Low back pain
The Low back pain page has been revised including a clearer explanation of the indications for surgery.
Updates
Idiopathic pulmonary fibrosis
A short segment on Idiopathic pulmonary fibrosis has been added to the Pulmonary fibrosis page.
Drug induced psychosis
The Psychosis page has been revised including the addition of a table of features that may help differentiate drug induced psychosis from psychosis due to schizophrenia. Glasner-Edwards, S, Mooney, LJ. Methamphetamine psychosis: epidemiology and management. CNS Drugs 2014;28(12):1115-26.
Metacarpal fractures
The Hand injuries page has been updated with a revised section on metacarpal fracture management. In particular, the lack of evidence of benefit from surgical management of most metacarpal fractures has been re-emphasised. Neumeister, MW, Webb, K, McKenna, K. Non-surgical management of metacarpal fractures. Clin Plast Surg 2014;41(3):451-61. Sletten, IN, Hellund, JC, Olsen, B, et … Read more
Ethnicity as a VTE risk factor
Ethnicity has been added as a risk factor for VTE to the Deep venous thrombosis page. Liao, S, McAnulty, K, Lim, C, et al. Ethnicity as an independent predictive factor for the results of CT pulmonary angiography and ultrasonography of the lower limbs. Internal Medicine Journal 2016:n/a-n/a.
May-Thurner syndrome
The Deep venous thrombosis page has been updated with a segment on May-Thurner syndrome, estimated to cause 2-5% of DVTs. Lee, AI, Ochoa Chaar, CI. The Hidden Lesion. N Engl J Med 2016;374(22):2160-65.
Seizures in pregnancy
The Seizures page has been updated with a segment on seizures in pregnancy. Kinney, MO, Morrow, J. Epilepsy in pregnancy. BMJ 2016:i2880
Falls
The Aging page has been updated with additional information about the epidemiology and assessment of falls, including the timed up and go test. Vieira, ER, Palmer, RC, Chaves, PH. Prevention of falls in older people living in the community. BMJ 2016;353:i1419.
Stiff person syndrome
A segment on Stiff person syndrome has been added to the Other movement disorders page.
Non fasting lipids are OK
The Cardiovascular risk reduction page has been updated with the recommendation that fasting for lipid sampling is no longer required. Mora, S. Nonfasting for routine lipid testing: From evidence to action. JAMA Internal Medicine 2016.
Paracetamol ingestion algorithm
The Paracetamol ingestion algorithm on the Paracetamol page has been updated with the expanded indications for oral activated charcoal contained in the September 2015 Australian management guidelines.
Paracetamol toxicity
Some minor revisions to the Paracetamol page have been made, including the NNT (7) for charcoal within 2 hours of ingestion.
Osteoid osteoma
The segment on Osteoid osteoma on the Bone tumours page has been revised.
Prazosin for PTSD
The Torture and trauma page has been updated to include the use of prazosin for patients with PTSD.
Exertional rhabdomyolysis
The Crush injury page has been updated with information about the benign nature of exercise induced rhabdomyloysis (without heat stroke).
Thoracic US in bronchiolitis
The Bronchiolitis page has been updated to include that multiple B lines may be found on thoracic US.
Anticoagulation in AF and ESRF
The Cerebrovascular disease page has been updated with revised information about anticoagulation for patients with AF and end stage renal failure. Dahal, K, Kunwar, S, Rijal, J, et al. Stroke, Major Bleeding, and Mortality Outcomes in Warfarin Users With Atrial Fibrillation and Chronic Kidney Disease: A Meta-Analysis of Observational Studies. Chest 2016;149(4):951-59.
Aspirin for TIA
The Cerebrovascular disease page has been updated with revised information about the effectiveness of aspirin for stroke prevention in patients with TIA.
MRI for appendicitis
The Appendicitis page has been updated with new test characteristics of MRI. Petkovska, I, Martin, DR, Covington, MF, et al. Accuracy of Unenhanced MR Imaging in the Detection of Acute Appendicitis: Single-Institution Clinical Performance Review. Radiology 2016;279(2):451-60.
Seizures and driving
The segment on seizures and driving restrictions on the Management of isolated seizures page has been updated with reference to the Austroads: Assessing fitness to drive publication.