Dunn RJ
The Assessment of sepsis page has been revised to include the Third international consensus sepsis definitions published this week in JAMA. Singer, M, Deutschman, CS, Seymour, C, et al. THe third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA 2016;315(8):801-10.
Some changes to the Other hypoglycaemic agents and Chronic care and complications of diabetes pages have been made to better reflect the usual order of agents used.
Additional information about the operation of the slit lamp has been added to the Ocular examination page.
Additional information about eyelid eversion and double eversion techniques has been added to the Ocular examination page
A short segment about deep brain stimulation and it’s potential adverse effects has been added to the Parkinson’s disease page.
A small segment on US guided subclavian vein CVC access has been added to the Central venous catheter insertion technique page.
The Causes of abdominal pain has been updated with additional information about the causes and management of constipation.
A small segment on epipericardial fat necrosis has been added to the Pericarditis page.
A few additions and changes have been made to the segment on IABP on the Mechanical cardiovascular support page.
A segment on TAPSE and MAPSE has been added to the Cardiac output measurement page.
Some additional information about nitrofurantoin for the treatment of UTI has been added to the Urinary tract infection in adults page.
A new segment on Nitrofurantoin has been added to the Other antimicrobials page
The Biliary disease page has been updated with some information about the natural history of asymptomatic gallstones.
Additional information about the management of isolated subsegmental PE has been added to the Management of PE page. Kearon, C, Akl, EA, Ornelas, J, et al. Antithrombotic therapy for vte disease: Chest guideline. Chest 2016 .
Additional information about the risk factors for propagation, and treatment of, isolated below knee DVT has been added to the Management of DVT page.
A new section better outlining the choice of anti-coagulants in DVT has been added to the Management of DVT page.
More changes have been made to the Other anticoagulants page, including an upgrading of rivaroxaban or apixaban to the preferred anti-coagulants for non valvular AF and VTE treatment.
The Splenic trauma page has been updated with some additional information about the role of embolisation.
Some additions have been made to the segment on Takotsubo cardiomyopathy in the MINOCA page.
A slight change indicating the possible utility of neubulised hypertonic saline in bronchiolitis has been added to the Bronchiolitis page.