II. Updates: November 2024
- Left Ventricular Outflow Tract Obstruction (cv, chf)
- Added
-
S1 Heart Sound (cv, exam)
- Updates
-
S3 Heart Sound (cv, exam)
- Updates
-
S4 Heart Sound (cv, exam)
- Updates
-
Pediatric Congestive Heart Failure (cv, peds)
- Updates
-
Tetralogy of Fallot (cv, peds)
- Updates
-
Ventricular Septal Defect (cv, peds)
- Updates
-
Neffy (cv, pharm)
- Added to Epinephrine Autoinjectors
-
Push Dose Pressor (cv, pharm)
- Updates to precautions
-
Mitral Regurgitation (cv, valve)
- Updates
-
Mitral Stenosis (cv, valve)
- Updates
-
Atopic Dermatitis (derm, dry)
- Updates
-
Dermal Filler (derm, procedure)
- Updates
-
Melanoma (derm, hemeonc)
- Extensive updates
-
Skin Tag (derm, hyperplasia)
- Updates
-
Sebaceous Hyperplasia (derm, hyperplasia)
- Updates
-
Keratoacanthoma (derm, hyperplasia)
- Updates
-
Pyogenic Granuloma (derm, cv)
- Updates
-
Dermatofibroma (derm, hyperplasia)
- Updates
-
Seborrheic Keratosis (derm, hyperplasia)
- Updates
-
Pilar Cyst (derm, sebaceous)
- Updates
-
Epidermoid Cyst (derm, serbaceous)
- Updates
-
Diabetes Mellitus (endo, dm)
- Updates to associated conditions
-
Perioperative Diabetes Management (endo, dm)
- Updates
-
Thyroid Eye Disease (endo, eye)
- Updates
-
Central Causes of Vertigo (ent, vestibular)
- Updates
-
Hemorrhagic Shock (er, cv)
- Updates
-
Strangulation (er, ent)
- Updates to Strangulation and Near-Hanging
-
Coronary Angiography After Cardiac Arrest (er, exam)
- Updates
-
Post-Cardiac Arrest Care (er, exam)
- Updates
-
Concussion (er, neuro)
- Updates
-
Cardiopulmonary Resuscitation in Pregnancy (er, ob)
- Updates
-
IV Access Complication (er, procedure)
- Updates
-
Diarrhea in HIV (gi, Diarrhea)
- Updates
-
Primary Biliary Cirrhosis (gi, liver)
- Added
-
Budd-Chiari Syndrome (gi, liver)
- Added
-
Hepatic Encephalopathy (gi, neuro)
- Added Polyethylene Glycol (golytely) protocol for ICU
-
Contraceptive Selection (gyn, Contraception)
- Updates
-
Pancytopenia (hemeonc, lab)
- Updates
-
ISTH DIC Score (hemeonc, lab)
- Added
-
Multiple Myeloma (hemeonc, marrow)
- Updates
-
Cardiovascular Manifestations of HIV (hiv, cv)
- Updates
-
Hematologic Manifestations of HIV (hiv, hemeonc)
- Added
-
Sexually Transmitted Disease in HIV (hiv, id)
- Updates
-
Cryptococcus (hiv, id)
- Updates
-
Botulism (id, neuro)
- Updates
-
Vaccines in Immunocompromised Patients (id, immunize)
- Updates
-
Infant Botulism (id, peds)
- Updates
-
Drug-Induced Enterocolitis Syndrome (id, pharm)
- Reaction to Amoxicillin added
-
Chest Tube (lung, procedure)
- Updates
-
Medicare (manage, healthcare)
- Added a brief summary of parts (surprised I had nothing on this)
-
Multiple Sclerosis (neuro, Demyelinating)
- Updates
-
BE-FAST Stroke Screening Tool (neuro, exam)
- Added
-
Eastern Equine Encephalitis (neuro, id)
- Added
- Atypical Parkinsonism (neuro, Tremor)
- Updates
-
Parkinsonism (neuro, Tremor)
- Updates
-
Peripheral Neuropathy (neuro, sx)
- Updates
-
Guillain Barre Syndrome (neuro, demyelinating)
- Updates
-
Postterm Pregnancy (ob, antepartum)
- Updates
-
Breech Delivery (ob, ld)
- Updates
-
Wilson Test (ortho, exam)
- Correction, thanks to Dr. Khalil
-
Carpal Tunnel Corticosteroid Injection (ortho, procedure)
- Updates, including Ultrasound approach
-
De Quervain's Tenosynovitis Injection (ortho, procedure)
- Updates
-
Dupuytren's Nodule Corticosteroid Injection (ortho, procedure)
- Updates
-
Wrist Extensor Tenosynovitis Corticosteroid Injection (ortho, procedure)
- Added
-
First Carpometacarpal Joint Steroid Injection (ortho, procedure)
- Added
-
TFCC Steroid Injection (ortho, procedure)
- Added
-
Trigger Finger Corticosteroid Injection (ortho, procedure)
- Updates
-
PECARN C-Spine Imaging Rule (ortho, rad)
- Updates
-
Apoaequorin (pharm, alternative)
- Added
-
Clinical Trial (prevent, epi)
- Added
-
Obsessive Compulsive Disorder (psych, anxiety)
- Updates
-
Psilocybin (psych, cd)
- Added
-
Z-Drug Overdose (psych, pharm)
- Added
-
Felty Syndrome (rheum, ra)
- Updates
-
Rheumatoid Arthritis Extra-articular Signs (rheum, ra)
- Updates
-
Lupus Nephritis (rheum, renal)
- Thanks to Dr. Sourabh Jain for topic recommendation
- Added
-
Acute Limb Ischemia (surgery, cv)
- Updates
-
Fishhook Removal (surgery, derm)
- Thank you to Dr. Stephanie Minsky feedback regarding Antibiotic prophylaxis
- Updates
-
Gross Hematuria (urology, lab)
- Updates
-
Eroxon (urology, pharm)
- Added
III. Updates: October 2024
-
Familial Hypercholesterolemia (cv, lipid)
- Updates
-
Nitroglycerin (cv, pharm)
- Updates
-
Cardiac Risk Management (cv, prevent)
- Updates
-
Coronary CT Angiography (cv, rad)
- Updates
-
Palpitations (cv, sx)
- Updates
-
Alopecia (derm, hair)
- Updates
-
Cushing's Syndrome (endo, adrenal)
- Extensive updates
-
Otitis Media with Effusion (ent, ear)
- Updates
-
Reactive Infectious Mucocutaneous Eruption (ent, mouth)
- Updates
-
Denver Screening Criteria for Blunt Cerebrovascular Injury (er, exam)
- Updates
-
Head to Pelvis Sudden Death CT (er, exam)
- Updates
-
Resuscitation (er, exam)
- October updates will be lighter, due to my own CME courses attended (Difficult Airway, ACLS, PALS, BLS)
- Updated content based on courses (esp. the excellent difficult airway course)
- However, I am highly disappointed with the current ACLS/PALS/BLS online versions after having taken these every 2 years since 1994
- ACLS/PALS/BLS 2025 is text heavy (imagine cutting up the books, and gluing to file cards) and misguided focus on admin, goal times and semantics.
