Phenylephrine in priapism
The Priapism page has been updated to include a reduced recommended dose of intra-corporeal phenylephrine.
Ventricular arrhythmias
The Ventricular arrhythmias page has had some minor wording updates and an enlargement of the ECG images on the page.
ECGs enlarged
The ECG images on the Assessment of atrial fibrillation or flutter page have been enlarged.
ECG of atrial flutter with 3:1 AV block
An ECG image of atrial flutter with 3:1 AV block has been added to the Assessment of atrial fibrillation or flutter page.
Pleural effusion
The Pleural effusion page has had some minor updates and the size of some of the images enlarged.
Migraine
The Migraine page has been considerably revised and updated, particularly in the areas of epidemiology and clinical features.
Glenohumeral joint dislocation
The Glenohumeral joint dislocations page has been updated, including image enlargement and an expanded description of the reduction technique for posterior shoulder joint dislocations.
Spinal links
Links between the Non traumatic causes of spinal cord disorders page and the Spinal cord injury page have been inserted.
Spinal cord injuries
The Spinal cord injuries page has been revised including some additional information about anterior spinal cord syndrome, spinal cord blood supply and enlargement of many images.
Ceftriaxone
The Penicillins and beta lactams page has been updated with some additional information about ceftriaxone.
AKI
The Acute kidney injury page has been revised and updated, including an expanded list of nephrotoxic agents and indications for a renal biopsy.
Hydrocortisone and fludrocortisone in septic shock
The Management of sepsis page has been updated with additional information about the role of hydrocortisone and fludrocortisone in the management of ICU patients with septic shock, following the publication of the following related articles: Venkatesh, B, Finfer, S, Cohen, J, et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. N Engl J Med … Read more
PGI and rocket launcher hip relocation technique
The Dislocations of the hip page has been updated, including the addition of information about the PGI and rocket launcher techniques.
CT with whirlpool sign of midgut volvulus
Two CT images demonstrating midgut volvulus in an adult have been added to he segment on Intestinal malrotation in the Abdominal disease in children page.
Midgut volvulus
The segment on Intestinal malrotation has been updated in the Abdominal disease in children page.
US of large gallstone
An US image of a solitary, large gallstone has been added to the the Biliary ultrasound technique page.
Hartmann’s solution preferred
Multiple pages in the Circulatory resuscitation section have been updated to indicate that Hartmann’s solution is usually the preferred initial IV resuscitation fluid.
Adrenomedullin
The Hyperadrenalism page has been updated, including details about adrenomedullin and how it contributes to hypocalcaemia and haemodynamic instability in phaechromocytoma.
Normal saline or ‘balanced’ solutions?
The Intravenous fluids page has been updated to include some additional information about the adverse effects of Normal saline. A small table comparing the 2 fluids has been added.
Medication incompatibility with Hartmann’s solution
The Intravenous fluids page has been updated to include additional information about incompatibility of various medications with Hartmann’s solution.