II. Updates: February 2024

  1. Acute Coronary Syndrome (cv, cad)
    1. Updates
  2. Hypotension Causes (cv, exam)
    1. Updates
  3. Lice (derm, Parasite)
    1. Added and updated topical antiparasitic drugs
  4. Scabies (derm, Parasite)
    1. Added and updated topical antiparasitic drugs
  5. Topical Antifungal (derm, pharm)
    1. Created entries for each of the currently active agents, and updated their content
  6. Obesity Management (endo, Obesity)
    1. Updates
  7. Basal Insulin (endo, pharm)
    1. Detemir is being discontinued
  8. Snake Bite (er, derm)
    1. Updates
  9. Scorpion Sting (er, derm)
    1. Updates
  10. Hymenoptera Sting (er, derm)
    1. Updates
  11. Vitreous Hemorrhage (eye, Retina)
    1. Updates
  12. Retinal Detachment (eye, Retina)
    1. Updates
  13. Optic Neuritis (eye, neuro)
    1. Updates
  14. Vanoprazan (gi, pharm)
    1. Added
  15. Vomiting (gi, sx)
    1. Added pathway diagram
  16. Progestin Only Pill (gyn, pharm)
    1. Norgestrel 75 mcg Oral Contraceptive will be OTC in 2024
  17. Fibrinogen Concentrate (hemeonc, pharm)
    1. Added
  18. Minimum Inhibitory Concentration (id, emerging)
    1. Added
  19. Fluconazole (id, pharm)
    1. Extensive Updates
  20. Flucytosine (id, pharm)
    1. Added
  21. Griseofulvin (id, pharm)
    1. Extensive updates
  22. Echinocandin (id, pharm)
    1. Added Caspofungin, Micafungin and Andulafungin
  23. Ketoconazole (id, pharm)
    1. Extensive Updates
  24. Isavuconazole (id, pharm)
    1. Added
  25. Itraconazole (id, pharm)
    1. Extensive Updates
  26. Posaconazole (id, pharm)
    1. Added
  27. Terbinafine (id, pharm)
    1. Extensive Updates
  28. Voriconazole (id, pharm)
    1. Added
  29. Asthma Exacerbation (lung, Asthma)
    1. Updates
  30. Mental Status Exam (neuro, exam)
    1. Updates
  31. Phenytoin Toxicity (neuro, pharm)
    1. Updates
  32. Prenatal Labs (ob, lab)
    1. Updates related to STI Screening and prevention
  33. Acute Calcific Tendonitis of the Longus Colli (ortho, c-spine)
    1. Added. Thanks to Dr. Tony Genia, MD for sharing a case of ACTLC with me
    2. On the differential for Globus Hystericus and Dysphagia
  34. Nursemaid's Elbow (ortho, elbow)
    1. Updates
  35. Hip Injection (ortho, procedure)
    1. Updates
  36. Knee Injection (ortho, procedure)
    1. Updates
  37. Coenzyme Q10 (pharm, Vitamin)
    1. Updates
  38. Alcohol Use Disorder Management (psych, cd)
    1. Updates including medications
  39. Aripiprazole (psych, pharm)
    1. Updated long acting agents
  40. Paliperidone (psych, pharm)
    1. Updated long acting agents
  41. Risperidone (psych, pharm)
    1. Updated long acting agents
  42. Metabolic Acidosis (renal, acidbase)
    1. Updates
  43. Multisystem Inflammatory Syndrome (cv, peds)
    1. Updates
  44. Infantile Hemangioma (derm, peds)
    1. Updates
  45. Type 2 Diabetes Mellitus in Children (endo, dm)
    1. Updates
  46. Pediatric Obesity (endo, peds)
    1. Updates
  47. Tonsillectomy (ent, mouth)
    1. Updates
  48. Bleeding Disorder (hemeonc, coags)
    1. Updates
  49. Henoch-Schonlein Purpura (hemeonc, derm)
    1. Updates
  50. Penicillin Allergy (id, pharm)
    1. Updates
  51. Congenital Cytomegalovirus (id, virus)
    1. Updates
  52. Sarcoidosis (lung, ILD)
    1. Updates
  53. ADHD Medication (peds, neuro)
    1. Updates
  54. Autism Spectrum Disorder (peds, neuro)
    1. Updates
  55. Child Abuse (prevent, abuse)
    1. Updates
  56. Obsessive Compulsive Disorder (psych, anxiety)
    1. Updates
  57. Avoidant-Restrictive Food Intake Disorder (psych, eating)
    1. Updates
  58. Adolescent Drug Abuse (psych, cd)
    1. Updates
  59. Respiratory Syncytial Virus (lung, peds)
    1. Updates
  60. Systemic Lupus Erythematosus (rheum, diffuse)
    1. Updates
  61. Hypospadias (urology, peds)
    1. Updates
  62. Neonatal Circumcision (urology, procedure)
    1. Updates