-
Perinatal Hepatitis C Exposure (gi, nicu)
- Updates
-
Resmetirom (gi, pharm)
- Updates
-
Difficult Clinical Encounter (manage, communication)
- Updates
-
Alzheimer's Disease (neuro, cognitive)
- Updates
-
Sleep Hygiene (psych, prevent)
- Updates
-
Pseudotumor Cerebri (neuro, csf)
- Updates
-
Awake Orotracheal Intubation (lung, procedure)
- Added
-
Nasotracheal Intubation (lung, procedure)
- Updates
-
Advanced Airway (lung, procedure)
- Extensive updates
-
Post-Intubation Sedation and Analgesia (lung, procedure)
- Updates
-
Endotracheal Intubation (lung, procedure)
- Updates
-
Tiagabine (neuro, pharm)
- Added Overdose findings and management
-
PECARN C-Spine Imaging Rule (ortho, C-Spine)
- Added
-
Morton's Neuroma (ortho, foot)
- Updates on Management
-
Forearm Fracture in Children (ortho, Forearm)
- Updates
-
Bursa Aspiration (ortho, procedure)
- Updates
-
Carpal Tunnel (ortho, wrist)
- Updates regarding longterm surgical efficacy
-
Traumatic Arthrotomy (rheum, id)
- Updates
-
Urinary Catheterization (urology, procedure)
- Updates
IV. Updates: September 2024
-
Cardiogenic Shock (cv, chf)
- Updates
-
Systolic Dysfunction (cv, chf)
- Updates
-
Pulmonary Hypertension (cv, lung)
- Extensive updates
-
Congenital Heart Disease (cv, peds)
- Updates
-
Calcium Channel Blocker Overdose (cv, pharm)
- Updates
-
Athletic Heart Syndrome (cv, sports)
- Updates
-
Diabetic Ketoacidosis Management in Adults (endo, dm)
- Updates
-
Obesity (endo, Obesity)
- Updates to Obesity, Obesity Evaluation and Obesity Measurements
-
Alpha-Glucosidase Inhibitor (endo, pharm)
- Updates and added individual entries
- DPP4 Inhibitor (endo, pharm)
- Updates and added individual entries for Sitagliptin, Saxagliptin, Linagliptin, Alogliptin
-
Glitazones (endo, pharm)
- Updates and added individual entries
-
GLP-1 Agonist (endo, pharm)
- Updates and added individual entries for Dulaglutide, Exenatide, Liraglutide, Lixisenatide, Semaglutide
-
Meglitinide (endo, pharm)
- Updates and added individual entries for Repaglinide, Nateglinide
-
Metformin (endo, pharm)
- Updates
-
Pramlintide (endo, pharm)
- Updates
-
SGLT2 Inhibitor (endo, pharm)
- Updates and added individual entries for Canagliflozin, Dapagliflozin, Empagliflozin, Ertugliflozin, Sotagliflozin, Bexagliflozin
-
Sulfonylurea (endo, pharm)
- Updates and added individual entries for Glipizide, Glyburide, Glimepiride
-
Bariatric Surgery (endo, surgery)
- Updates
-
Tirzepatide (endo, pharm)
- Updates
- Conjunctivitis (eye, Conjunctiva)
-
Hemorrhoid Management (gi, Rectum)
- Updates
-
Chemotherapy (hemeonc, pharm)
- Updates
- Covid Vaccine (id, immunize)
- Updates
-
HPV Vaccine (id, immunize)
- Updates
-
Influenza Vaccine (id, immunize)
- Updates
-
Antibiotic Resistance (id, emerging)
- Updates
-
Antibiotic (id, pharm)
- Added
- Antiparasite Agent (id, pharm)
- Added
-
Antimicrobial Agent (id, pharm)
- Added
-
Antiviral (id, pharm)
- Added
-
Microorganism (id, anatomy)
- Added
-
Paxlovid (id, pharm)
- Updates
-
Pivmecillinam (id, pharm)
- Added
-
Protozoa (id, Parasite)
- Added
-
RSV Vaccine (id, immunize)
- Updates
-
Nitrofurantoin (id, pharm)
- Updates regarding high Bacterial resistance when pH>8
-
Doxy PEP (id, sti)
- Added to STI prevention
-
Cell Cycle (lab, anatomy)
- Added
-
Ensifentrine (lung, pharm)
- Added
-
Chronic Cough (lung, sx)
- Updates to Chronic Cough, Chronic Cough in Children and their related cause pages
-
Mastitis (ob, id)
- Extensive updates
-
Felon (ortho, id)
- Updates
-
Adult ADHD (peds, neuro)
- Updates
-
Ashwagandha (pharm, alternative)
- Added
-
Elderberry (pharm, alternative)
- Added
-
Acute Pain Management in patients on Chronic Buprenorphine (pharm, Analgesic)
- Updates
-
Peripheral Vascular Disease Management (surgery, cv)
- Updates
-
Abdominal CT (surgery, rad)
- Updates
V. Updates: August 2024
-
Mobitz II AV Block (cv, ekg)
- Updates
- Refractory Ventricular Fibrillation Management (cv, ekg)
-
Midodrine (cv, pharm)
- Updates
-
Cardiovascular Risk Factor (cv, prevent)
- Updates related to ethnicity and race
