The ‘I’ gremlin has been eliminated
The damage caused by the computer gremlin that mysteriously removed the ‘I’ from ‘Image’ on a number of pages on the site has been repaired.
Chronic kidney disease
The Chronic Renal Failure page has been renamed Chronic Kidney Disease and revised and updated.
Pupillary abnormalities table
For pupils of pupils, and for those (like me) who get their Holmes Adie’s confused with their Argyle Robinson’s, a table summarising the examination findings of the most common pupillary abnormalities has been added to the bottom of the new Pupillary abnormalities page.
Holmes Adie pupil and Horner’s syndrome
The topics of Holmes Adie pupil and Horner’s syndrome have been updated in the Pupillary abnormalities page.
Assessment of vision revision
The Assessment of vision page has been subdivided and the new pages Pupillary abnormalities and Abnormal eye movements have been created.
Eaton Lambert syndrome
A new page on the Eaton Lambert syndrome (or Lambert Eaton syndrome if you are from North America) has been added to the Weakness chapter.
MERS Co-V
A new segment on the MERS Co-V infection has been added to the Respiratory Coronavirus infections page, which has been renamed (but now includes) from SARS.
Urinalysis
The Urinalysis page has been extensively updated and moved to near the start of the Urogenital Disorders section, in the Urinary Disorders chapter, along with the Other Diagnostic Procedures page..
Acute renal failure
The Acute Renal Failure page has been updated with some information regarding ATN, FeNa and urinary SG in renal failure.
Dialysis shunts
The Extracorporeal Vascular Access page has been extensively edited and new content added, particularly with regard to the assessment of shunt problems and shunt care..
Vasopressin in cardiac arrest
A new segment on vasopressin in cardiac arrest has been added to the Advanced Life Support page.
Oral ketoconozole toxicity and drug interactions
The Other antimicrobials page has been updated with additional information about the potential toxicity and drug interactions from oral (not topical) ketoconozole. Some additional links have also been added with the Tinea page.
Mechanisms of injury requiring trauma centre care
The mechanisms of injury associated with the need for trauma centre care have been added to the Trauma Teams page.
Rechallenging penicillin ‘allergy’
A small section about when it may be safe to re-challenge a patient with penicillin ‘allergy’ has been added to the Anaphylaxis page.
‘Sepsis six’ care bundle
Details of the ;Sepsis six’ care bundle and more specific recommendations regarding the initial IV fluid volume in sepsis have been added to the Management of Sepsis page.
Role of CT in suspected ureteric colic
The Renal calculi page has been updates with some additional information regarding the use of CT in the diagnosis of suspected ureteric colic.
Progression of sepsis and lactate
The Assessment of Sepsis page has been updated with some additional information regarding the likely progression of patients with severe sepsis to septic shock and additional information about the role of lactate in sepsis .
Perineal dermatome diagram
A new image of the Dermatomes of the perineum has been added to the topic of Spinal Cord Injury in the Trauma section.
Benign acute childhood myositis
A small segment on benign acute childhood myositis has been added to the Limping Child page in the Paediatrics section.
Definition of an MI
The Coronary Artery Disease page has been revised and a page called Definition of MI has been created. This page now links directly from the Troponins in ACS page.