Clinical decision making
The Clinical decision making page has been updated, with particular emphasis on the types of clinical decisions that need to be made for each clinical encounter.
Updates
History taking
The Clinical skills page has been updated with additional information about history taking.
Steroids to glucocorticoids
As not all steroids are created equal, the word ‘steroid’ has been replaced by the word ‘glucocorticoid’ in many parts of the book. When ‘steroids’ means more than one class of steroids, it has not been changed.
Horseshoe kidney image
The Other renal abnormalities page has been updated with a CT image of horseshoe kidney.
Eosinophillic granulomatosis with angiitis
The Other autoimmune inflammatory diseases page has been updated with additional information about eosinophillic granulomatosis with angiitis (also known as Churg Strauss syndrome).
Antibiotics and steroids for COPD
The Management of COPD page has been updated with additional information about the duration of steroid and antibiotic therapy in acute exacerbations.
Assessment of COPD
The Assessment of COPD page has been updated to include the differences between the assessment of acute exacerbations and the chronic disease state.
Proximal thigh blocks
The Regional anaesthesia page has been updated with changes to the segment on proximal thigh blocks.
NIV face mask leaks
The Non invasive ventilation page has been updated, including information about face mask leaks in NIV.
HME filters
The Intubation equipment page has been updated with some additional information about the use of heat and moisture exchange (HME) filters.
Nebulisation in the intubated patient
A short segment on bronchodilator therapy in the intubated patient has been added to the Management of life threatening asthma page.
Sexual assault forensic examination
The Sexual assault page has been updated with additional information regarding forensic examination following sexual assault.
Heat stroke
The Heat stroke page has been updated with an emphasis on the priorities in management of heat stroke.
TXA in PPH
The Post-partum haemorrhage page has been updated with additional information about the role of TXA, following the recent publication of the WOMAN trial. Apart from the trial having a study population mostly from relatively resource poor health systems (yes, I include the UK in this group), it also has the longest list of authors I … Read more
Haemodialysis in salicylate toxicity
The important benefit of haemodialysis in intubated patients with salicylate toxicity has been emphasised on the Salicylates page.
Antibiotic choices for outpatient therapy
The Outpatient antibiotic therapy page has been updated with a section on antibiotic choices for outpatient therapy.
MgSO4 for eclampsia/pre-eclampsia added
The Hypertension in pregnancy page has been updated with the addition of the doses of MgSO4 for eclampsia and pre-eclampsia.
Cardiovascular effects of alcohol
The Ethanol page has been updated with information about the cardiovascular effects (potentially beneficial and harmful) of alcohol consumption.
Ottawa ankle rules
The Ankle injuries page has been updated with additional information about the Ottawa ankle rules.
Isolated fibula fracture
The Knee and leg fractures page has been updated with some additional information about isolated fibula fractures.