Family Practice Notebook Updates

Aka: Family Practice Notebook Updates, FPN Updates, Family Practice Notebook Updates 2024, FPN Updates 2024

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II. Updates: December 2024

  1. Supraventricular Tachycardia (cv, ekg)
    1. Added images for AVRT and AVNRT
  2. Oral Papilloma (dental, mucosa)
    1. Added
  3. Ecthyma (derm, Bacteria)
    1. Added
  4. Diabetic Ketoacidosis (endo, dm)
    1. Updates including to management in both adults and children
  5. Phentermine (endo, pharm)
    1. Updates
  6. Anaphylaxis (ent, allergy)
    1. Updates
  7. Relapsing Polychondritis (ent, ear)
    1. Updates
  8. Lingual Thyroid (ent, Tongue)
    1. Added
  9. Tongue Disorder (ent, Tongue)
    1. Updates on various Tongue related topics
  10. Neurologic Anatomy of the Eye (eye, anatomy)
    1. Fixed images Visual Pathway images
  11. Anal Cancer (gi, hemeonc)
    1. Added
  12. Colorectal Cancer (gi, hemeonc)
    1. Added
  13. Oakland Score for Safe Discharge After Lower Gastrointestinal Bleeding (gi, exam)
    1. Added
  14. Lower Gastrointestinal Bleeding (gi, sx)
    1. Updates
  15. Polycystic Ovary Disease (gyn, endo)
    1. Updates
  16. Bleeding Disorder (hemeonc, coags)
    1. Updates
  17. Serum Tryptase (hemeonc, lab)
    1. Added
  18. Bacteria (id, lab)
    1. Updates to Bacteria, Gram Negative and Gram Positive
  19. Genital Herpes (id, std)
    1. Updates
  20. Cranial Nerve 7 (neuro, anatomy)
    1. Updated CN7 Image
  21. Headache in Pregnancy (neuro, ob)
    1. Updates
  22. Ankyloglossia (nicu, ent)
    1. Added
  23. Manual Uterine Aspiration in First Trimester Pregnancy Loss (ob, procedure)
    1. Added
  24. Central Slip Extensor Tendon Injury (ortho, hand)
    1. Added exam image
  25. Lisfranc Fracture Dislocation (ortho, foot)
    1. Added image
  26. Fifth Metatarsal Fracture (ortho, foot)
    1. Added image
  27. Radiocapitellar Line (ortho, rad)
    1. Added image
  28. Gilula Lines (ortho, rad)
    1. Added image to Wrist XRay
  29. Distal Triceps Tendon Rupture (ortho, elbow)
    1. Added
  30. Patient Controlled Analgesia (pharm, analgesia)
    1. Updates
  31. Epworth Sleepiness Scale (psych, exam)
    1. Updates
  32. Genetic Syndromes Affecting Serum Potassium and Blood Pressure (renal, lab)
    1. Added
  33. Rheumatoid Arthritis (rheum, ra)
    1. Updates to Rheumatoid Arthritis, DMARDs, specific agents and related decision tools
  34. Hypophosphatasia (rheum, peds)
    1. Added (thanks to Dr. Parag Badami for the topic recommendation)
  35. Pressure Ulcer (surgery, derm)
    1. Added image
  36. Prostate Cancer (urology, hemeonc)
    1. Updates to Prostate Cancer, Prostate Specific Antigen and Active Surveillance of Prostate Cancer
  37. Testicular Torsion (urology, Testes)
    1. Updates