III. Updates: January 2024

  1. Congestive Heart Failure Exacerbation Management (cv, chf)
    1. Acetazolamide speeds acute pulmonary decongestion in CHF exacerbation when added to Loop Diuretics
  2. Cardiovascular Disease in Women (cv, gyn)
    1. Updates
  3. Hypertension Management (cv, htn)
    1. At least one study shows no significant cardiovascular benefit to nighttime dosing over am dosing
  4. Severe Asymptomatic Hypertension (cv, htn)
    1. Updates
  5. Chlorthalidone (cv, pharm)
    1. Hydrochlorothiazide has similar cardiovascular outcomes and less risk of Hypokalemia
  6. Statin-Induced Myalgias (cv, pharm)
    1. More than 90% of myalgias in patients taking Statins are NOT due to other cause or Nocebo Effect (see above)
  7. Orbital Cellulitis (derm, eye)
    1. Updates to Preseptal Cellulitis and Orbital Cellulitis
  8. Psoriasis (derm, hyperplasia)
    1. Extensive updates
  9. SGLT2 Inhibitor Associated Ketosis (endo, dm)
    1. Updates
  10. Ear Irrigation (ent, procedure)
    1. Updates
  11. Chronic Hepatitis B Infection (gi, liver)
    1. Added and updated all nRTI agents used in Chronic HBV (Tenofovir, Entecavir, Adefovir, Lamivudine)
  12. Pediatric Reflux (gi, peds)
    1. Updated regarding acid suppression precautions
  13. Methylnaltrexone (gi, pharm)
    1. Updates
  14. Adnexal Mass (gyn, hemeonc)
    1. Updates
  15. Andexxa (hemeonc, pharm)
    1. Updates
  16. Tenecteplase (hemeonc, pharm)
    1. Updates related to Intracerebral Hemorrhage risk
  17. Anti-Retroviral Therapy (hiv, pharm)
    1. Updates
  18. Enfuviritide (hiv, pharm)
    1. Updates
  19. Ibalizumab (hiv, pharm)
    1. Updates
  20. Integrase Strand Transfer Inhibitor (hiv, pharm)
    1. Created entries for each of the currently active agents, and updated their content
  21. Maraviroc (hiv, pharm)
    1. Updates
  22. Nucleoside Reverse Transcriptase Inhibitor (hiv, pharm)
    1. Created entries for each of the currently active agents, and updated their content
  23. Non-Nucleoside Reverse Transcriptase Inhibitor (hiv, pharm)
    1. Created entries for each of the currently active agents, and updated their content
  24. Amphotericin B (id, pharm)
    1. Updates
  25. Atovaquone (id, pharm)
    1. Updates
  26. Clotrimazole (id, pharm)
    1. Updates
  27. Miconazole (id, pharm)
    1. Updates
  28. Nystatin (id, pharm)
    1. Updates
  29. Pentamidine (id, pharm)
    1. Updates
  30. COPD Management (lung, copd)
    1. Extensive updates based on GOLD 2023
  31. Covid19 (lung, id)
    1. Added Angioedema as a manifestation
  32. Dapsone (lung, pharm)
    1. Updates
  33. Hemoptysis (lung, sx, bleed)
    1. Updates
  34. Dementia Diagnosis (neuro, cognitive)
    1. Updates regarding Mental Status Exam tools
  35. Neonatal Seizure (neuro, nicu, Seizure)
    1. Updates
  36. Preconception Counseling (ob, prevent)
    1. Updates to Preconception Counseling and Pregnancy Risk Assessment, as well as Teratogen Exposure
  37. Knee Dislocation (ortho, knee)
    1. Updates
  38. Chronic Low Back Pain Management (ortho, L-Spine)
    1. Spinal stimulators appear to offer little benefit at 6 and 12 months (cochrane review)
  39. St. Johns Wort (pharm, alternative)
    1. Updates
  40. Omega-3 Fatty Acid Supplement (pharm, nutrition)
    1. Longterm Marine Omega 3 Fatty Acids (esp. >1 g/day) are associated with an increased risk of Atrial Fibrillation
  41. Vitamin A Toxicity (pharm, Vitamins)
    1. Added
  42. GRADE Approach (prevent, epi)
    1. Added
  43. Hazard Ratio (prevent, epi)
    1. Added
  44. Cannabinoid (psych, cd)
    1. Updates including longterm, continuous use adverse effects
  45. Vaping-Associated Lung Disease (psych, cd)
    1. Updates
  46. Renal Infarction (renal, cv)
    1. Added
  47. Chronic Kidney Disease (renal, failure)
    1. Updates to Chronic Kidney Disease, End Stage Renal Disease, Prevention of Kidney Disease Progression
  48. Baking Soda (renal, pharm)
    1. Added to Oral Sodium Bicarbonate and the toxicity risk
  49. Colchicine Toxicity (rheum, pharm)
    1. Added
  50. Exercise (sports, Exercise)
    1. Updates related to timing of Exercise (clustered Exercise has similar benefits, total Exercise time per week matters)
  51. Pediatric Sports Overuse Injury (sports, peds)
    1. Added, and updated specific conditions
  52. High Pressure Injection Wound (surgery, derm)
    1. Updates
  53. Etomidate (surgery, pharm)
    1. May be associated with higher mortality when used for RSI based on metaanalysis
  54. Urethral Catheterization (urology, procedure)
    1. Updates and pearls

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