Idiopathic pulmonary fibrosis
A short segment on Idiopathic pulmonary fibrosis has been added to the Pulmonary fibrosis page.
Respiratory
Early outpatient management of PE
The early outpatient management of PE segment on the Management of PE page has been revised and updated.
Dexamethasone in acute asthma
The Acute asthma management page has been updated with some additional information about the potential advantages of dexamethasone in acute asthma.
Legionnaires disease
The Infectious agents causing CAP page has been updated with additional information about Legionnaires disease.
Pleural effusions
The Pleural effusion page has been updated with additional information about the potential causes.
CT in CAP
Some additional information about the test characteristics of CT chest for the diagnosis of CAP has been added to the Community acquired pneumonia page. Claessens, Y-E, Debray, M-P, Tubach, F, et al. Early Chest Computed Tomography Scan to Assist Diagnosis and Guide Treatment Decision for Suspected Community-acquired Pneumonia. American Journal of Respiratory and Critical Care … Read more
Investigate intermediate risk for PE as low risk
The Pulmonary embolism page has been updated so the investigation of patients with intermediate risk PE is now the same as those with low risk for PE.
ECG findings in PE
The section on the ECG findings in PE on the Investigations in PE – non imaging page has been revised considering the information from the following article: Shopp, JD, Stewart, LK, Emmett, TW, et al. Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis. Acad Emerg Med 2015;22(10):1127-37. http://www.ncbi.nlm.nih.gov/pubmed/26394330.
Well’s score table – correction
The table on the Pulmonary embolism page previously called Simplified Well’s score was actually just the original Well’s score. This has been corrected in the online version however not in the first 3 print runs of the print version.
Well’s and Geneva scores tables
The Well’s and Geneva scores, and their simplified versions, have been simplified into 2 tables – including the risk stratification cut offs for each of them. This can be found on the Pulmonary embolism page.
Steroids for severe CAP
The Management of CAP page has been updated with information about the beneficial role of steroids in hospitalised patients with severe CAP. Siemieniuk, RAC, Meade, MO, Alonso-Coello, P, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015.
Spirometric assessment of COPD severity
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!
D dimer in pregnancy
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
Lebrikizumab for asthma
The Long term management of asthma page has been updated with some information about the role of lebrikizumab.
Pericardial cysts
CXR images and a small segment on pericardial cysts have been added to the Mediastinal masses page.
Ultrasound for pneumonia
Some additional information about the accuracy of US for the diagnosis of pneumonia has been added to the Community acquired pneumonia page.
Describing CXR abnormalities
Additional information about describing abnormalities on the CXR have been added to the Chest imaging page.
CXR rotation and position
Short segments on the significance of rotation and patient position on the CXR have been added to the Chest imaging page.
Stratosphere sign image
An US image demonstrating the stratosphere sign of pneumothorax has been added to the Assessment of pneumothorax page.
Securing and attaching an ICC
Additional information about securing and attaching an ICC to an UWSD has been added to the Management of pneumothorax page.