Metformin
The Other hypoglycaemic agents page has been updated to downplay the association between metformin and lactic acidosis and some other updates.
Updates
Anxiety instead of anaphylaxis or angioedema
The Anaphylaxis page has been updated with additional information about how to differentiate anxiety from anaphylaxis or angioedema. This is particularly important as a significant proportion of younger patients who present with ‘impending allergic airway obstruction’ are actually suffering from anxiety. The use of adrenaline (and icatabant) does not help anxiety.
Pituitary adenomas
The Pituitary disease page has been updated with additional information about pituitary adenomas.
Corticosteriods
A specific segment on corticosteriods has been added to the Immunosuppressants page.
Corticosteroid psychosis
A short segment on corticosteriod psychosis has been added to the Immunosuppressants page
Ureteric calculi spontaneous passage rates
The Ureteric calculi page has been updated with additional information about spontaneous passage rates according to calculus size.
RBBB as a STEMI mimic
The ECG in ACS page has been updated with a short segment on RBBB as a STEMI mimic.
MRI safety
The Magnetic resonance imaging page has been significantly revised, particularly regarding MRI safety.
Propofol and egg/soy allergy
The Induction agents page has been updated to indicated that egg or soy allergy are no longer considered contra-indications for the administration of propofol. Thanks to Alan for the tip.
Ureteric calculi prevention
The Ureteric calculi page has been updated, emphasising that calculus prevention measures depend on the calculus type, and that the provision of dietary advice from the ED is rarely appropriate.
Dental emergencies
Some minor updates have been made to the segments on dental anaesthesia and bleeding tooth sockets on the Dental emergencies page.
Complications of PEG tubes
The Gastrointestinal devices page has been updated with additional information about complications of PEG/PEJ tubes.
Button batteries
The Gastrointestinal foreign bodies page has been updated with additional information about button batteries.
Crohns disease
The Inflammatory bowel disease page has been updated, including some additional information about diagnosis and treatment.
Urinary catheter removal
The Urinary catheterisation page has been updated, with significant additional detail about difficult catheter removal.
Prostatitis
The Prostatitis page has been updated, with quite a few changes throughout.
Trial of void
The Urinary retention page has been updated, including additional details about trial of void.
Torsion of appendix testis
The Scrotal emergencies page has been updated, including additional information about torsion of the appendix testis.
Complications of UTI
The Urinary tract infection in adults page has been updated, including additional information about complications of UTI.
Trimethoprim and hyperkalaemia/AKI
The Urinary tract infection in adults page has been updated, including information about the increased risk of hyperkalaemia and AKI in patients > 65 years of age on ACEI or ARB.