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.
ATS presentations per hour
An graph demonstrating the typical pattern of ATS presentations for each hour of the day has been added to the Triage page.
Atlas and axis mislabelled
The image on the Bones of the upper cervical spine page has been mislabelled with the names of the atlas (C1) and axis (C2) swapped by mistake. This mistake had been corrected previously but resurfaced when the old, incorrect image was used during an image upgrade. The current image is now correct. Thanks to an … Read more
Early surgery for primary ICH
The Stroke management page has been updated with information regarding the role of early surgery in primary ICH following the publication of the STICH – II trial.
Prolonged QTc cause and risk of arrhythmias
The Normal ECG, Ion effects on the ECG and Torsades de pointes pages have been updated highlighting the risk from QTc prolongation caused by ST segment prolongation is much less than that due to T wave prolongation.
Syncope ECG changes
Some additional material relating to ECG changes and prognosis in syncope has been added to the Syncope page.
Sudden cardiac death
The Sudden cardiac death page has been updated with more specific information about the types of ECG changes that can occur in Brugada syndrome, as well as the insertion of links to other relevant sections of the manual.
Caged ball prosthetic valve
A CXR image of a caged ball prosthetic valve has been added to the Prosthetic valve page.