ECG changes in pneumothorax
The Assessment of pneumothorax page has been updated to include an ECG showing pseudo-infarction associated with a large PTX.
Respiratory
CXR of asbestosis and mesothelioma
A CXR of mesothelioma and asbestosis has been added to the Mesothelioma page.
Mesothelioma
A new topic on Mesothelioma has been created in the Respiratory section.
Carcinoma of the lung CXR
Another CXR image of carcinoma of the lung and underlying collapse has been added to the Carcinoma of the lung page.
Diagnostic variability in COPD
The Assessment of COPD page has been updated with information about the diagnostic variability in patients initially diagnosed with COPD.
Organisms causing CAP
The Infectious agents causing CAP page has been updated with a more recent list of organisms responsible for CAP overall. It is worth noting that many patients with CAP do not need ED care, so the relative frequency of some pathogens in ED patients is likely to be different.
Lung US techniques
The Lung ultrasound page has been extensively updated including additional information about lung US techniques.
E lines on lung US
The Lung ultrasound page has been updated with additional information about E lines.
B lines on lung US
The Lung ultrasound page has been updated with additional information about B lines.
US for pleural effusion
The Pleural effusion page has been updated with additional information about the US features of a pleural effusion.
Atypical pneumonia CXR
The Infectious agents causing CAP page has been updated with a CXR of atypical pneumonia.
Antibiotics and steroids for COPD
The Management of COPD page has been updated with additional information about the duration of steroid and antibiotic therapy in acute exacerbations.
Assessment of COPD
The Assessment of COPD page has been updated to include the differences between the assessment of acute exacerbations and the chronic disease state.
Nebulisation in the intubated patient
A short segment on bronchodilator therapy in the intubated patient has been added to the Management of life threatening asthma page.
Management of life threatening asthma
The Management of life threatening asthma page has had some minor updates, including the target plateau pressure in ventilation being < 30mmHg, not < 20mmHg as previously stated (thanks to Farzad for picking this up)
Paediatric CAP
The Paediatric pneumonia page has been updated with some information about the epidemiology of CAP in children and links to other adult CAP related pages added.
Treatment of PE table
A table summarising the treatment of PE in different situations has been added to the Management of PE page.
Diagnostic yield of CTPA
Some information about the approximate diagnostic yield from CTPA has been added to the Investigations in PE – imaging page.
Single vs multiple US views for PTX
The Assessment of pneumothorax page has been updated with some additional information about the test performance of US in traumatic PTX using single vs 4 views. Helland, G, Gaspari, R, Licciardo, S, et al. Comparison of Four Views to Single-view Ultrasound Protocols to Identify Clinically Significant Pneumothorax. Academic Emergency Medicine 2016;23(10):1170-75.
CTPA for RV strain
The Investigation of PE – imaging page has been updated with information about the test characteristics of CTPA in the detection of RV strain following PE