Gall stone ileus
An image of an abdominal radiograph demonstrating a Gall stone ileus has been added to the Cholecystitis page.
Good luck to all ACEM Fellowship candidates
Good luck to all the ACEM Fellowship exam candidates sitting the written examination tomorrow. If you are one of them and reading this – STOP – it is too late to revise anything and trying to study is usually counterproductive at this stage. I strongly suggest you put down your books (or device) and spend … Read more
Ellis II & III dental injuries
An image of Ellis II & III dental injuries has been added to the Dental trauma page.
Knee dislocation
Radiographic images of a lateral knee dislocation have been added to the Knee Dislocation page.
Image sizes increased
Approximately 100 of the images throughout the manual have been increased in size to enable better viewing.
Image captions and footnotes updated
The long and slow process of increasing the font size of the captions and footnotes for the 1000 or so images in the manual is finally completed. This should make reading the texts in these areas substantially easier.
Suicide risk
The Suicide risk page has been revised and updated with particular reference to the limitations of the SAD PERSONS index (and its modification).
Affective disorder reorganisation
The Affective disorders page has been divided to create new pages called Self harm, Suicide risk and Bipolar disorder.
The ‘I’ gremlin has been eliminated
The damage caused by the computer gremlin that mysteriously removed the ‘I’ from ‘Image’ on a number of pages on the site has been repaired.
Chronic kidney disease
The Chronic Renal Failure page has been renamed Chronic Kidney Disease and revised and updated.
Pupillary abnormalities table
For pupils of pupils, and for those (like me) who get their Holmes Adie’s confused with their Argyle Robinson’s, a table summarising the examination findings of the most common pupillary abnormalities has been added to the bottom of the new Pupillary abnormalities page.
Holmes Adie pupil and Horner’s syndrome
The topics of Holmes Adie pupil and Horner’s syndrome have been updated in the Pupillary abnormalities page.
Assessment of vision revision
The Assessment of vision page has been subdivided and the new pages Pupillary abnormalities and Abnormal eye movements have been created.
Eaton Lambert syndrome
A new page on the Eaton Lambert syndrome (or Lambert Eaton syndrome if you are from North America) has been added to the Weakness chapter.
MERS Co-V
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.
Urinalysis
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..
Acute renal failure
The Acute Renal Failure page has been updated with some information regarding ATN, FeNa and urinary SG in renal failure.
Dialysis shunts
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..
Vasopressin in cardiac arrest
A new segment on vasopressin in cardiac arrest has been added to the Advanced Life Support page.
Oral ketoconozole toxicity and drug interactions
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.