-
Preseptal Cellulitis (derm, eye)
- Updates regarding Antibiotic coverage
-
Darier Disease (derm, hair)
- Added
-
Insulin (endo, pharm)
- Extensive updates to Insulin and subtypes
-
Thyroid Cancer (endo, hemeonc)
- Updates
-
Liothyronine (endo, pharm)
- Updates
-
Levothyroxine (endo, pharm)
- Updates
-
GLP-1 Agonist (endo, pharm)
- Updates
-
Thionamide (endo, pharm)
- Updates including to adding separate pages for Methimazole and PTU
-
DRESS Syndrome (ent, pharm)
- Updates
-
Stevens Johnson (ent, allergy)
- Updates
-
Azelastine (ent, pharm)
- Added
-
Reactive Infectious Mucocutaneous Eruption (ent, mouth)
- Updates
-
Health Concerns in the Elderly (geri, exam)
- Updates
-
Deprescribing (geri, pharm)
- Updates
-
Resmetirom (gi, pharm)
- Added
-
Misoprostol (gi, pharm)
- Updates
-
Chorionic Gonadotropin Injectable Solution (gyn, pharm)
- Added
-
Recombinant Gonadotropin (gyn, pharm)
- Added
-
Clomiphene (gyn, pharm)
- Updates
-
Danazol (gyn, pharm)
- Updates
-
Cancer Survivor Care (hemeonc, pharm)
- Updates
-
Hemolytic Anemia (hemeonc, pharm)
- Updates
-
Bleeding Disorders (hemeonc, pharm)
- Updates
-
Hemophilia A (hemeonc, pharm)
- Updates
-
CD25 Monoclonal Antibody (hemeonc, pharm)
- Added
-
Lyme Disease Test (id, lab)
- Extensive updates
-
Lymphocyte Immunoglobulin (id, pharm)
- Added
-
Intravenous Immunoglobulin (id, pharm)
- Added
-
Subcutaneous Immunoglobulin (id, pharm)
- Added
-
RhoGAM (id, pharm)
- Updates
-
Obstructive Sleep Apnea (lung, apnea)
- Updates
-
Obesity Hypoventilation Syndrome (lung, apnea)
- Added
-
Cromolyn Sodium (lung, pharm)
- Updates
-
Medical Precepting (manage, communication)
- Updates
-
Closed Head Injury (neuro, er)
- Updates including to various Intracranial Hemorrhage pages and Closed Head Injury severity types
-
Bacterial Meningitis Management (neuro, id)
- Updates
-
Dimethyl Fumarate (neuro, pharm)
- Added
-
Sphingosine 1-Phosphate Receptor Modulator (neuro, pharm)
- Added with 4 drugs in the class
-
Teriflunomide (neuro, pharm)
- Added
-
Psychogenic Nonepileptic Seizure (neuro, psych)
- Updates
-
Head CT (neuro, rad)
- Updates
-
Carboprost (ob, pharm)
- Added
-
Methergine (ob, pharm)
- Added
-
Oxytocin (ob, pharm)
- Updates
-
Terbutaline (ob, pharm)
- Updates
-
Ritodrine (ob, pharm)
- Updates
-
Dinoprostone (ob, pharm)
- Updates
-
Ergonovine (ob, pharm)
- Added
-
Carpal Tunnel Syndrome (ortho, wrist)
- Updates
-
Shilajit (pharm, alternative)
- Added
-
Iodine (pharm, mineral)
- Updates
-
Alcoholic Ketoacidosis (psych, cd)
- Updates
-
Adolescent Depression (psych, peds)
- Added Bupropion to treatment options age 12-20 years with Major Depression
-
Composite Fingertip Graft Reimplantation (surgery, derm)
- Added composite graft to Fingertip Amputation
-
Meckel Diverticulum (surgery, gi)
- Updates
-
Calcineurin Inhibitor (surgery, pharm)
- Updated with Calcineurin mechanism
- Added inidividual topics for Cyclosporine, Tacrolimus, Voclosporin
-
Azathioprine (surgery, pharm)
- Updates
-
Mycophenolate (surgery, pharm)
- Added
-
Sirolimus (surgery, pharm)
- Added
-
Everolimus (surgery, pharm)
- Added
-
T-Cell Costimulatory Modulator (surgery, pharm)
- Added
-
Angiokeratoma (urology, derm)
- Updates
- Prostatitis (urology, Prostate)
-
Prevention of Recurrent Urinary Tract Infection (urology, id)
- Updates related to cranberry products in the prevention of Recurrent UTI
-
Urinary Tract Infection (urology, id)
- Updates
VI. Updates: July 2024
-
Pacemaker (cv, procedure)
- Updates to specific Pacemaker related Dysrhythmias
-
Arterial Line (cv, procedure)
- Updates
-
Rosacea (derm, acne)
- Updates
-
Photodermatitis (derm, environ)
- Added
-
Polymorphous Light Eruption (derm, environ)
- Added
-
Grave's Disease (endo, Thyroid)
- Updates
-
Corticosteroid (endo, pharm)
- Added Betamethasone, Dexamethasone, Cortisone, Methylprednisolone, Prednisolone, Prednisone, Triamcinolone (split into separate topics)
- Updated Hydrocortisone, Fludrocortisone
-
Salivary Gland Enlargement (ent, Salivary)
