IABP
A few additions and changes have been made to the segment on IABP on the Mechanical cardiovascular support page.
Updates
TAPSE
A segment on TAPSE and MAPSE has been added to the Cardiac output measurement page.
Nitrofurantoin in UTI
Some additional information about nitrofurantoin for the treatment of UTI has been added to the Urinary tract infection in adults page.
Nitrofurantoin
A new segment on Nitrofurantoin has been added to the Other antimicrobials page
Asymptomatic gallstones
The Biliary disease page has been updated with some information about the natural history of asymptomatic gallstones.
Subsegmental PE
Additional information about the management of isolated subsegmental PE has been added to the Management of PE page. Kearon, C, Akl, EA, Ornelas, J, et al. Antithrombotic therapy for vte disease: Chest guideline. Chest 2016 .
Isolated below knee DVT
Additional information about the risk factors for propagation, and treatment of, isolated below knee DVT has been added to the Management of DVT page.
Anti-coagulant choices in DVT
A new section better outlining the choice of anti-coagulants in DVT has been added to the Management of DVT page.
More NOACs
More changes have been made to the Other anticoagulants page, including an upgrading of rivaroxaban or apixaban to the preferred anti-coagulants for non valvular AF and VTE treatment.
Splenic embolisation
The Splenic trauma page has been updated with some additional information about the role of embolisation.
Takostubo cardiomyopathy
Some additions have been made to the segment on Takotsubo cardiomyopathy in the MINOCA page.
Hypertonic saline in bronchiolitis
A slight change indicating the possible utility of neubulised hypertonic saline in bronchiolitis has been added to the Bronchiolitis page.
Intra-articular steroids for OA
The Osteoarthritis page has been updated with information about the utility of intra-articular steroids for symptom control.
NOAC drug interactions
More detail regarding potential drug interaction with NOACs has been added to the Other anticoagulants page.
CT in SAH – clarification
A statement on the Investigation of suspected subarachnoid haemorrhage page has been clarified. The statement ‘aneurysm may infrequently be seen if > 5 mm diameter’, in relation to CT head has been corrected to ‘aneurysm may occasionally seen if > 5 mm diameter’. Thanks to Raymund for picking this up.
NOAC pharmacology
A table outlining the different pharmacology of the most common NOACs has been added to the Other anticoagulants page.
NOAC monitoring table
A table outlining the different methods of monitoring NOAC therapy has been added to the Other anticoagulants page.
ICP monitor insertion
Some additional information about ICP monitoring insertion has been added to the Assessment of intracerebral pressure page.
MAT
The Other arrhythmias page has been updated with additional information about the treatment of multifocal atrial tachycardia.
Sinus tachycardia
The Other arrhythmias page has been updated with additional information about pathological causes of sinus tachycardia, including re-entrant sinus tachycardia.