hsTnT in stable IHD and type II diabetes
Some normal values of hsTnT in patients with stable IHD and type II diabetes have been added to the Non ACS causes of elevated troponin page.
Updates
Pityriasis versicolor
Some additional information and an image of pityriasis versicolour have been added to the Tinea page.
ANZ Cardiac Society hsTroponin guidelines
Some additional information about the Australian and New Zealand Cardiac Society 2011 guidelines on hsTroponin has been added to the Troponins in ACS page. 2011 addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand guidelines for the management of acute coronary syndromes (ACS) 2006. Heart, Lung and Circulation 2011;20(8):487-502.
hsTnT in renal impairment
Some additional information about hsTnT in patients with renal impairment (90% with eGFR 30-60mL/min) has been added to the Troponins in ACS page, derived from the following reference. Twerenbold, R, Wildi, K, Jaeger, C, et al. Optimal Cutoff Levels of More Sensitive Cardiac Troponin Assays for the Early Diagnosis of Myocardial Infarction in Patients With … Read more
Diverticulitis severity
Additional information about classifying the severity of diverticulitis has been added to the Diverticular disease page.
J-T interval prolongation
Some information about the usefulness of J-T interval prolongation as a marker of K channel blockade in patients with QRS prolongation has been added to the Electrocardiography and other relevant pages.
Spirometric assessment of COPD severity
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!
Imaging of osteomyelitis
The Osteomyelitis page has been updated with additional information about imaging of suspected OM, including a short segment on the role of US.
Prevalence of bruising in children < 6 months of age
The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more
D dimer in pregnancy
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
1 hour delta hsTnT strategies in ACS
The Risk stratification of suspected ACS page has been revised and updated with particular emphasis on the role of hs troponin only and 1 hour delta hsTnT strategies in ACS.
Rate of delayed ICH in anti-coagulated patients
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
hsTnT risk stratification pathway
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.
SPA and catheterisation in children
The Urinary tract infection in children and Urinary catheterisation pages have been updated with some additional information following the recent publication of a review article on the subject in EMA. Cheek JA, Craig SS, Seith RW, et al. Urine collection in young children. Emerg Med Australas 2015;27(4):348-50.
Glaucoma
A short page on Glaucoma has been created.Thanks to Andrew Perry for supplying the additional details.
Acute angle closure glaucoma
The Acute angle closure glaucoma page has been updated with additional details of the pathophysiology of this condition. Thanks to Andrew Perry for supplying the additional details.
ImmunoXpert
A small section on the ImmunoXpert inflammatory biomarker system that may aid in differentiating viral from bacterial infections has been added to the Serum proteins page.
Post ROSC PCI
The Post arrest care page has been updated with some additional information about the role of post ROSC PCI following the release of guidelines on the subject in the July edition of JACC.
Home treatment of DVT and PE
The Deep venous thrombosis and Management of PE pages have been updated with some additional information about the home treatment of PE.
Age adjusted d-dimer – again!
The Deep venous thrombosis page has been updated with more information about the utility of age adjusted d dimer for VTE. The use of an age adjusted cut off can safely reduce imaging by 20% in patients > 75 years of age. (link)