Valsalva retinopathy
A small segment on Valsalva retinopathy has been added to the Sudden visual loss page.
Bob Dunn
Post partum thrombosis risk
Following a recent study published in the NEJM, the risk of thrombotic events appears to be increased for up to 12 weeks post partum, not for only 6 weeks as previously thought. Various pages including the Thrombophilia page have been updated as a result.
Open PIP joint dislocation
An image of an open PIP joint dislocation with volar plate injury has been added to the Hand injuries page.
PIP joint dislocation
A radiograph of a PIP joint dislocation has been added to the Hand injuries page.
Digital amputations
The Digital amputations page has been revised and updated following a BMJ review of the subject published today.
Hand injuries reorganisation
To facilitate navigation, the Hand injuries page has been subdivided to create Hand anatomy, Digital amputations and Tendon infections and pressure gun injuries pages.
Prognostic factors in acute myocarditis
Predictors of cardiac arrhythmias and poor prognosis in paediatric patients with myocarditis have been added to the Acute myocarditis page.
hsTnI levels in atrial fibrillation
The Non ACS causes of elevated troponin page has been updated with information about atrial fibrillation.
Ashman phenomenon causing RBBB or LBBB
A small segment about the Ashman phenomenon has been added to the Disorders of cardiac conduction page.
Seborrhoeic keratoses
An image of multiple early seborrhoeic keratoses has been added to the Melanoma page.
Sarcoidosis
Some information about Löfgren’s syndrome and the diagnostic usefulness of ACE levels in suspected sarcoidosis has been added to the Sarcoidosis page.
Erythema nodosum causes
Some additional causes of erythema nodosum have been added to the Cellulitis mimics page.
Urgent cholecystectomy
The role of urgent cholecystectomy has been updated on the Cholecystitis page.
Inter-hospital transfer
The Interhospital transfer page has been updated with a variety of minor additions.
Vertigo
The Assessment and management of vertigo page has been extensively revised and a short section on the Alternate cover test for strabismus has been added.
Angioedema
The Angioedema page has been updated, with particular reference to the role of icatibant in the treatment of life threatening angioedema.
SGLT2 inhibitors
The Oral hypoglycaemic agents page has been updated with information about SGLT2 inhibitors in the treatment of Type II diabetes.
Treatment of hypertension
The Hypertension page has been updated with information from the Joint Committee on Hypertension guidelines released in December 2013.
Adenosine dose for paediatric SVT
The paediatric dose for SVT has been changed on the Supraventricular tachycardia and Paediatric cardiac arrest pages to be consistent with current ARC guidelines and the Paediatric resuscitation chart in the manual. The adenosine doses recommended are now: initial dose 0.1 mg/kg, repeat dose 0.2 mg/kg, maximum dose 0.3 mg/kg (or 12mg)