Family Practice Notebook Updates

Aka: Family Practice Notebook Updates, FPN Updates

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II. Updates: March 2025

  1. Mobitz II AV Block (cv, ekg)
    1. Updates
  2. Vagal Maneuver (cv, procedure)
    1. Updates
  3. POTS Syndrome (cv, exam)
    1. Updates regarding aerobic Exercise in its management
  4. Genital Wart (derm, wart)
    1. Updates
  5. Cat Scratch Disease (er, bite)
    1. Updates
  6. Gastric Cancer (gi, hemeonc)
    1. Extensive updates
  7. Helicobacter Pylori (gi, id)
    1. Updated H. pylori treatment again based on ACG 2024
  8. Bowel Preparation (gi, procedure)
    1. Updates
  9. Menorrhagia (gyn, Menses)
    1. Updates
  10. Enoxaparin (hemeonc, pharm)
    1. Updates
  11. Acinetobacter Baumannii (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  12. Brucellosis (id, Bacteria)
    1. Updates
  13. Burkholderia Cepacia (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  14. Chlamydiaceae (id, Bacteria)
    1. Updates including to Trachoma, Inclusion Conjunctivitis, Chlamydial Urethritis, Psittacosis, TWAR
  15. Pseudomonas Aeruginosa (id, Bacteria)
    1. Added
  16. Q Fever (id, Bacteria)
    1. Updates
  17. Rickettsiae (id, Bacteria)
    1. Updates to this and the associated diseases
  18. Stenotrophomonas Maltophilia (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  19. Trench Fever (id, Bacteria)
    1. Added
  20. Haemophilus Influenzae (id, Bacteria)
    1. Added, and updated Haemophilus Influenzae Pneumonia, Hib Vaccine
  21. Yersinia Pestis (id, Bacteria)
    1. Updates
  22. Francisella Tularensis (id, vector)
    1. Updates
  23. Bordetella Pertussis (lung, Bacteria)
    1. Updates
  24. Legionella (lung, Bacteria)
    1. Updates
  25. First Seizure Evaluation (neuro, Seizure)
    1. Updates
  26. Status Epilepticus (neuro, Seizure)
    1. Updates
  27. Growth Plate (ortho, anatomy)
    1. Updates
  28. Epiphyseal Fracture (ortho, Fracture)
    1. Updates
  29. Acute Osteomyelitis
    1. Updates (ortho, id)
  30. Pediatric Leg Disorder (ortho, peds)
    1. Extensive updates including related topics (Intoeing, Out-toeing, Genu Valgum, Genu Varum)
  31. Toxic Synovitis (ortho, peds)
    1. Updates
  32. Sudden Infant Death Syndrome (peds, er)
    1. Updates
  33. Alpha Lipoic Acid (pharm, alternative)
    1. Added
    2. Not recommended in Diabetic Neuropathy due to low efficacy
  34. Refractory Depression Management (psych, depression)
    1. Psilocybin is slightly better than Placebo in Major Depression
  35. Metabolic Acidosis (renal, acidbase)
    1. Updates
  36. Metabolic Alkalosis (renal, acidbase)
    1. Updates
  37. Arterial Blood Gas Interpretation (renal, lab)
    1. Updates
  38. Suprapubic Bladder Aspiration (urology, procedure)
    1. Added
  39. Phimosis (urology, penis)
    1. Updates regarding Topical Corticosteroid protocol

III. Updates: February 2025

  1. QTc Prolongation (cv, exam, ekg)
    1. Updates
  2. Myocardial Infarction with Nonobstructive Coronary Arteries (cv, cad)
    1. Added
  3. Cardiac Amyloidosis (cv, Myocardium)
    1. Added
  4. Electrocardiogram in Children (cv, peds)
    1. Added
  5. Clonidine Overdose (cv, pharm)
    1. Updates for the related Imidazoline Poisoning
  6. Vasopressin (cv, pharm)
    1. Updates
  7. Oral Health in Children (dental, prevent)
    1. Updates
  8. Acute Sinusitis (ent, sinus)
    1. Updates
  9. Copper Poisoning (er, toxin)
    1. Added
  10. Seat Belt Sign (er, Trauma)
    1. Updates
  11. Acute Vision Loss (eye, sx)
    1. Updates
  12. Campylobacter jejuni (gi, id)
    1. Updates
  13. Vibrio Cholerae (gi, id)
    1. Updates
  14. Vibrio parahaemolyticus (gi, id)
    1. Added
  15. Yersinia enterocolitica (gi, id)
    1. Updates
  16. Pediatric Reflux (gi, peds)
    1. Updates
  17. Sickle Cell Anemia (hemeonc, Hemoglobin)
    1. Updates to various associated topics
  18. CVA Thrombolysis (hemeonc, pharm)
    1. TNK has low efficacy in minor stroke and is associated with increased CNS Hemorrhage risk
  19. Andexxa (hemeonc, pharm)
    1. Updates on efficacy (does not alter patient-oriented outcomes and higher thrombosis risk)
  20. Gram Negative Bacteria (id, Bacteria)
    1. Updates
  21. Enterobacter (id, Bacteria)
    1. Added
  22. Escherichia coli (id, Bacteria)
    1. Updates
  23. Klebsiella Pneumoniae (id, Bacteria)
    1. Added
  24. Proteus Mirabilis (id, Bacteria)
    1. Added
  25. Salmonella (id, Bacteria)
    1. Updates
  26. Serratia Marcescens (id, Bacteria)
    1. Added
  27. Shigella (id, Bacteria)
    1. Updates
  28. Yersinia Pestis (id, Bacteria)
    1. Updates
  29. Meningococcal Vaccine (id, immunize)
    1. Updates
  30. Sulopenem Etzadroxil and Probenecid (id, pharm)
    1. Added
  31. Neisseria gonorrhoeae (id, std)
    1. Updates
  32. Social Generation Category (manage, communication)
    1. Added
  33. Meningococcal Meningitis (neuro, id)
    1. Updates
  34. Carbidopa-Levodopa (neuro, pharm)
    1. Updates
  35. Luxatio Erecta (ortho, Shoulder)
    1. Updates
  36. Picky Eating (peds, behavior)
    1. Updates
  37. Thumb Sucking (peds, behavior)
    1. Updates
  38. Hyperimmune Bovine Colostrum (pharm, alternative)
    1. Added
  39. Pediatric Insomnia (psych, peds, sleep)
    1. Updates
  40. Factitious Disorder (psych, somatic)
    1. Updates
  41. Dysuria (urology, sx)
    1. Updates

