Updates

The Subarachnoid haemorrhage page has been updated with information regarding the superiority of conservative management of asymptomatic AVMs.

The Chest wall injuries and Mediastinal injuries pages have been revised to emphasise the lack of clinical significance associated with ECG or troponin changes in haemodynamically stable patients and the lack of delayed sequelae associated with the diagnosis of cardiac contusion in this group.

A small segment on Valsalva retinopathy has been added to the Sudden visual loss page.

Following a recent study published in the NEJM, the risk of thrombotic events appears to be increased for up to 12 weeks post partum, not for only 6 weeks as previously thought. Various pages including the Thrombophilia page have been updated as a result.

The Digital amputations page has been revised and updated following a BMJ review of the subject published today.

Predictors of cardiac arrhythmias and poor prognosis in paediatric patients with myocarditis have been added to the Acute myocarditis page.

The Non ACS causes of elevated troponin page has been updated with information about atrial fibrillation.

A small segment about the Ashman phenomenon has been added to the Disorders of cardiac conduction page.

Some information about Löfgren’s syndrome and the diagnostic usefulness of ACE levels in suspected sarcoidosis has been added to the Sarcoidosis page.

Some additional causes of erythema nodosum have been added to the Cellulitis mimics page.

The role of urgent cholecystectomy has been updated on the Cholecystitis page.

The Interhospital transfer page has been updated with a variety of minor additions.

The Assessment and management of vertigo page has been extensively revised and a short section on the Alternate cover test for strabismus has been added.

The Angioedema page has been updated, with particular reference to the role of icatibant in the treatment of life threatening angioedema.

The Hypertension page has been updated with information from the Joint Committee on Hypertension guidelines released in December 2013.

The Oral conditions page has been updated with additional information about the treatment of mouth ulcers.

The Complications of head trauma page has been updated with indications for ICU admission for  traumatic intra-cranial haemorrhage.

The management of meningococcal contacts has been updated on the Paediatric meningitis page.

The Pancreatitis page has been updated with specific reference to gallstone pancreatitis and the role of ERCP.