Differential BP in aortic dissection
The Thoracic aortic dissection page has been modified, including some additional information about differential BP and pulse deficits.
Cardiology
ECG changes of RV infarction
The ECG in ACS page has been updated with some additional information about ECG changes in RV infarction, as well as some improved formatting.
PET image of Takayasu aortitis
A PET scan image has been added to the Takayasu arteritis page.
Electrical alternans
The Pericardial tamponade page has been updated with a new ECG demonstrating electrical alternans.
de Winter pattern ECG
The ECG in ACS page has been updated with an ECG of de Winter pattern changes of a proximal LAD occlusion.
Takayasu arteritis
The Takayasu arteritis has had a few minor updates. Recently saw a case where the diagnosis had been elusive for the last 2 years and the patient labelled as a drug seeker. Weird stuff happens.
Inferolateral MI ECG
A new ECG demonstrating a subacute inferolateral MI due to a circumflex artery lesion has been added to the ECG in acute coronary syndromes page.
Early repolarisation phenomenon ECG
Another ECG of ERP has been added to the ECGs in acute coronary syndromes page.
CXR in aortic dissection
The Thoracic aortic dissection page has been revised, including the addition of information about the use of measuring the left mediastinal width on a PA CXR.
Aortic dissection LRs
The Thoracic aortic dissection page has been revised, including the addition of some LRs for a variety of clinical features.
MRI of cerebral fat embolism
An MRI image of cerebral fat embolism has been added to the Non thrombotic embolism page.
ECG of inferior MI
An additional ECG image of an inferior MI has been added to the ECG in acute coronary syndromes page.
ECG of pericarditis
An additional ECG of pericarditis has been added to the Pericarditis page.
Gram -ve endocarditis
The Endocarditis page has been revised, including the correction that gram -ve organisms are responsible in only approximately 10% of cases, not 85% as previously stated. Thanks to Pete for picking this up.
Hypertension
The Hypertension page has been updated, including the AHA’s most recent definition of hypertension as well as a segment on secondary hypertension.
Non ACS related elevation of troponin
The Non ACS causes of elevated troponin page has been updated to include some new information about the prevalence of elevated Tn in the general ED population as well as the effect of renal failure on Tn levels.
Single troponin and EDAC score
The Troponins in ACS page has been updated with some additional information about the efficacy of a combined EDACS and single hsTroponin measurement. Pickering, JW, Flaws, D, Smith, SW, et al. A risk assessment score and initial high-sensitivity troponin combine to identify low-risk of acute myocardial infarction in the emergency department. Academic Emergency Medicine, 2017
ECG changes of RV infarction
The ECG in acute coronary syndromes page has been updated with additional information about ECG changes in RV infarction.
Aortic dissection
The Aortic dissection page has been extensively revised and updated
Pericardial tamponade
The Pericardial tamponade page has been updated including some additional information about causes of visible clot in the pericardium.