VADs
The segment on VADs on the Mechanical cardiovascular support page has been revised and updated.
Cardiac arrest and VADs
A segment on cardiac arrest in patients with a ventricular assist device (VAD) has been added to the Advanced life support page.
aVR in Brugada
The Sudden cardiac death page has been updated with additional information about aVR in patients with Brugada syndrome.
Prognostic features in TTP
The Thrombotic microangiopathies page has been updated with information about predictors of prognosis in TTP.
Urinary SG and UTI
The Urinary tract infection in adults page has been updated with some information about the effect of urine concentration on diagnosis of UTI using bedside U/A.
Anti-thrombotic therapy in thrombocytosis
The Thrombocytosis page has been updated with indications for aspirin therapy.
DOACs for valvular AF
The Stroke prevention in atrial fibrillation / flutter and Other anti-coagulants pages has been updated to indicate that DOACs are now thought to be safe for use in non-prosthetic valvular atrial fibrillation, with the exception of rheumatic mitral stenosis.
Warfarin
The Warfarin page has been updated with some additional information about target ranges for mechanical valves and reduction of restriction of DOAC therapy on valvular AF.
Therapeutic Mg levels – correction
The Hypertension in pregnancy and Hypomagnesaemia pages have been updated with a correction of the units for the therapeutic range of Mg. This is 1.5-3.5mmol/L or 4-8mg/dL – not 4-8mmol/L as previously stated. Thanks again to Farzad for picking this up.
Head position in stroke
The Stroke management page has been updated with information about patient positioning following stroke.
Complications of UTI
A short segment on complications of UTI has been added to the Urinary tract infection in adults page.
Emphysematous cholecystitis
A short segment on emphysematous pyelonephritis has been added to the Urinary tract infection in adults page.
Atypical pneumonia CXR
The Infectious agents causing CAP page has been updated with a CXR of atypical pneumonia.
Jones like fracture
An image of a Jones like fracture of the 5th metatarsal base has been added to the Foot fractures page.
Risk of asymptomatic cerebral artery aneurysm rupture
The rates of rupture of asymptomatic cerebral artery aneurysm rupture in asymptomatic patients has been revised on the Subarachnoid haemorrhage page, following the publication of a meta analysis on the subject. Malhotra, A, Wu, X, Forman, HP, et al. Growth and rupture risk of small unruptured intracranial aneurysms: A systematic review. Annals of Internal Medicine … Read more
Facial trauma
The Faciomaxillary trauma page has been revised and updated.
Charcot foot
A segment on Charcot foot has been added to the Chronic care and complications of diabetes page.
Broken links fixed
We have just noticed that a number of links from various pages on the site were broken. We think we have either fixed all of these or removed any links no longer active. Please let us know if you spot any broken links we might have missed.
Effects of moderate drinking on cognition
The Ethanol page has been updated with additional information about the effects of chronic moderate ethanol ingestion on cognition. Topiwala, A, Allan, CL, Valkanova, V, et al. Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline: longitudinal cohort study. BMJ 2017;357:j2353
Adenosine following cardiac transplantation
Adenosine has long been considered contraindicated in transplanted hearts, but this is now being questioned in young patients. The Cardiac transplantation page has been updated to reflect this. Flyer, JN, Zuckerman, WA, Richmond, ME, et al. Prospective Study of Adenosine on Atrioventricular Nodal Conduction in Pediatric and Young Adult Patients After Heart Transplant. Circulation 2017 … Read more