Family Practice Notebook Updates

Aka: Family Practice Notebook Updates, FPN Updates

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II. Updates: March 2026

  1. Aortic Dissection Detection Risk Score (cv, exam)
    1. Added
  2. Infective Endocarditis (cv, id)
    1. Updates
  3. ARVD (cv, ekg)
    1. Updates
  4. Polymorphic Ventricular Tachycardia (cv, ekg)
    1. Reorganized content into a single page on Polymorphic VT
  5. Cardiomyopathy (cv, Myocardium)
    1. Updates
  6. Hypertrophic Cardiomyopathy (cv, Myocardium)
    1. Updates
  7. Dilated Cardiomyopathy (cv, Myocardium)
    1. Updates
  8. Postpartum Cardiomyopathy (cv, ob)
    1. Updates
  9. Impetigo (derm, Bacteria)
    1. Updates
  10. Staphylococcal Scalded Skin Syndrome (derm, Bacteria)
    1. Updates regarding sterile Blood Cultures in children in contrast to adults (thanks Dr. Mark Khalil)
  11. Metformin Toxicity (endo, pharm)
    1. Updates
  12. Semaglutide (endo, pharm)
    1. Updates
  13. Bacterial Otitis Externa (ent, ear)
    1. Updates
  14. Mastoiditis (ent, ear)
    1. Updates
  15. Necrotizing Otitis Externa (ent, ear)
    1. Updates
  16. Otomycosis (ent, ear)
    1. Updates
  17. Neck Masses in Adults (ent, hemeonc)
    1. Updates
  18. Hirschsprung's Disease (gi, neuro)
    1. Updates
  19. Cervical Cancer Screening (gyn, prevent)
    1. Updates, esp. regrarding Primary Cervical HPV Testing Protocol
  20. Digital Breast Tomosynthesis (gyn, rad)
    1. Added Digital Breast Tomosynthesis (3D Mammography) description to the Mammography page
    2. Thanks to Dr. Mark Khalil for the suggestion
  21. Thrombocytopenia (hemeonc, Platelet)
    1. Updates
  22. Post Transfusion Purpura (hemeonc, pharm)
    1. Added
  23. Thrombotic Thrombocytopenic Purpura (hemeonc, Platelet)
    1. Updates
  24. Immune Thrombocytopenic Purpura (hemeonc, Platelet)
    1. Updates
  25. Hemolytic Uremic Syndrome (hemeonc, id)
    1. Updates
  26. Gestational Thrombocytopenia (hemeonc, ob)
    1. Updates
  27. Drug induced Thrombocytopenia (hemeonc, pharm)
    1. Updates
  28. SULF-FAST (id, pharm)
    1. Added
  29. Mechanical Ventilation (lung, procedure)
    1. Updates related to targeting driving pressure (DP=PP-PEEP) to determine PEEP in low Lung Compliance conditions (e.g. ARDS)
  30. Chest XRay (lung, rad)
    1. Updates
  31. Wheezing (lung, sx)
    1. Updates
  32. Subacute Combined Degeneration of the Spinal Cord (neuro, demyelinating)
    1. Added
  33. Eptinezumab (neuro., pharm)
    1. New CGRP Antagonist with rapid onset, effective for both Migraine Prophylaxis and Status Migrainosus (>72 hours) abortive care
    2. Dosed 100 mg infused IV over 30 minutes every 3 months
    3. May be considered for emergency department use, with Migraine improvement onset within 1 hour of infusion (and esp. at 2 and 4 hours)
  34. Congenital Facial Nerve Palsy (nicu, neuro)
    1. Updates
  35. RhoGAM (ob, pharm)
    1. RhoGAM is not needed if undergoing abortion or pregnancy loss <12 weeks (per ACOG, 2024)
    2. However, RhoGAM is still recommended in Ectopic Pregnancy <12 weeks or when dates are uncertain
    3. Updated all topics referring to RhoGAM at <12 weeks
  36. Fracture Dislocation of the Elbow (ortho, elbow)
    1. Added
  37. Barbotage and Lavage of Calcific Tendonitis (ortho, procedure)
    1. Added
  38. Kratom (pharm, alternative)
    1. Updates
  39. Wrist XRay (ortho, rad)
    1. Updates

