Dunn RJ
Bob Dunn The Risk stratification in suspected ACS page has been updated with details of the very important Emergency Department assessment of chest pain score and associated accelerated diagnostic pathway recently published in EMA.
An FBE of a patient with haemolytic anaemia has been added to the Normochromic anaemia page, despite the patient having macrocytosis (thus elegantly demonstrating the limitations of the cell size classification system for anaemia!).
An FBE of a patient with iron deficiency anaemia has been added to the Microcytic anaemia page.
An FBE of a patient with erythrocytosis has been added to the Myeloproliferative disorders page.
The Myeloproliferative disorders page has been updated with new information about Erythrocytosis (formerly known as Polycythaemia rubra vera) following a recent BMJ review.
The Assessment and management of vertigo page has been updated following the NEJM review article just published on benign positional vertigo. It now includes great sounding treatments such as the ‘barbeque rotation’ and ‘Gufoni’s manoeuvre’.
A small segment on the possible role of the melatonin agonist, ramelteon in the prevention of delirium in the elderly has been added to the Altered mental state page.
The Investigation of suspected subarachnoid haemorrhage page has been updated following the publication of a systematic review of the subject in Annals of Emergency Medicine this week.
The Chemical burns page has been updated with additional information about the management of bitumen (tar) burns.
The Deep venous thrombosis page has been updated with the latest risk estimates for the different possible Modified Wells scores published in the BMJ. The original Wells score has been removed as is no longer considered useful.
The White blood cells page has been updated with additional information about lymphopenia and it’s causes.
With the addition of the Blood gas quiz Part 1, there are now more than 600 questions in the quiz bank, with at least 15 questions being added to it each month.
The Termination of pregnancy page has been updated following a recent BMJ review of the subject.
The quiz pages have been reorganised to create more direct links to the quizzes to speed up page loading and navigation. There are now 550 quiz questions available with more being added every month.
The Serotonin toxicity page has been updated following the most recent BMJ article on the subject and now includes more explicit explanation of the Hunter diagnostic criteria.
The Osmolality page has been updated with an improved description of the difference between total osmolality and effective osmolality (tonicity).