III. Updates: November 2024

  1. Left Ventricular Outflow Tract Obstruction (cv, chf)
    1. Added
  2. S1 Heart Sound (cv, exam)
    1. Updates
  3. S3 Heart Sound (cv, exam)
    1. Updates
  4. S4 Heart Sound (cv, exam)
    1. Updates
  5. Pediatric Congestive Heart Failure (cv, peds)
    1. Updates
  6. Tetralogy of Fallot (cv, peds)
    1. Updates
  7. Ventricular Septal Defect (cv, peds)
    1. Updates
  8. Neffy (cv, pharm)
    1. Added to Epinephrine Autoinjectors
  9. Push Dose Pressor (cv, pharm)
    1. Updates to precautions
  10. Mitral Regurgitation (cv, valve)
    1. Updates
  11. Mitral Stenosis (cv, valve)
    1. Updates
  12. Atopic Dermatitis (derm, dry)
    1. Updates
  13. Dermal Filler (derm, procedure)
    1. Updates
  14. Melanoma (derm, hemeonc)
    1. Extensive updates
  15. Skin Tag (derm, hyperplasia)
    1. Updates
  16. Sebaceous Hyperplasia (derm, hyperplasia)
    1. Updates
  17. Keratoacanthoma (derm, hyperplasia)
    1. Updates
  18. Pyogenic Granuloma (derm, cv)
    1. Updates
  19. Dermatofibroma (derm, hyperplasia)
    1. Updates
  20. Seborrheic Keratosis (derm, hyperplasia)
    1. Updates
  21. Pilar Cyst (derm, sebaceous)
    1. Updates
  22. Epidermoid Cyst (derm, serbaceous)
    1. Updates
  23. Diabetes Mellitus (endo, dm)
    1. Updates to associated conditions
  24. Perioperative Diabetes Management (endo, dm)
    1. Updates
  25. Thyroid Eye Disease (endo, eye)
    1. Updates
  26. Central Causes of Vertigo (ent, vestibular)
    1. Updates
  27. Hemorrhagic Shock (er, cv)
    1. Updates
  28. Strangulation (er, ent)
    1. Updates to Strangulation and Near-Hanging
  29. Coronary Angiography After Cardiac Arrest (er, exam)
    1. Updates
  30. Post-Cardiac Arrest Care (er, exam)
    1. Updates
  31. Concussion (er, neuro)
    1. Updates
  32. Cardiopulmonary Resuscitation in Pregnancy (er, ob)
    1. Updates
  33. IV Access Complication (er, procedure)
    1. Updates
  34. Diarrhea in HIV (gi, Diarrhea)
    1. Updates
  35. Primary Biliary Cirrhosis (gi, liver)
    1. Added
  36. Budd-Chiari Syndrome (gi, liver)
    1. Added
  37. Hepatic Encephalopathy (gi, neuro)
    1. Added Polyethylene Glycol (golytely) protocol for ICU
  38. Contraceptive Selection (gyn, Contraception)
    1. Updates
  39. Pancytopenia (hemeonc, lab)
    1. Updates
  40. ISTH DIC Score (hemeonc, lab)
    1. Added
  41. Multiple Myeloma (hemeonc, marrow)
    1. Updates
  42. Cardiovascular Manifestations of HIV (hiv, cv)
    1. Updates
  43. Hematologic Manifestations of HIV (hiv, hemeonc)
    1. Added
  44. Sexually Transmitted Disease in HIV (hiv, id)
    1. Updates
  45. Cryptococcus (hiv, id)
    1. Updates
  46. Botulism (id, neuro)
    1. Updates
  47. Vaccines in Immunocompromised Patients (id, immunize)
    1. Updates
  48. Infant Botulism (id, peds)
    1. Updates
  49. Drug-Induced Enterocolitis Syndrome (id, pharm)
    1. Reaction to Amoxicillin added
  50. Chest Tube (lung, procedure)
    1. Updates
  51. Medicare (manage, healthcare)
    1. Added a brief summary of parts (surprised I had nothing on this)
  52. Multiple Sclerosis (neuro, Demyelinating)
    1. Updates
  53. BE-FAST Stroke Screening Tool (neuro, exam)
    1. Added
  54. Eastern Equine Encephalitis (neuro, id)
    1. Added
  55. Atypical Parkinsonism (neuro, Tremor)
    1. Updates
  56. Parkinsonism (neuro, Tremor)
    1. Updates
  57. Peripheral Neuropathy (neuro, sx)
    1. Updates
  58. Guillain Barre Syndrome (neuro, demyelinating)
    1. Updates
  59. Postterm Pregnancy (ob, antepartum)
    1. Updates
  60. Breech Delivery (ob, ld)
    1. Updates
  61. Wilson Test (ortho, exam)
    1. Correction, thanks to Dr. Khalil
  62. Carpal Tunnel Corticosteroid Injection (ortho, procedure)
    1. Updates, including Ultrasound approach
  63. De Quervain's Tenosynovitis Injection (ortho, procedure)
    1. Updates
  64. Dupuytren's Nodule Corticosteroid Injection (ortho, procedure)
    1. Updates
  65. Wrist Extensor Tenosynovitis Corticosteroid Injection (ortho, procedure)
    1. Added
  66. First Carpometacarpal Joint Steroid Injection (ortho, procedure)
    1. Added
  67. TFCC Steroid Injection (ortho, procedure)
    1. Added
  68. Trigger Finger Corticosteroid Injection (ortho, procedure)
    1. Updates
  69. PECARN C-Spine Imaging Rule (ortho, rad)
    1. Updates
  70. Apoaequorin (pharm, alternative)
    1. Added
  71. Clinical Trial (prevent, epi)
    1. Added
  72. Obsessive Compulsive Disorder (psych, anxiety)
    1. Updates
  73. Psilocybin (psych, cd)
    1. Added
  74. Z-Drug Overdose (psych, pharm)
    1. Added
  75. Felty Syndrome (rheum, ra)
    1. Updates
  76. Rheumatoid Arthritis Extra-articular Signs (rheum, ra)
    1. Updates
  77. Lupus Nephritis (rheum, renal)
    1. Thanks to Dr. Sourabh Jain for topic recommendation
    2. Added
  78. Acute Limb Ischemia (surgery, cv)
    1. Updates
  79. Fishhook Removal (surgery, derm)
    1. Thank you to Dr. Stephanie Minsky feedback regarding Antibiotic prophylaxis
    2. Updates
  80. Gross Hematuria (urology, lab)
    1. Updates
  81. Eroxon (urology, pharm)
    1. Added

