Anti-psychotics in pregnancy
The Drugs in pregnancy and lactation page has been updated with information about the relative safety of anti-psychotics (except risperidone) in pregnancy.
Updates
Apixaban dosing for stroke and DVT prophylaxis
The Other anticoagulants page has been updated including apixaban dosing information for stroke and DVT prophylaxis. Rivaroxaban dosing has also been clarified.
Geographical distribution of Polio
The Polio page has been updated with current information about the 3 countries that still have wild type Polio.
Management of ACS
The Management of acute coronary syndromes page has been updated following the recent publication of the Australian Heart Foundation 2016 Guidelines on ACS. Chew, DP, Scott, IA, Cullen, L, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016. Med … Read more
Risk stratification of suspected ACS
The Risk stratification of ACS page has been updated following the recent publication of the Australian Heart Foundation 2016 Guidelines on ACS. Chew, DP, Scott, IA, Cullen, L, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016. Med … Read more
Preoperative testing and anaesthetic risk
The Anaesthetic risk page has been updated with additional information about pre-operative testing and risk of miscarriage related to surgery.
Cortisol levels in adrenal insufficiency
Some additional information about the potential limitations of single cortisol levels has been added to the Adrenal insufficiency page.
Burns
The Burns page has had some minor updates following the publication of the following article. Sheridan, RL, Ingelfinger, JR. Fire-Related Inhalation Injury. New England Journal of Medicine 2016;375(5):464-69.
Clinical features of ascites
The Ascites page has been updated with some additional information about the clinical features of ascites.
Uterine prolapse
The Other gynaecological disorders page has been updated with some additional information about vaginal prolapse.
Irregular pulse in AFib
Just in case you were wondering, an irregularly irregular pulse has an LR+ of 25 for AFib.
Pulsus paradoxicus in cardiac tamponade
The Pericardial tamponade page has been updated including the diagnostic accuracy of pulsus paradoxicus.
Features of benign murmurs
The features of benign murmurs have been revised on the Cardiac murmur differentiation page.
Clinical features of aortic stenosis
The Aortic stenosis page has been updated with a revision of the clinical features of AS.
Peripheral ischaemia
The features of peripheral ischaemia have been updated on the Peripheral ischaemia ischaemia.
JVP
The Cardiovascular examination page has been revised with additional information about the JVP including how 8cm (not 5cm) should be added to the height above the manubriosternal angle to estimate CVP.
P waves and bradycardias
The Bradycardias and Other arrhythmias pages have been updated with the requirement for p waves to be present in heart block. The absence of p waves means the bradycardia is either junctional or idioventricular (although retrograde p waves may still be seen in junctional rhythms).
Paddle pressure clarification
The Electrical cardioversion page has been updated with clearer guidance on the minimum paddle pressure that should be applied.
Vertical transmission rate of HCV
The Infectious hepatitis page has been updated with the estimated rate of vertical transmission of HCV (~0.2-0.3%).
Monoclonal antibodies in TTP
The Thrombotic microangiopathies page has been updated with information about the role of monoclonal antibodies as therapy.