- Added differential diagnosis of Salivary Gland Disorders, broken down by acute vs chronic, unilateral or bilateral
- Extensive updates to each of the related conditions (Sialolithisias, Sialoadenitis, Salivary Gland Tumor)
-
Sideline Medical Evaluation (er, sports)
- Updates including emergency action plan
-
Ricin Poisoning (er, toxin)
- Updates
-
Unknown Ingestion (er, toxin)
- Updates to ekg
-
Gastrostomy Tube (gi, procedure)
- Updates
-
Rituximab (hemeonc, pharm)
- Updates
-
Sepsis (id, fever)
- Updates
-
Parasitic Infections (id, Parasite)
- Added Dientamoeba Fragilis
- Updates to Hookworm, Whipworm, Threadworm
-
Intravesical Gentamicin (id, pharm)
- Updated Gentamicin
-
Interferon Beta-1A (id, pharm)
- Added
-
Interferon Beta-1B (id, pharm)
- Added
-
Stridor (lung, sx)
- Extensive updates
-
Status Epilepticus (neuro, Seizure)
- Updates
-
Glatiramer (neuro, pharm)
- Added
-
Dalfampridine (neuro, pharm)
- Added
-
Clavicle Fracture (ortho, Shoulder)
- Updates
-
NSAID (pharm, Analgesic)
- Added Diclofenac, Etodolac, Fenoprofen, Flurbiprofen, Ketoprofen, Mefenamic Acid, Meclofenamate, Oxaprozin, Sulindac, Tolmetin and several Salicylates
- Updated NSAID, Ibuprofen, Indomethacin, Ketorolac, Naproxen, Celecoxib, Salicylates
-
Gender-Affirming Surgery (prevent, manage)
- Updates
-
Lithium (psych, pharm)
- Updates
-
Perimortem Cesarean Section (er, ob)
- Updates
-
DMARD (rheum, pharm)
- Updates on Methotrexate, Hydroxychloroquine, Sulfasalazine, Leflunomide
-
TNF Inhibitor (rheum, pharm)
- Updates
-
Abatacept (rheum, pharm)
- Updates
-
Interleukin 23 Inhibitor (rheum, pharm)
- Added
-
Interleukin 17 Inhibitor (rheum, pharm)
- Added
-
Normal Spontaneous Vaginal Delivery (ob, LD)
- Updates for each of the stages of labor
-
Janus Kinase Inhibitor (rheum, pharm)
- Updates to Baricitinib
- Added Tofacitinib, Upadacitinib
- Toclizumab (rheum, pharm)
- Updates
-
Anakinra (rheum, pharm)
- Updates
-
Allopurinol (rheum, pharm)
- Updates
-
Colchicine (rheum, pharm)
- Updates
-
Febuxostat (rheum, pharm)
- Added
-
Methotrexate (rheum, pharm)
- Added adverse effects, findings specific to leukoencephalopathy
-
Pegloticase (rheum, pharm)
- Added
-
Lesinurad (rheum, pharm)
- Added
-
Probenecid (rheum, pharm)
- Updates
-
Gallstone (surgery, gallbladder)
- Updates to Gallstone, Biliary Colic, acute colecystitis and Choledocholithiasis
-
Male Hypogonadism (urology, endo)
- Updates to Male Hypogonadism and Testosterone Replacement
VII. Updates: June 2024
-
Wide QRS (cv, ekg)
- Updated with QRS-T Complex (shark fin)
-
Atrial Fibrillation (cv, ekg)
- Updates
-
Tetralogy of Fallot (cv, peds)
- Updates
-
Beta Blockers (cv, pharm)
- Updates
-
Acute Pericarditis (cv, Pericardium)
- Updates
-
Cushing Syndrome (endo, adrenal)
- Updates
-
Post-ROSC Care (er, exam)
- Updates regarding Hypertension
-
Morel Mushroom Poisoning (er, toxin)
- Added
-
Lid Lag (eye, lid)
- Added
-
Acute Fall Management in the Elderly (geri, prevent)
- Added to break up acute falls from Fall Prevention
- Also updated Fall Prevention in the Elderly and added several functional balance tests
-
Cyclic Vomiting Syndrome (gi, sx)
- Added this as well as Chronic Functional Vomiting
-
Aromatase Inhibitor (gyn, pharm)
- Added
-
Gonadotropin-Releasing Hormone Agonist (gyn, pharm)
- Added
-
Gonadotropin-Releasing Hormone Antagonist (gyn, pharm)
- Added
-
Selective Estrogen Receptor Modulator (gyn, pharm)
- Updates
-
Erythropoietin (hemeonc, pharm)
- Updates and added the 3 epo agents
- Granulocyte Colony Stimulating Factor (hemeonc, pharm)
-
EGFR Monoclonal Antibody (hemeonc, pharm)
- Added
-
VEGFR Monoclonal Antibody (hemeonc, pharm)
- Added
-
Alemtuzumab (hemeonc, pharm)
- Added
- Anti-CD20 Monoclonal Antibody (hemeonc, pharm)
- Added
-
CD22 Monoclonal Antibody (hemeonc, pharm)
- Added
-
Rituximab (hemeonc, pharm)
- Updates
-
Daratumumab (hemeonc, pharm)
- Added
-
Hormonally Active Chemotherapy (hemeonc, pharm)
- Updates
-
Abiraterone (hemeonc, pharm)
- Added
-
Mogamulizumab-kpkc (hemeonc, pharm)
- Added
-
Nonsteroidal Antiandrogen (hemeonc, pharm)
