ALP in primary hyperparathyroidism – correction
The Hypercalcaemia page has been corrected so it is clear that ALP is usually increased in primary hyperparathyroidism instead of normal as previously stated. Thanks to Steven for picking this up.
Clinical skills
Chemical restraint
The Violence page has been updated with a revision of Chemical restraint, emphasising the use of IV medications (when safe to do so) and highlighting the different concentrations of droperidol ampoules.
Personal development matrix
An image of a personal development matrix has been added to the Personal skills page. If you are having difficulties – I suggest you take a look.
Cultural awareness
A few additions regarding how to use cultural awareness as a potential starting point and the role of family in some cultures have been added to the Culture page.
CRP
The Serum proteins page has been updated with some additional information about CRP.
Complications of gadolinium
The Magnetic resonance imaging page has been updated with additional information about the adverse effects of gadolinium.
Intraosseous contrast administration
A protocol for intraosseous imaging contrast administration has been added to the Intravenous contrast page.
Contrast administration and metformin
The Intravenous contrast page has been updated with information about contrast administration and metformin.
RANZCR IV contrast guidelines
The Intravenous contrast page has been updated with the very sensible 2016 recommendations from RANZCR regarding contrast administration and risk of AKI.
Iododerma
The Intravenous contrast page has been updated with information about the rare hypersensitivity reaction called iododerma.
Echocardiography table
The table of the relative usefulness of the the various echocardiographic views on the Echocardiography page has been updated.
Suprasternal echocardiography view
The Echocardiography page has been updated with information about the suprasternal view.
Hungry bone syndrome
Hungry bone syndrome has been added to the Hypocalcaemia page as a cause of hypocalcaemia, hypophosphataemia, hypomagnesaemia and hyperkalaemia
Falls
The Aging page has been updated with additional information about the epidemiology and assessment of falls, including the timed up and go test. Vieira, ER, Palmer, RC, Chaves, PH. Prevention of falls in older people living in the community. BMJ 2016;353:i1419.
BMI and mortality
The Obesity page has been updated with information about the BMI associated with the lowest risk of all cause mortality.
S4 restricted medications
The Drug dosing & administration page has been updated with additional information about S4 restricted drugs.
Avoiding claims of impropriety
The Clinical skills page has been updated with a segment on how to avoid claims of impropriety during physical examination.
Normal echocardiographic measurements
The Echocardiography page has been updated with a reminder to interpret ‘normal’ echocardiographic measurements considering the body habitus and activity level of the patient. Many athletes have increased IVC, LV wall and aortic root diameter measurements.
Maori health
A new topic called Maori health has been added to the Culture section.
Media interactions
The Media interactions page has been extensively revised and added to. As a result of un unpleasant personal experience with flies during a live TV interview, the recommendation to apply personal insect repellent in preparation has been made!