxicus.
The features of benign murmurs have been revised on the Cardiac murmur differentiation page.
The Aortic stenosis page has been updated with a revision of the clinical features of AS.
The features of peripheral ischaemia have been updated on the Peripheral ischaemia ischaemia.
The Cardiovascular examination page has been revised with additional information about the JVP including how 8cm (not 5cm) should be added to the height above the manubriosternal angle to estimate CVP.
The Bradycardias and Other arrhythmias pages have been updated with the requirement for p waves to be present in heart block. The absence of p waves means the bradycardia is either junctional or idioventricular (although retrograde p waves may still be seen in junctional rhythms).
The September 2016 update quiz has just been published here.
The Electrical cardioversion page has been updated with clearer guidance on the minimum paddle pressure that should be applied.
The Infectious hepatitis page has been updated with the estimated rate of vertical transmission of HCV (~0.2-0.3%).
The Thrombotic microangiopathies page has been updated with information about the role of monoclonal antibodies as therapy.
The Low back pain has been updated with information about the lack of significant clinical benefit of opioid therapy for chronic back pain. Abdel Shaheed, C, Maher, CG, Williams, KA, et al. Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: A systematic review and meta-analysis. JAMA Internal Medicine 2016.
The Femoral fractures page has been updated with information about the frequency and timing of PE following injury, with ~50% of PEs occurring within 24 hours. Kim, YJ, Choi, DH, Ahn, S, et al. Timing of pulmonary embolisms in femur fracture patients: Incidence and outcomes. J Trauma Acute Care Surg 2016;80(6):952-6.
The Disorders of clotting page has been updated and some additional information about acquired factor deficiencies has been added.