- Added
-
Dinutuximab (hemeonc, pharm)
- Added
-
Brentuximab vedotin (hemeonc, pharm)
- Added
-
Gemtuzumab ozogamacin (hemeonc, pharm)
- Added
-
Thalidomide (hemeonc, pharm)
- Added Thalidomide and it's analogs
-
Ureaplasma Urealyticum (id, std)
- Added (thanks to Dr. Jai Jung)
-
Blastomycosis (lung, id)
- Updates
-
Cystic Fibrosis (lung, peds)
- Updates
-
Omalizumab (lung, pharm)
- Updates regarding Food Allergy indication
-
Preceptorship (manage, communication)
- Updates
-
Subarachnoid Hemorrhage (neuro, cv)
- Updates
-
Sugammadex (neuro, pharm)
- Updates
-
Spinal Epidural Hematoma (ortho, c-spine)
- Updates
-
Hip Fracture (ortho, hip)
- Updates with additional evidence that Regional Anesthesia reduces complications
-
Pellegrini-Stieda Syndrome (ortho, knee)
- Added
-
Spinal Epidural Abscess (ortho, L-Spine)
- Updates
-
Upper Extremity Injury (er, ortho)
- Updates to multiple topics in Shoulder, elbow and wrist injuries and Regional Anesthesia options
-
Collagen Supplement (pharm, alternative)
- Updates
-
Acetaminophen (pharm, Analgesic)
- Updates
-
Aspirin (pharm, Analgesic)
- Updates
-
Firearm Safety (prevent, safety)
- Updates
-
Gepirone (psych, pharm)
- Added
-
Refractory Depression Management (psych, depression)
- Updates
-
Hyperkalemia Management (renal, Potassium)
- Updates
-
Antiphospholipid Antibody Syndrome (rheum, diffuse)
- Updates
-
Limping Child (rheum, sx)
- Updates
-
Catastrophic Anti-Phospholipid Antibody Syndrome (rheum, diffuse)
- Added
-
Lidocaine Patch (surgery, pharm)
- Updates
VIII. Updates: May 2024
-
Hearing Loss (ent, ear, exam)
- Updates
-
Audiogram (ent, ear, exam)
- Updates
-
Noninsulin Therapy of Type 2 Diabetes (endo, pharm)
- Updates
-
Diabetic Foot Infection (derm, endo)
- Updates
-
Nevus Flammeus (derm, peds)
- Updates
-
Streptococcal Pharyngitis (ent, mouth)
- Updates, and added FeverPAIN score
-
Seat Belt Syndrome (er, exam)
- Updates
-
Beers List (geri, pharm)
- Updates
-
Misoprostol Poisoning (gi, pharm)
- Added
-
Droperidol (gi, pharm)
- Updates
-
Asparaginase (hemeonc, pharm)
- Added
-
Bexarotene (hemeonc, pharm)
- Added
-
Mitotane (hemeonc, pharm)
- Added
-
Porfimer (hemeonc, pharm)
- Added
-
Small Molecule Inhibitor-Mediated Chemotherapy (hemeonc, pharm)
- Updates
-
ALK Inhibitor (hemeonc, pharm)
- Added
-
BCL2 Inhibitor (hemeonc, pharm)
- Added
-
BCR-ABL Inhibitor (hemeonc, pharm)
- Added
-
BRAF Inhibitor (hemeonc, pharm)
- Added
-
BTK Inhibitor (hemeonc, pharm)
- Added
-
CDK Inhibitor (hemeonc, pharm)
- Added
- cKIT Inhibitor (hemeonc, pharm)
- Added
-
EGFR Inhibitor (hemeonc, pharm)
- Added
- FGR Inhibitor (hemeonc, pharm)
- Added
-
FLT3 Inhibitor (hemeonc, pharm)
- Added
-
IDH 1 Inhibitor (hemeonc, pharm)
- Added
-
IDH 2 Inhibitor (hemeonc, pharm)
- Added
-
MEK Inhibitor (hemeonc, pharm)
- Added
-
NTRK Inhibitor (hemeonc, pharm)
- Added
-
PARP Inhibitor (hemeonc, pharm)
- Added
-
PIK3CA Inhibitor (hemeonc, pharm)
- Added
-
ROS1 Inhibitor (hemeonc, pharm)
- Added
-
SHH Pathway Inhibitor (hemeonc, pharm)
- Added
-
VEGF Inhibitor (hemeonc, pharm)
- Added
-
Decoy VEGF Receptor (hemeonc, pharm)
- Added
-
Covid-19 Vaccine (id, immunize)
- Updates regarding spring booster doses of 2023 Monovalent
-
Inactivated Polio Vaccine (id, immunize)
- Updates
-
Nirsevimab (id, immunize)
- Updates
-
Airsupra (lung, pharm)
- Added to budesonide, as an overpriced combination agent that cannot substitute for Symbicort
-
Triptan (neuro, pharm)
- Created entries for each of the currently active agents, and updated their content
-
Epidural Anesthesia (ob, pharm)
- Peanut ball with frequent movement significantly decreases First Stage of Labor after epidural
-
Lumbar Spinal Stenosis (ortho, L-Spine)
- Updates
-
Cervical Myelopathy (ortho, c-spine)
- Updates
-
Astaxanthin (pharm, alternative)
- Added
-
NSAID (pharm, Analgesic)
- Major orthopedic groups recommend NSAID use after Fracture over Opioids
- Theoretical risk of non-union with NSAIDS is far overshadowed by the real risk of Opioid Use Disorder in the U.S.
