Sepsis definitions update
The definitions of sepsis and severe sepsis have been updated in the Assessment of sepsis page with more specific criteria based on the Surviving sepsis 2012 guidelines published earlier this year.
Updates
Ketosis prone type II diabetes
A segment on ketosis prone type II diabetes has been added to the Diabetic Ketoacidosis page.
Normal infant WCC ranges
A table of WCC normal ranges for the first year of life has been added to the White blood cells page.
Normal infant Hb ranges
A table of normal Hb ranges in the first year of life has been added to the Haemoglobin page.
‘GP’ patients in ED
The Triage page has been updated with the latest information regarding ‘GP’ patients in ED.
NEXUS chest rule
Details of the NEXUS chest rule for plain radiography in blunt chest trauma has been added to the Assessment of the trauma patient page.
Bite injuries
The Bite injuries page has been extensively revised and updated, and duplicate content in other parts of the manual removed. The page has also been moved out of the Hand trauma segment to now follow the Penetrating trauma segment.
Adverse effects of quinolones
The Sulphonamides and quinolones page has been updated with recent information about the toxicity of quinolones.
PE examination findings
The Pulmonary embolism page has been updated with additional information about physical examination findings in PE.
Examination findings in CAP
The Community acquired pneumonia page has been updated with additional information about physical examination findings in CAP.
Respiratory examination
The Respiratory examination page has been extensively revised and expanded.
Abdominal examination updates
The Examination of the GIT page has been extensively revised and expanded and renamed Examination of the abdomen and GIT to reflect the change in its emphasis.
Investigation of ulcerative colitis
A small section on the investigation of ulcerative colitis has been added to the Inflammatory bowel disease page.
ECG intervals correction
The Normal ECG morphology page has been updated with an image that now demonstrates the correct ECG intervals. The previous image demonstrated inaccuracies in the start and finish of the PR, QRS, ST and QT intervals. More explicit descriptions of the relevant intervals have been added to The Normal ECG page as well.
Ascending cholangitis
A more specific section on ascending cholangitis has been added to the Biliary diseases and cholangitis page.
Suicide risk
The Suicide risk page has been revised and updated with particular reference to the limitations of the SAD PERSONS index (and its modification).
Chronic kidney disease
The Chronic Renal Failure page has been renamed Chronic Kidney Disease and revised and updated.
Pupillary abnormalities table
For pupils of pupils, and for those (like me) who get their Holmes Adie’s confused with their Argyle Robinson’s, a table summarising the examination findings of the most common pupillary abnormalities has been added to the bottom of the new Pupillary abnormalities page.
Holmes Adie pupil and Horner’s syndrome
The topics of Holmes Adie pupil and Horner’s syndrome have been updated in the Pupillary abnormalities page.
MERS Co-V
A new segment on the MERS Co-V infection has been added to the Respiratory Coronavirus infections page, which has been renamed (but now includes) from SARS.