Erythrocytosis
The Myeloproliferative disorders page has been updated with new information about Erythrocytosis (formerly known as Polycythaemia rubra vera) following a recent BMJ review.
Updates
Benign positional vertigo
The Assessment and management of vertigo page has been updated following the NEJM review article just published on benign positional vertigo. It now includes great sounding treatments such as the ‘barbeque rotation’ and ‘Gufoni’s manoeuvre’.
Ramelteon and delirium
A small segment on the possible role of the melatonin agonist, ramelteon in the prevention of delirium in the elderly has been added to the Altered mental state page.
CSF spectrophotometry for SAH
The Investigation of suspected subarachnoid haemorrhage page has been updated following the publication of a systematic review of the subject in Annals of Emergency Medicine this week.
Bitumen burns
The Chemical burns page has been updated with additional information about the management of bitumen (tar) burns.
Modified Wells score
The Deep venous thrombosis page has been updated with the latest risk estimates for the different possible Modified Wells scores published in the BMJ. The original Wells score has been removed as is no longer considered useful.
Lymphopenia
The White blood cells page has been updated with additional information about lymphopenia and it’s causes.
Termination of pregnancy
The Termination of pregnancy page has been updated following a recent BMJ review of the subject.
Serotonin toxicity
The Serotonin toxicity page has been updated following the most recent BMJ article on the subject and now includes more explicit explanation of the Hunter diagnostic criteria.
Total and effective osmolality
The Osmolality page has been updated with an improved description of the difference between total osmolality and effective osmolality (tonicity).
Hyponatraemia updates
The Hyponatraemia page has been extensively updated following the recently released European clinical practice guidelines on the assessment and management of hyponatraemia. There have been changes to the SIAD (previously known as SIADH) segment, definitions of acute vs chronic hyponatraemia and new recommendations for the use of 3% saline – and a whole lot more!
Pacemaker updates
A number of updates have been made to the Pacemakers page including the things you should know about in a patient with a pacemaker and additional information about the actions of pacemaker magnets.
MRI ordering restrictions
The Magnetic resonance imaging page has been updated with information regarding the types of MRIs that GPs can now order in Australia.
DIC scoring scale
The DIsseminated intravascular coagulation page has been updated with the International Society for Haemostasis and Thrombosis DIC scoring scale.
Maternal cardiorespiratory changes in labour
A small segment outlining the cardiorespiratory changes that occur during labour has been added to the Labour & delivery page
Asymptomatic cerebral AVMs
The Subarachnoid haemorrhage page has been updated with information regarding the superiority of conservative management of asymptomatic AVMs.
Cardiac contusion
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.
Valsalva retinopathy
A small segment on Valsalva retinopathy has been added to the Sudden visual loss page.
Post partum thrombosis risk
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.
Digital amputations
The Digital amputations page has been revised and updated following a BMJ review of the subject published today.