-
Drug Cost (pharm, manage)
- Updates
-
Men who have Sex with Men (prevent, hme)
- Updates
-
Critical Limb Ischemia (surg, cv)
- Updates
IX. Updates: April 2024
-
Accelerated Idioventricular Rhythm (cv, ekg)
- Added
-
Brugada Syndrome (cv, ekg)
- Updates
-
Resistant Hypertension (cv, htn)
- Updates
-
Hypertensive Disorders of Pregnancy (cv, ob)
- Extensive Updates
-
Diabetic Foot Infection (derm, endo)
- Updates
-
Tape Strip Melanoma Detection (derm, lab)
- Added
-
Diabetic Ketoacidosis Management in Children (endo, dm)
- Updates
-
Diabetic Neuropathy (endo, neuro)
- Updates
-
Nasal Foreign Body (ent, nose)
- Updates
-
Hearing Aid (ent, pharm)
- Updates
-
Pediatric Trauma (er, peds)
- Updates, including Pediatric Abdominal Trauma
-
Penetrating Trauma (er, Trauma)
- Updates
-
Pediatric Blunt Abdominal Trauma Decision Rule (gi, exam)
- Updates
-
Pancreatic Cancer (gi, hemeonc)
- Updates
-
Carbohydrate
Antigen 19-9 (gi, lab)
- Updates
-
Lower Gastrointestinal Bleeding (gi, sx)
- Updates
-
Fezolinetant (gyn, pharm)
- Updates
-
ASCCP Calculated Risk Based Protocol (gyn, prevent)
- Updates
-
IgA Vasculitis (hemeonc, derm)
- Updates
-
Juvenile Xanthogranuloma (hemeonc, marrow)
- Added
-
Checkpoint Inhibitor (hemeonc, pharm)
- Updates
-
Antiplatelet Therapy in CVA and TIA (hemeonc, pharm)
- Updates
-
Mitosis Inhibitor
Chemotherapy (hemeonc, pharm)
- Added Vinca Alkaloids, Taxanes and Topoisomerase Inhibitors
- Also added Ixabepilone, Eribulin
-
Vinca Alkaloids (hemeonc, pharm)
- Added Vinblastine (Velban), Vincristine (Oncovin), Vinorelbine
-
Taxanes (hemeonc, pharm)
- Added Paclitaxel (Taxol), Albumin-Bound Paclitaxel (Abraxane), Docetaxel (Taxotere), Cabazitaxel (Jevtana)
-
Topoisomerase Inhibitor (hemeonc, pharm)
- Added Topotecan, Irinotecan, Irinotecan Liposome, Etoposide
-
Arsenic Trioxide (hemeonc, pharm)
- Added as a antineoplastic
-
Cytarabine (hemeonc, pharm)
- Added
-
Bleomycin (hemeonc, pharm)
- Added
-
Dactinomycin (hemeonc, pharm)
- Added
-
Daunorubicin (hemeonc, pharm)
- Added
-
Decitabine (hemeonc, pharm)
- Added
-
Floxuridine (hemeonc, pharm)
- Added
-
Fludarabine (hemeonc, pharm)
- Added
-
Fluorouracil (hemeonc, pharm)
- Added
-
Gemcitabine (hemeonc, pharm)
- Added
-
Proteasome Inhibitor (hemeonc, pharm)
- Added
-
Systemic Tretinoin (hemeonc, pharm)
- Added, as Antineoplastic Agent
-
Trifluridine-Tipiracil (hemeonc, pharm)
- Added
-
Histone Deacetylase Inhibitor (hemeonc, pharm)
- Added individual agent entries for the 4 drugs in class
-
Hydroxyurea (hemeonc, pharm)
- Updates for use as antineoplastic
-
Mercaptopurine (hemeonc, pharm)
- Added
-
Nelarabine (hemeonc, pharm)
- Added
-
Pentostatin (hemeonc, pharm)
- Added
-
Thioguanine (hemeonc, pharm)
- Added
-
Pemetrexed (hemeonc, pharm)
- Added
-
Pralatrexate (hemeonc, pharm)
- Added
-
Doxorubicin (hemeonc, pharm)
- Added
-
Liposomal Doxorubicin (hemeonc, pharm)
- Added
-
Idarubicin (hemeonc, pharm)
- Added
-
Epirubicin (hemeonc, pharm)
- Added
-
Valrubicin (hemeonc, pharm)
- Added
-
Mitomycin (hemeonc, pharm)
- Added
-
Mitoxantrone (hemeonc, pharm)
- Added
-
Congenital Candida (id, fungus)
- Added
-
Measles (id, virus)
- Updates
-
Lumbar Puncture (neuro, procedure)
- Updates
-
Cutaneous Signs of Dysraphism (nicu, derm)
- Updates
-
Newborn Skin Exam (nicu, exam)
- Updates
-
Prosthetic Knee Arthrocentesis (ortho, procedure)
- Updates
-
Chronic Low Back Pain (ortho, Sx, L-Spine)
- Added
-
Acetaminophen Overdose (pharm, Analgesic)
- Updates
-
Ginger (pharm, alternative)
- Updates
-
Human Trafficking (prevent, abuse)
- Updates
-
Tianeptine (psych, pharm)
- Added
-
Hyperkalemia (renal, Potassium)
- Updates
X. Updates: March 2024
-
Abnormal Uterine Bleeding Associated with Hormonal Contraception (gyn, pharm)
- Updates including management of AUB for various contraceptive options
-
Atrial Fibrillation Acute Management (cv, ekg)
- Updates regarding case reports of self-cardioversion with aerobic Exercise in endurance athletes
- Thanks to my friend, Chris Amley for forwarding the article
-
Cellulitis (derm, Bacteria)
- Updates
-
ACE inhibitor Induced Angioedema (ent, derm)
- Updates regarding ARB after ACE-related Angioedema (ARBs are no longer contraindicated)
-
G-Tube (gi, procedure)
- Updates
-
CT Angiography in Gastrointestinal Bleeding (gi, rad)
- Updates
-
Diabetes Mellitus Control in Hospital (endo, dm)
- Updates
-
DVT Prophylaxis (hemeonc, prevent)
- Updates
-
Azacitidine (hemeonc, pharm)
- Added
-
Alkylating Agent (hemeonc, pharm)
- Updates
-
Anal Fissure (gi, Rectum)
- Updates
-
Artesunate (id, pharm)
- Updates
-
Atovaquone/Proguanil (id, pharm)
- Updates
-
Belinostat (hemeonc, pharm)
- Added
-
Bendamustine (hemeonc, pharm)
- Added
-
Benznidazole (id, Pharm)
- Added
-
Busulfan (hemeonc, pharm)
- Added
-
Capecitabine (hemeonc, pharm)
- Added