III. Updates: February 2026

  1. Ectopic Atrial Rhythm (cv, ekg)
    1. Added
  2. Resistant Hypertension (cv, htn)
    1. Updates
  3. GLP1 Agonist (endo, pharm)
    1. Updates related to GLP1 reported but debunked adverse effects
  4. Arsenic Poisoning (er, toxin)
    1. Updates
  5. Bladder Rewarming (er, environ)
    1. Updates
  6. Geriatric Assessment (geri, exam)
    1. Updates
  7. Vonoprazan (gi, pharm)
    1. Updates
  8. Elinzanetant (gyn, pharm)
    1. Added
  9. Tumor Lysis Syndrome (hemeonc, pharm)
    1. Updates
  10. Acute Leukemia (hemeonc, Leukemia)
    1. Updates
  11. Methylene Blue (hemeonc, pharm)
    1. Added
  12. Cardiovascular Manifestations of HIV (hiv, cv)
    1. Updates
  13. HIV Cardiomyopathy (hiv, cv)
    1. Updates
  14. Dermatologic Manifestations of HIV (hiv, derm)
    1. Updates
  15. HIV Complications (hiv, exam)
    1. Updates
  16. Sexual Health in HIV (hiv, exam)
    1. Added
  17. Endocrine Manifestations of HIV (hiv, endo)
    1. Updates
  18. Insulin Resistance in HIV (hiv, endo)
    1. Updates
  19. Osteoporosis in HIV (hiv, endo)
    1. Added
  20. Weight Gain in HIV (hiv, endo)
    1. Added
  21. Hepatic Disorders in HIV (hiv, gi)
    1. Updates
  22. Malignancy in HIV (hiv, hemeonc)
    1. Added
  23. Pulmonary Manifestations of HIV (hiv, lung)
    1. Updates
  24. HIV Related Neuropathy (hiv, neuro)
    1. Updates
  25. Chronic Kidney Disease in HIV (hiv, renal)
    1. Updates
  26. HIV Nephropathy (hiv, renal)
    1. Updates
  27. HIV Related Rheumatologic Conditions (hiv, rheum)
    1. Updates
  28. Rocky Mountain Spotted Fever (id, vector)
    1. Updates
  29. Single Maintenance and Reliever Therapy (lung, pharm)
    1. Updated for guidance on Inhaler strength to start
  30. Large Language Model (manage, computer)
    1. Updated for some medical applications (esp. learning)
  31. Neuroblastoma (neuro, hemeonc)
    1. Updates
  32. HIV-Associated Neurocognitive Disorder (neuro, hiv)
    1. Updates
  33. Prevention of Ischemic Stroke (neuro, prevent)
    1. Extensive updates
  34. Status Epilepticus (neuro, Seizure)
    1. Consider adding Ketamine to initial Benzodiazepine in pediatric convulsive Status Epilepticus
    2. Ket-Mid Study used 2 mg/kg (max 60 mg) AND Midazolam 0.2 mg/kg IV in age 6 months to 16 years
    3. Significantly better Status Epilepticus resolution at 5, 15, 35 and 55 min
    4. No significant increase in respiratory depression, Hypotension, Endotracheal Intubation
  35. Neonatal Respiratory Distress (nicu, lung)
    1. Updates
  36. Transient Tachypnea of the Newborn (nicu, lung)
    1. Updates
  37. Meconium Aspiration Syndrome (nicu, lung)
    1. Updates
  38. Direct To Consumer Medication (pharm, manage)
    1. Updates
  39. Vitamin A Deficiency (pharm, Vitamin)
    1. Updates
  40. Vertebral Compression Fracture (ortho, t-spine)
    1. Updates
  41. Traumatic Amputation (surgery, derm)
    1. Updates
  42. Nephroblastoma (urology, hemeonc)
    1. Added
  43. Testicular Torsion (urology, Testes)
    1. Updates

