Aortic regurgitation
An audio file of aortic regurgitation has been added to the Aortic valve disease page.
Janeway lesions
An image of Janeway lesions has been added to the Endocarditis page.
4th heart sound audio
A short audio clip of a gallop rhythm with a 4th heart sound has been added to the Cardiac auscultation page.
VSD audio
A short audio clip of the murmur of a VSD has been added to the Acyanotic lesions with left to right shunt has been added.
Feedback process changes
Due to subscriber feedback, the process for providing us feedback about the manual has been simplified. It is now no longer necessary to enter an email address or a name in the feedback form, just the feedback you want to give. Obviously if you do not provide any contact details, we can’t provide you any … Read more
Colchicine for pericarditis
The Pericarditis page hase been updated, with particular emphasis on the role of colchicine in non malignant pericarditis following a recent trial of its use published in the NEJM.
Diagnostic radiation risk calculator
A link to a useful external diagnostic radiation calculator has been added to the Radiation and diagnostic imaging page.
Heart sounds
The Cardiac auscultation page has been updated and links to some useful auscultation websites have been added.
Causes of clubbing
The list of causes of clubbing has been updated in the Respiratory examination page.
Acute aortic regurgitation
A small segment about the features of acute AR has been added to the Aortic valve disease page as well as a number of other additions.
Mitral regurgitation
The segment on mitral regurgitation in the Other valve lesions page has been revised and updated.
Ventricular septal defect
The segment on VSD in the Acyanotic lesions with left to right shunt page has been updated and re-organised.
Pneumocystis jiroveci
The organism responsible for PCP pneumonia, Pneumocystis carinii, has been replaced with it’s new name Pneumocystis jiroveci on the HIV infection page (and related pages). PCP pneumonia may also be called PJC pneumonia as a result.
Austin Flint murmur
The description of the Austin Flint murmur as that of MR on the Aortic valve disease page has been corrected. The Austin Flint murmur is a diastolic murmur of MS due to disruption of the anterior MV leaflet due to the regurgitant aortic jet. The auscultatory diagram depicts the timing of the murmur correctly.
Mitral regurgitation and stenosis auscultation
New auscultation diagrams of mitral stenosis and regurgitation have been added to the Other valve lesions page that better represent the auscultatory findings than the previous images.
Aortic stenosis and regurgitation auscultation
New auscultation diagrams of aortic stenosis and regurgitation have been added to the Aortic valve disease page that better represent the auscultatory findings than the previous images.
ATS proportions per hour
An graph demonstrating the typical proportion of ATS presentations for each hour of the day has been added to the Triage page.