Updates

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.

The Urinalysis page has been extensively updated and moved to near the start of the Urogenital Disorders section, in the Urinary Disorders chapter, along with the Other Diagnostic Procedures page..

The Acute Renal Failure page has been updated with some information regarding ATN, FeNa and urinary SG in renal failure.

The Extracorporeal Vascular Access page has been extensively edited and new content added, particularly with regard to the assessment of shunt problems and shunt care..

A new segment on vasopressin in cardiac arrest has been added to the Advanced Life Support page.

The Other antimicrobials page has been updated with additional information about the potential toxicity and drug interactions from oral (not topical) ketoconozole. Some additional links have also been added with the Tinea page.

The mechanisms of injury associated with the need for trauma centre care have been added to the Trauma Teams page.

A small section about when it may be safe to re-challenge a patient with penicillin ‘allergy’ has been added to the Anaphylaxis page.

Details of the ;Sepsis six’ care bundle and more specific recommendations regarding the initial IV fluid volume in sepsis have been added to the Management of Sepsis page.

The Renal calculi page has been updates with some additional information regarding the use of CT in the diagnosis of suspected ureteric colic.

The Assessment of Sepsis page has been updated with some additional information regarding the likely progression of patients with severe sepsis to septic shock and additional information about the role of lactate in sepsis .

A small segment on benign acute childhood myositis has been added to the Limping Child page in the Paediatrics section.

The Cardiac Output Measurement page has been updated with detailed information regarding the echocardiographic methods of measurement of cardiac output most applicable to ED patients.

The Abnormal Vaginal Bleeding page has been updated with information regarding the usefulness (or lack thereof) of the vaginal examination in selected cases.

The page Correlations Between Variables has been updated with some additional information regarding logistic regression. I bet you can’t wait to read it!

The Renal Calculi page has been updated with information about the sensitivity and specificity of pyuria for UTI in patients with acute ureteric colic.The strange formatting of the lower half of the page has also been corrected.

Information regarding acetyl fentanyl has been added to the Opioid Agonists page following a spate of deaths from this agent in the US..

The Treatment of Hypovolaemia page has been updated with details of the preferred transfusion ratio of packed cells, FFP and platelets.

The Upper GI Haemorrhage page has been updated with details of the AIMS65 score.

An extensive modifications of the oral ulcers topic on the Oral Conditions page has been completed.