Upper GI haemorrhage
The Upper GI haemorrhage page has been revised and updated. Laine, L. Upper Gastrointestinal Bleeding Due to a Peptic Ulcer. N Engl J Med 2016;374(24):2367-76.
Lower GI haemorrhage
The Lower intestinal haemorrhage page has been revised and updated. Strate, LL, Gralnek, IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol 2016;111(4):459-74.
Dislocated lunate relocation technique
The Dislocations around the wrist page has been updated with an improved description of the reduction technique for a lunate dislocation.
Anterior hip dislocation images
A plain Xray and CT image of a native anterior hip dislocation have been added to the Dislocations of the hip page.
Le Fort I fractures image
A CT image of bilateral Le Fort I fractures has been added to the Zygomaticofacial trauma page.
Segmental radial head fracture images
2 images of a segmental radial head fracture have been added to the Elbow injuries page.
Shoulder dislocation management with associated fractures
The Anterior shoulder dislocation management page has been updated with guidance about management in cases with associated fractures.
US image of subcutaneous abscess
An US image of a subcutaneous abscess has been added to the Cellulitis page.
August 2016 update quiz
The August 2016 update quiz has just been released here.
Echocardiography clip of poor LV function
A video clip demonstrating poor LV function has been added to the Cardiac output measurement page.
US of thickened small bowel
An US clip demonstrating thickened ileum and surrounding fluid has been added to the Ultrasound of the bowel page.
US image of subcutaneous abscess
An US clip of an encarcerated loop of small bowel in an epigastric hernia has been added to the Hernias page.
Epigastric hernia US
An US image of an encarcerated loop of small bowel in an epigastric hernia has been added to the Hernias page.
Images of embolisation of renal angiomyolipoma
Some images of successful embolisation of a renal angiomyolipoma have been added to the Renal tumours page.
IV morphine vs IV paracetamol for sciatica
The Paracetamol page has been updated with information about the superiority of IV morphine over IV paracetamol (alone) in patients with sciatica. Serinken, M, Eken, C, Gungor, F, et al. Comparison of Intravenous Morphine Versus Paracetamol in Sciatica: A Randomized Placebo Controlled Trial. Academic Emergency Medicine 2016;23(6):674-78.
Limitations of RCTs
The Analysis of the medical literature page has been updated with some additional information about the limitation of RCTs.
Silent MI
The Clinical assessment of suspected ACS page has been updated with additional information about the incidence of silent ischaemia. Incidence and Prognostic Significance of Silent Myocardial Infarction in the Atherosclerosis Risk in Communities (ARIC) Study. Circulation 2016;133(22):2141-8.
sBP target for ICH is < 180mmHg
The Stroke management page has been revised to indicate that the target sBP value for the management of primary ICH is < 180mmHg and that reductions to 110-140mmHg appear to confer no additional benefit. Qureshi, AI, Palesch, YY, Barsan, WG, et al. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med 2016.
Post bone marrow transplant AKI
AKI has been added as a complication to the Bone marrow transplantation page. Hingorani, S. Renal Complications of Hematopoietic-Cell Transplantation. New England Journal of Medicine 2016;374(23):2256-67.
Hungry bone syndrome
Hungry bone syndrome has been added to the Hypocalcaemia page as a cause of hypocalcaemia, hypophosphataemia, hypomagnesaemia and hyperkalaemia