-
Carmustine (hemeonc, pharm)
- Added
-
Chlorambucil (hemeonc, pharm)
- Added
-
Chloroquine (id, pharm)
- Added
-
Cladribine (hemeonc, pharm)
- Added
-
Clofarabine (hemeonc, pharm)
- Added
-
Coartem (id, pharm)
- Added
-
Cyclophosphamide (hemeonc, pharm)
- Added
-
Dacarbazine (hemeonc, pharm)
- Added
-
DIP Dislocation (ortho, hand)
- Updates
-
Dizziness (cv, sx)
- Added image of differential Diagnosis
-
Eating Disorder (psych, eating)
- Updates
-
Foot Fracture (ortho, foot)
- Extensive updates to various Fractures of the foot
-
Hordeolum (eye, lid)
- Updates
-
Ifosfamide (hemeonc, pharm)
- Added
-
Insomnia (psych, sleep)
- Updates
-
Lipoprotein A
- Added (cv, lab)
-
Lomustine (hemeonc, pharm)
- Added
-
Mechlorethamine (hemeonc, pharm)
- Added
-
Methotrexate (hemeonc, pharm)
- Updates
-
Monomorphic Ventricular Tachycardia (cv, ekg)
- Updates
-
Ivermectin (id, Pharm)
- Updates
-
Measles (id, virus)
- Updates
-
Mebendazole (id, Pharm)
- Added
-
Mefloquine (id, pharm)
- Updates
-
Melphalan (hemeonc, pharm)
- Added
-
Miltefosine (id, Pharm)
- Added
-
Moxidectin (id, pharm)
- Added
-
Mumps (id, virus)
- Updates
-
Nitazoxanide (id, pharm)
- Added
-
Paromomycin (id, pharm)
- Added
-
Pediatric Asthma Score (lung, exam)
- Added
-
Pertussis (lung, Bacteria)
- Updates
-
Praziquantel (id, pharm)
- Added
-
Primaquine (id, pharm)
- Added
-
Procarbazine (hemeonc, pharm)
- Added
-
Pyrantel (id, pharm)
- Added
-
Pyrimethamine (id, pharm)
- Added
-
Quinine (id, pharm)
- Added
-
Streptozocin (hemeonc, pharm)
- Added
-
Tafenoquine (id, pharm)
- Added
-
Temozolomide (hemeonc, pharm)
- Added
-
Thiotepa (hemeonc, pharm)
- Added
-
Tibial Tuberosity Avulsion Fracture (ortho, knee)
- Added
-
Tinidazole (id, pharm)
- Added
-
Trabectedin (hemeonc, pharm)
- Added
-
Triclabendazole (id, Pharm)
- Added
-
Gepant (neuro, pharm)
- Updates
-
Tetanus (id, neuro)
- Updates
-
Toddler Fracture (ortho, ankle)
- Updates
-
Osteomyelitis (ortho, id)
- Updates
-
Cocoa (pharm, nutrition)
- Added
-
Brexanolone (psych, pharm)
- Added
-
Zuranolone (psych, pharm)
- Added
-
Hyperkalemia Management (renal, Potassium)
- Updates
-
Ring Removal (surgery, derm)
- Updates
-
Jehovah's Witness (Surgery, Manage)
- Added
-
Urinary Tract Infection (urology, Bladder)
- Updates
-
Unknown Ingestion (er, toxin)
- Extensive Updates
-
Varicella Zoster Virus (id, virus)
- Updates
XI. Updates: February 2024
-
Acute Coronary Syndrome (cv, cad)
- Updates
-
Hypotension Causes (cv, exam)
- Updates
-
Lice (derm, Parasite)
- Added and updated topical Antiparasitic drugs
-
Scabies (derm, Parasite)
- Added and updated topical Antiparasitic drugs
-
Topical Antifungal (derm, pharm)
- Created entries for each of the currently active agents, and updated their content
-
Obesity Management (endo, Obesity)
- Updates
-
Basal insulin (endo, pharm)
- Detemir is being discontinued
-
Snake Bite (er, derm)
- Updates
-
Scorpion Sting (er, derm)
- Updates
-
Hymenoptera Sting (er, derm)
- Updates
-
Vitreous Hemorrhage (eye, Retina)
- Updates
-
Retinal Detachment (eye, Retina)
- Updates
-
Optic Neuritis (eye, neuro)
- Updates
- Vanoprazan (gi, pharm)
- Added
-
Vomiting (gi, sx)
- Added pathway diagram
-
Progestin Only Pill (gyn, pharm)
- Norgestrel 75 mcg Oral Contraceptive will be OTC in 2024
-
Fibrinogen Concentrate (hemeonc, pharm)
- Added
-
Minimum Inhibitory Concentration (id, emerging)
- Added
-
Fluconazole (id, pharm)
- Extensive Updates
-
Flucytosine (id, pharm)
- Added
-
Griseofulvin (id, pharm)
- Extensive updates
-
Echinocandin (id, pharm)
- Added Caspofungin, Micafungin and Andulafungin
-
Ketoconazole (id, pharm)
- Extensive Updates
-
Isavuconazole (id, pharm)
- Added
-
Itraconazole (id, pharm)
- Extensive Updates
-
Posaconazole (id, pharm)
- Added
-
Terbinafine (id, pharm)
- Extensive Updates
-
Voriconazole (id, pharm)
- Added
-
Asthma Exacerbation (lung, Asthma)
- Updates
-
Mental Status Exam (neuro, exam)
- Updates
-
Phenytoin Toxicity (neuro, pharm)
- Updates
-
Prenatal Labs (ob, lab)
- Updates related to STI Screening and prevention
-
Acute Calcific Tendonitis of the Longus Colli (ortho, c-spine)
- Added. Thanks to Dr. Tony Genia, MD for sharing a case of ACTLC with me
- On the differential for Globus Hystericus and Dysphagia
-
Nursemaid's Elbow (ortho, elbow)
- Updates
-
Hip Injection (ortho, procedure)
- Updates
-
Knee Injection (ortho, procedure)
- Updates
-
Coenzyme Q10 (pharm, Vitamin)
- Updates
-
Alcohol Use Disorder Management (psych, cd)
- Updates including medications
-
Aripiprazole (psych, pharm)
- Updated long acting agents
-
Paliperidone (psych, pharm)
- Updated long acting agents
-
Risperidone (psych, pharm)
- Updated long acting agents
-
Metabolic Acidosis (renal, acidbase)
- Updates
-
Multisystem Inflammatory Syndrome (cv, peds)
- Updates
-
Infantile Hemangioma (derm, peds)
