Investigation of hepatic encephalopathy
The Hepatic diseases page has been updated with a new segment on investigation of suspected hepatic encephalopathy.
Serum ammonia
The LFTs page has been updated with additional information about serum ammonia.
Steroids for severe CAP
The Management of CAP page has been updated with details of the most recent large RCT that supports the benefit of steroids in severe CAP.Dequin, P. F., Meziani, F., Quenot, J. P. et al., Network, C. R.-T. (2023). Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. https://doi.org/10.1056/NEJMoa2215145
Sodium valproate toxicity
The Anti-convulsant toxicity page has been updated with additional information about sodium valproate toxicity.
Quality improvement
The Quality improvement page has had a number of minor updates.
Conjunctivitis
The Red eye page has been updated with additional information about the clinical features of conjunctivitis.
Bereavement follow up
The Bereavement page has had a couple of minor updates, including the recommendation not to routinely send follow up messages to families of bereaved patients, due o the associated increased risk of depression and PTSD.
Medical records
The Medical records page has had a number of other minor updates and wording changes.
Abbreviations
The Medical records page has been updated with an additional segment on abbreviations (and why they can be bad!).
Electronic medical records
The Medical records page has been updated with a major revision of the segment on electronic medical records.
Supracondylar humeral fracture Xray
An Xray image of a supracondylar fracture of the humerus has been added to the Elbow injuries page.
Isolated fibula fracture Xray
An Xray of an isolated fibula fracture has been added to the Knee and leg fractures page.
Acanthosis nigricans image
An image of acanthosis nigricans has been added to the General dermatology page.
CXR findings in TB
The segment on CXR findings in TB on the Tuberculosis page has been expanded.
Pulmonary TB – CXR and CT images
CXR and CT images of active pulmonary TB have been added to the Tuberculosis page.
Myocarditis
The Myocarditis page has been updated with some additional information.
Tonsiliths
A short segment on tonsiliths has been added to the Sore throat page.
Non accidental injury
The Non accidental injury page has had a number of minor updates and wording improvements.
Management of AF
The Management of AF page has had a number of minor additions and wording improvements.
US in cardiac arrest
The ALS page has been updated with some additional information about US in cardiac arrest.