IV. Updates: January 2026

  1. Diastolic Dysfunction (cv, chf)
    1. Updates related to Finerenone and GLP-1 Agonists
  2. Acute Rheumatic Fever (cv, id)
    1. Updates
  3. Hypertrophic Cardiomyopathy (cv, Myocardium)
    1. Updates
  4. Moderate Acne Vulgaris Management (derm, acne)
    1. Updates
  5. Majocchi Granuloma (derm, Fungus)
    1. Added
  6. GLP1 Agonist (endo, pharm)
    1. Updates regarding dosing for reduced adverse effects and cost
  7. Upper Respiratory Infection (ent, nose)
    1. Updates regarding zinc and other OTC options
  8. Cone Snail Envenomation (er, derm)
    1. Added
  9. Cardiac Arrest (er, exam)
    1. Updates regarding TEE
  10. EMTALA (er, manage)
    1. Updates
  11. Perfluorohexyloctane (eye, pharm)
    1. Added as an expensive ($800/month) eye drop with marginal efficacy above artificial tears (saline)
  12. Autoimmune Neutropenia (Hemeonc, Lab)
    1. Added
  13. Neutropenia (Hemeonc, Lab)
    1. Updates
  14. Neutropenia Causes (Hemeonc, Lab)
    1. Updates
  15. Severe Congenital Neutropenia (Hemeonc, Peds)
    1. Added
  16. Chemotherapy-Induced Neutropenia (Hemeonc, Pharm)
    1. Added
  17. G-CSF (Hemeonc, Pharm)
    1. Updates
  18. Lyme Carditis (id, cv)
    1. Added
  19. Lyme Disease (id, vector)
    1. Updates
  20. Eczema Herpeticum (id, derm)
    1. Added
  21. Papular Acrodermatitis (id, derm)
    1. Added
  22. Dementia (neuro, cognitive)
    1. Updates
  23. Against Medical Advice (neuro, cognitive)
    1. Updates
  24. Quick Dementia Rating System (neuro, exam)
    1. Added
  25. Sydenham Chorea (neuro, motor)
    1. Updates
  26. Late Pregnancy Bleeding (ob, bleed)
    1. Updates
  27. Achilles Tendon Bursitis (ortho, ankle)
    1. Updates
  28. Achilles Tendon Rupture (ortho, ankle)
    1. Updates
  29. Ankle Sprain (ortho, ankle)
    1. Updates
  30. Calcaneal Apophysitis(ortho, ankle)
    1. Updates
  31. Peroneal Tendinopathy (ortho, ankle)
    1. Updates
  32. Posterior Tibial Tendinopathy (ortho, ankle)
    1. Updates
  33. Cervical Spine Fracture (ortho, c-spine)
    1. Updates
  34. Calcaneus Stress Fracture (ortho, foot)
    1. Updates
  35. Os Trigonum Syndrome (ortho, foot)
    1. Updates
  36. Distal Femur Physeal Fracture (ortho, knee)
    1. Added
  37. Lumbosacral Spine XRay (ortho, rad)
    1. Updates
  38. Opioid Antagonist (pharm, Opioid)
    1. Updates regarding available preparations
  39. Gaming Disorder (prevent, computer)
    1. Added
  40. Tetrahydrocannabinol (psych, cd)
    1. Updates
  41. Smokeless Tobacco (psych, cd)
    1. Added brief summary, epidemiology, effective cessation treatments
  42. Creatinine Clearance (renal, lab)
    1. Updates regarding Cystatin C related CKD-EPI calculations
  43. Knee Osteoarthritis Management (rheum, oa)
    1. Hyaluronic acid injection delays TKA 1 year (up to 5 years within multiple injections)
  44. Denosumab (rheum, pharm)
    1. Updates regarding xgeva and Biosimilars
  45. Peripheral Arterial Occlusive Disease (surgery, cv)
    1. Updates
  46. Peripheral Vascular Disease Management (surgery, cv)
    1. Updates

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