Malaria
The Malaria page has had a few minor modifications
Updates
Febrile traveller
The Febrile traveller page has been updated with additional information about how to differentiate some of the causes.
Complications following appendicectomy
A short segment on the complications following appendicectomy has been added to the Appendicitis page.
Placebo and nocebo effects
The Communication page has been updated with a new segment on placebo and nocebo effects. These effects have a significant impact on what we do, so I suggest you read this section soon.
Rotterdam CT head score table
The Rotterdam CT score and mortality rate on the Head injury prognosis page has been converted from text to a table.
Glasgow outcome score table
The Glasgow outcome score on the Head injury prognosis page has been converted from text to a table.
Repeat head CT in patients on DOACs
The Management of head injury page has been updated with additional information about the lack of utility of repeat head CT in patients on DOACs who have a normal initial CT.
COVID-19 transmission in breast milk
The Respiratory Coronavirus infections page has been updated, including information that COVID-19 does not appear to be transmitted in breast milk.
Repeat CT head in patients on warfarin
The Management of head injury page has been updated with improved clarity regarding the indications for repeat head CT in patients on warfarin who have a normal initial CT.
Epley manoeuvre
The Vertigo page has been updated with some additional information about Epley and Semonts manoeuvres.
Trigeminal neuralgia
The Secondary headaches page has been updated with additional information about the epidemiology and clinical features of trigeminal neuralgia.
COVID-19 other updates
The Respiratory Coronavirus infections page has been updated with a variety of minor changes to the information about PPE, rapid NAAT testing, genomic testing and a few other things.
COVID-19 order of symptoms
The Respiratory Coronavirus infections page has been updated with information about the usual order of symptom appearance in COVID-19 disease.
COVID-19 serology
The Respiratory Coronavirus infections page has been updated with additional information about the accuracy of serological tests for COVID-19.
Version 1 working again
Pleased to say that Version 1 is working again and seems to be back to normal.However please let us know if you experience any difficulties with it.Again, please accept our apologies for any inconvenience caused.
Droperidol and long QTc
The Antipsychotic medications page has been updated to reflect greater clarity about the almost negligible risk of droperidol causing long QTc or significant cardiac arrhythmias.
Intravenous contrast and dialysis
The Intravenous contrast page has been updated with additional information about IV contrast and patients on dialysis.
CAP clinical features
The Community acquired pneumonia page has been updated with newer information about the frequency of various clinical findings in CAP.
Endocarditis
The Endocarditis page has had a number of minor updates.
Financial ties to industry
The Clinical practice guidelines page has been updated with additional information about the substantial financial involvement with industry of many medical association leaders in the USA.