Anterior and posterior cerebral circulation
The components of the anterior and posterior cerebral circulation have been added to the Cerebrovascular diseases page.
Updates
Drug seeking behaviour
The Drug seeking behaviour page has been revised to emphasise the role of objective findings and functional pain assessment when considering management.
Large bowel obstruction AXR and CT
AXR and CT images demonstrating a large bowel obstruction have been added to the Bowel obstruction page.
Chronic pain and opioids
The Chronic pain page has been revised to better emphasise the lack of efficacy in the use of opioids to manage this condition.
Multi-detector CT and atrial thrombus
The Management of atrial fibrillation page has been updated to include information about the role of multi-detector CT in the diagnosis of left atrial thrombus.
TXA for epistaxis
The Epistaxis page has been updated with a segment on the role of topical TXA.
Placenta accreta spectrum
A segment on Placenta accreta spectrum has been added to the Post partum haemorrhage page. Silver, RM, Branch, DW. Placenta Accreta Spectrum. N Engl J Med 2018;378(16):1529-36
MRI in TGA
The Cerebral lobe function page has been updated, including additional information about transient global amnesia and MRI.
US features of ischaemia in SBO
The Bowel obstruction page has been updated, including the addition of US features suggestive of bowel ischaemia in SBO.
Group B Strep screening
The Pregnancy page has been updated with a revised segment on Group B Strep screening.
Doppler US for DVT
The Deep venous thrombosis page has been updated, including the addition of short segments on Doppler US and the limitations of 2 region US.
Investigation of SAH
The algorithm for investigation of suspected SAH on the Investigation of subarachnoid haemorrhage page has been modified to indicate that an LP may not be necessary if the initial CT is normal, and that CTA is a reasonable alternative if an LP cannot be performed.
Loin pain
A few minor updates have been made to the Loin pain page.
Difficult urinary catheter insertion
Additional techniques for managing difficult urinary catheter insertion have been added to the Urinary catheter insertion page.
Traumatic urethral catheter removal
A segment on traumatic catheter removal, including prevention, has been added to the Urinary catheterisation page.
Radiation in pregnancy
The Radiation in pregnancy page has had some minor updates with some additional information about the effects of radiation on the fetus.
Pericardial effusion in pregnancy
The Changes in pregnancy page has been updated, including the addition of pericardial effusion as a change in normal pregnancy.
CRP and procalcitonin in CAP
The Community acquired pneumonia page has been updated with some additional information about procalcitonin and CRP in CAP.
Slit lamp use
The Ocular examination page has been updated, including a link to an external video on how to use a slit lamp.
Phenylephrine in priapism
The Priapism page has been updated to include a reduced recommended dose of intra-corporeal phenylephrine.