Dunn RJ
The Management of CAP page has been updated with information about the beneficial role of steroids in hospitalised patients with severe CAP. Siemieniuk, RAC, Meade, MO, Alonso-Coello, P, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015.
Some details of the test characteristics of physical examination for the detection of thoracolumbar fractures have been added to the Assessment of the trauma patient page. Inaba, K, Nosanov, L, Menaker, J, et al. Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of … Read more
Some information about the S4 and S8 schedules has been added to the Drug dosing and administration page.
The Ocular examination page has been updated with some information about the normal visual acuity in young children, following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
The Assessment of vision page has been updated with some additional information about the assessment of vision in young children following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
The Peripheral ischaemia page has been updated with an extended list of potential causes.
The section on hepatic encephalopathy on the Hepatic diseases page has been expanded and updated.
Some normal values of hsTnT in patients with stable IHD and type II diabetes have been added to the Non ACS causes of elevated troponin page.
Some additional information and an image of pityriasis versicolour have been added to the Tinea page.
Some additional information about the Australian and New Zealand Cardiac Society 2011 guidelines on hsTroponin has been added to the Troponins in ACS page. 2011 addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand guidelines for the management of acute coronary syndromes (ACS) 2006. Heart, Lung and Circulation 2011;20(8):487-502.
Some additional information about hsTnT in patients with renal impairment (90% with eGFR 30-60mL/min) has been added to the Troponins in ACS page, derived from the following reference. Twerenbold, R, Wildi, K, Jaeger, C, et al. Optimal Cutoff Levels of More Sensitive Cardiac Troponin Assays for the Early Diagnosis of Myocardial Infarction in Patients With … Read more
Additional information about classifying the severity of diverticulitis has been added to the Diverticular disease page.
Some information about the usefulness of J-T interval prolongation as a marker of K channel blockade in patients with QRS prolongation has been added to the Electrocardiography and other relevant pages.
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!
The Osteomyelitis page has been updated with additional information about imaging of suspected OM, including a short segment on the role of US.
The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
The Risk stratification of suspected ACS page has been revised and updated with particular emphasis on the role of hs troponin only and 1 hour delta hsTnT strategies in ACS.
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.