IV. Updates: January 2025

  1. Left Ventricular Outflow Obstruction (cv, chf)
    1. Updates
  2. Pediatric Hypertension (cv, peds)
    1. Updates
  3. Aprocitentan (cv, pharm)
    1. Added this Endothelin Receptor Antagonist, limited fourth line agent for Refractory Hypertension
    2. Requires REMS program enrollment to prescribe (Teratogenic)
  4. Endothelin Receptor Antagonist (cv, pharm)
    1. Added this class used primarily for Pulmonary Arterial Hypertension
  5. Exercise Stress Test (cv, procedure)
    1. Updated various stress tests
  6. Subungual Melanoma (derm, hemeonc)
    1. Updates
  7. Keloid (derm, hyperplasia)
    1. Updates to Keloid and Hypertrophic Scar
  8. Cutaneous Sporotrichosis (derm, id)
    1. Updates
  9. GLP-1 Agonist (endo, pharm)
    1. Added equivalent dosing for GLP-1 Agonists (to aid switching between agents)
  10. Cardiopulmonary Resuscitation (er, exam)
    1. Updates regarding Pediatric Resuscitation
  11. Listeria monocytogenes (gi, id)
    1. Updates
  12. Liver Function Test Abnormality (gi, lab)
    1. Updates to this and related topics
  13. Stress Ulcer (gi, pud)
    1. Updates regarding prophylaxis indications (need more than Mechanical Ventilation alone)
  14. Premenstrual Disorder (gyn, psych)
    1. Updates
  15. Direct Oral Anticoagulant Score (hemeonc, exam)
    1. Added
  16. Sickle Cell Anemia (hemeonc, hgb)
    1. Updates regarding Penicillin prophylaxis
  17. Pediatric Anemia (hemeonc, peds)
    1. Updates
  18. Anthrax (id, Bacteria)
    1. Updates
  19. Bacillus Cereus (id, Bacteria)
    1. Added
  20. Coryneform Bacteria (id, Bacteria)
    1. Added
  21. Corynebacterium diphtheriae (id, Bacteria)
    1. Updates
  22. Clostridium (id, Bacteria)
    1. Updated Clostridium botulinum, Clostridium tetani, Clostridium perfringens
  23. Rhodococcus equi (id, Bacteria)
    1. Added
  24. Streptococcus (id, Bacteria)
    1. Updates to Streptococcus, Group A Streptococcus, Group B Streptococcus
    2. Added Streptococcus Viridans Group
  25. Staphylococcus (id, Bacteria)
    1. Updates to Staphylococcus Aureus and MRSA
    2. Added Staphylococcus Epidermidis, Staphylococcus Saprophyticus
  26. Pneumococcal Conjugate Vaccine (id, immunize)
    1. Significant updates that simplify overall Pneumococcal Vaccine protocols
    2. All adults age 50 years and older are now vaccinated with 1 dose of PCV20 or PCV21
    3. Immunocompromised Adults age 18 to 50 years are also vaccinated with PCV20 or PCV21
    4. Children are still vaccinated with Primary Series with PCV20 until PCV21 is approved
  27. Quinine Toxicity (id, pharm)
    1. Added
  28. Advanced Airway in Children (lung, procedure)
    1. Updated failed airway in age <8 years: surgical Tracheostomy vs Needle Cricothyrotomy
  29. Cerebral Intraparenchymal Hemorrhage (neuro, cv)
    1. Updates
  30. Subarachnoid Hemorrhage (neuro, cv)
    1. Updates
  31. Duke Abdominal Assessment Scale (nicu, exam)
    1. Added as part of NEC evaluation
  32. Stress Fracture (ortho, Fracture)
    1. Updates
  33. Reverse Total Shoulder Arthroplasty (ortho, surgery)
    1. Updates
  34. Peppermint Oil (pharm, alternative)
    1. Updates
  35. Alcohol Withdrawal (psych, cd)
    1. Updates
  36. Septic Joint (rheum, id)
    1. Updates
  37. Pediatric Abdominal Pain (surgery, peds)
    1. Updates
  38. Priapism (urology, penis)
    1. Correction in Phenylephrine preparation, thanks to Nick Yarbrough, Emergency PharmD

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