Meropenem in penicillin allergy
The Penicillins and beta lactams page has been updated to indicate that the risk of allergic cross reactivity between penicillin and meropenem is thought to be negligible.
Comedone and naevus
The General dermatology page has been updated with the addition of the definitions of a comedone and naevus.
Liver and spleen in children
The Examination of the abdomen and GIT page has been updated, including information about the normal liver and spleen in children.
Age descriptors for children
The Physiological and anatomical differences in children page has been updated, including some other descriptors of a child’s age.
Assessment of children
The Assessment of children page has had a few updates, particularly in history taking, examination and additional information about the age of walking.
Vitamin K and superwarfarins
The Warfarin page has been updated with additional information about the need for close monitoring following superwarfarin ingestion and the need for ongoing, tapering vitamin K therapy.
Coagulopathy and synthetic cannabinoids
The Other drugs of abuse page has been updated with the addition of coagulopathy as a potential adverse effect of synthetic cannabinoid ingestion due to mixture with long acting Vitamin K antagonists.
Needle induced pneumothorax
The Management of pneumothorax page has been updated to indicate that pneumothorax secondary to pleural needle puncture usually resolves with conservative treatment alone.
Nystagmus testing
The Cerebellar function page has been updated with some additional information about how to test for nystagmus.
HINTs
The Vertigo page has been updated, including some additional information about the HINTs examination.
Meningitis
The Meningitis page has been revised, with mostly wording changes to improve clarity.
Repeat ECGs in suspected ACS
The ECG in ACS page has been updated, including additional information about the diagnostic yield from repeat ECGs.
Clinical assessment of ACS
The Clinical assessment of ACS page has had a number of minor improvements, including a better description of the role of clinical assessment.
Aortic dissection prognosis
The Thoracic aortic dissection page has been updated, including additional information about the prognosis of aortic dissection.
4th universal definition of MI
The Definition of AMI page has been updated with the 2018 definition of MI – importantly including new ECG criteria for STEMI that differ according to the leads used, age and gender of the patient.
hsTn and risk scores for ACS
The Risk stratification in ACS page has been updated, including a short segment outlining the issues with using risk scores in association with hsTn.
Syncope and PE
The Syncope page has had a few minor changes, including a statement that PE is an uncommon cause of syncope in ED patients.
Aminocaproic acid removal
Aminocaproic acid has been removed from a variety of parts of the book as it is no longer available in Australia or New Zealand. Thanks to Stephanie for the suggestion.
Pneumothorax size measurement
The Assessment of pneumothorax page has been updated to indicate that the BTS guidelines recommend measurement of the separation of the lung from the chest wall at the level of the hilum on CXR.
Pneumothorax – correction
The Abnormal intrathoracic gas page has been updated, including removing traumatic causes from the section on primary pneumothorax. Thanks to Farzad for picking this up.