Pneumothorax – correction
The Abnormal intrathoracic gas page has been updated, including removing traumatic causes from the section on primary pneumothorax. Thanks to Farzad for picking this up.
Venous HCO3 is higher than arterial HCO3 – correction
The Blood gas analysis page has been corrected to indicate that venous HCO3 is higher than arterial HCO3 (by about 1.7 mmol/L) – this was incorrect on one part of the page and correct in another.
Estimated total body iron deficit table
The Microcytic anaemia page has been updated, including the addition of an estimated total body iron deficit table.
Total body iron store replacement dose – correction
The Microcytic anaemia page has been corrected so the total body iron store replacement dose is now correct. It is: Total body iron deficit (mg) = body weight (kg) x (target Hb – actual Hb in g/L) x 0.24 + 500 mg For patients > 35 kg body weight.
Put the amputated part in a jar
The Digital amputations page has been updated with the recommendation to put amputated parts into a jar, rather than a plastic bag, before putting them in cold water or ice.
Nail bed laceration repair
The Nail injuries page has been updated, including clarification of the lack of need to remove an intact nail to determine if nail bed injury is present.
Adrenaline in digital blocks
The Regional anaesthesia page has been updated to reflect that lignocaine with adrenaline is safe for digital nerve blocks.
MRI of the shoulder
The Soft tissue injuries of the shoulder region has been updated to suggest that MRI is the investigation of choice for evaluation of suspected acute soft tissue injuries around the shoulder.
Atypical cover for CAP
The Management of CAP page has been updated with some additional information about atypical antibiotic cover in CAP.
D dimer
The Deep venous thrombosis page has been updated with some minor changes to the segment on D dimer.
October 2018 update quiz released
The New content quiz October 2018 has just been released.
Organophosphate poisoning
The Organophosphates page has had a number of minor updates.
Methanol toxicity
The Methanol page has been updated with some minor modifications.
Na valproate toxicity
The Anticonvulsant toxicity page has been updated with some additional information about the potential toxic dose of Na valproate.
micro RNA mir 122 in paracetamol poisoning
The Paracetamol page has been updated with some additional information about micro RNA mir 122.
Version 2 button removed
As Version 2 of the manual is no longer being updated, we have removed the access button from the home page. Version 2 access is still available through the ‘Contents’ menu.
Antihistamines in anaphylaxis
The Anaphylaxis page has been updated with information about the limited role of antihistamines in the treatment of anaphylaxis.
Diplopia – corrections
The Abnormal eye movements page has been corrected to show that CN IV (Trochlear) palsy causes vertical diplopia and CN VI (Abducens) palsy causes horizontal diplopia – not the other way round as previously described. Thanks to Ben for picking up our confusion with Roman numerals.
Constipation
The Causes of abdominal pain page has been updated with some additional information about the treatment of constipation.
Disposition in pericarditis
The Pericarditis page has been updated, including with a segment on disposition. Thanks to Farzad for the suggestion.