- Updates
-
Type 2 Diabetes Mellitus in Children (endo, dm)
- Updates
-
Pediatric Obesity (endo, peds)
- Updates
-
Tonsillectomy (ent, mouth)
- Updates
-
Bleeding Disorder (hemeonc, coags)
- Updates
-
Henoch-Schonlein Purpura (hemeonc, derm)
- Updates
-
Penicillin Allergy (id, pharm)
- Updates
-
Congenital Cytomegalovirus (id, virus)
- Updates
-
Sarcoidosis (lung, ILD)
- Updates
-
ADHD Medication (peds, neuro)
- Updates
-
Autism Spectrum Disorder (peds, neuro)
- Updates
-
Child Abuse (prevent, abuse)
- Updates
-
Obsessive Compulsive Disorder (psych, anxiety)
- Updates
-
Avoidant-Restrictive Food Intake Disorder (psych, eating)
- Updates
-
Adolescent Drug Abuse (psych, cd)
- Updates
-
Respiratory Syncytial Virus (lung, peds)
- Updates
-
Systemic Lupus Erythematosus (rheum, diffuse)
- Updates
-
Hypospadias (urology, peds)
- Updates
-
Neonatal Circumcision (urology, procedure)
- Updates
XII. Updates: January 2024
-
Congestive Heart Failure Exacerbation Management (cv, chf)
- Acetazolamide speeds acute pulmonary decongestion in CHF exacerbation when added to Loop Diuretics
-
Cardiovascular Disease in Women (cv, gyn)
- Updates
-
Hypertension Management (cv, htn)
- At least one study shows no significant cardiovascular benefit to nighttime dosing over am dosing
-
Severe Asymptomatic Hypertension (cv, htn)
- Updates
-
Chlorthalidone (cv, pharm)
- Hydrochlorothiazide has similar cardiovascular outcomes and less risk of Hypokalemia
-
Statin-Induced Myalgias (cv, pharm)
- More than 90% of myalgias in patients taking Statins are NOT due to other cause or Nocebo Effect (see above)
-
Orbital Cellulitis (derm, eye)
- Updates to Preseptal Cellulitis and Orbital Cellulitis
-
Psoriasis (derm, hyperplasia)
- Extensive updates
-
SGLT2 Inhibitor Associated Ketosis (endo, dm)
- Updates
-
Ear Irrigation (ent, procedure)
- Updates
-
Chronic Hepatitis B Infection (gi, liver)
- Added and updated all nRTI agents used in Chronic HBV (Tenofovir, Entecavir, Adefovir, Lamivudine)
-
Pediatric Reflux (gi, peds)
- Updated regarding acid suppression precautions
-
Methylnaltrexone (gi, pharm)
- Updates
-
Adnexal Mass (gyn, hemeonc)
- Updates
-
Andexxa (hemeonc, pharm)
- Updates
-
Tenecteplase (hemeonc, pharm)
- Updates related to Intracerebral Hemorrhage risk
-
Anti-Retroviral Therapy (hiv, pharm)
- Updates
- Enfuviritide (hiv, pharm)
- Updates
-
Ibalizumab (hiv, pharm)
- Updates
-
Integrase Strand Transfer Inhibitor (hiv, pharm)
- Created entries for each of the currently active agents, and updated their content
-
Maraviroc (hiv, pharm)
- Updates
-
Nucleoside Reverse Transcriptase Inhibitor (hiv, pharm)
- Created entries for each of the currently active agents, and updated their content
-
Non-Nucleoside Reverse Transcriptase Inhibitor (hiv, pharm)
- Created entries for each of the currently active agents, and updated their content
-
Amphotericin B (id, pharm)
- Updates
-
Atovaquone (id, pharm)
- Updates
-
Clotrimazole (id, pharm)
- Updates
-
Miconazole (id, pharm)
- Updates
-
Nystatin (id, pharm)
- Updates
-
Pentamidine (id, pharm)
- Updates
-
COPD Management (lung, copd)
- Extensive updates based on GOLD 2023
-
Covid19 (lung, id)
- Added Angioedema as a manifestation
-
Dapsone (lung, pharm)
- Updates
-
Hemoptysis (lung, sx, bleed)
- Updates
-
Dementia Diagnosis (neuro, cognitive)
- Updates regarding Mental Status Exam tools
-
Neonatal Seizure (neuro, nicu, Seizure)
- Updates
-
Preconception Counseling (ob, prevent)
- Updates to Preconception Counseling and Pregnancy Risk Assessment, as well as Teratogen Exposure
-
Knee Dislocation (ortho, knee)
- Updates
-
Chronic Low Back Pain Management (ortho, L-Spine)
- Spinal stimulators appear to offer little benefit at 6 and 12 months (cochrane review)
-
St. Johns Wort (pharm, alternative)
- Updates
-
Omega-3 Fatty Acid Supplement (pharm, nutrition)
- Longterm Marine Omega 3 Fatty Acids (esp. >1 g/day) are associated with an increased risk of Atrial Fibrillation
-
Vitamin A Toxicity (pharm, Vitamins)
- Added
-
GRADE Approach (prevent, epi)
- Added
-
Hazard Ratio (prevent, epi)
- Added
-
Cannabinoid (psych, cd)
- Updates including longterm, continuous use adverse effects
-
Vaping-Associated Lung Disease (psych, cd)
- Updates
-
Renal Infarction (renal, cv)
- Added
- Chronic Kidney Disease (renal, failure)
-
Baking Soda (renal, pharm)
- Added to Oral Sodium Bicarbonate and the toxicity risk
-
Colchicine Toxicity (rheum, pharm)
- Added
- Exercise (sports, Exercise)
-
Pediatric Sports Overuse Injury (sports, peds)
- Added, and updated specific conditions
-
High Pressure Injection Wound (surgery, derm)
- Updates
-
Etomidate (surgery, pharm)
- May be associated with higher mortality when used for RSI based on metaanalysis
-
Urethral Catheterization (urology, procedure)
- Updates and pearls