IV. Updates: October 2024

  1. Familial Hypercholesterolemia (cv, lipid)
    1. Updates
  2. Nitroglycerin (cv, pharm)
    1. Updates
  3. Cardiac Risk Management (cv, prevent)
    1. Updates
  4. Coronary CT Angiography (cv, rad)
    1. Updates
  5. Palpitations (cv, sx)
    1. Updates
  6. Alopecia (derm, hair)
    1. Updates
  7. Cushing's Syndrome (endo, adrenal)
    1. Extensive updates
  8. Otitis Media with Effusion (ent, ear)
    1. Updates
  9. Reactive Infectious Mucocutaneous Eruption (ent, mouth)
    1. Updates
  10. Denver Screening Criteria for Blunt Cerebrovascular Injury (er, exam)
    1. Updates
  11. Head to Pelvis Sudden Death CT (er, exam)
    1. Updates
  12. Resuscitation (er, exam)
    1. October updates will be lighter, due to my own CME courses attended (Difficult Airway, ACLS, PALS, BLS)
    2. Updated content based on courses (esp. the excellent difficult airway course)
    3. However, I am highly disappointed with the current ACLS/PALS/BLS online versions after having taken these every 2 years since 1994
    4. 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.
  13. Perinatal Hepatitis C Exposure (gi, nicu)
    1. Updates
  14. Resmetirom (gi, pharm)
    1. Updates
  15. Difficult Clinical Encounter (manage, communication)
    1. Updates
  16. Alzheimer's Disease (neuro, cognitive)
    1. Updates
  17. Sleep Hygiene (psych, prevent)
    1. Updates
  18. Pseudotumor Cerebri (neuro, csf)
    1. Updates
  19. Awake Orotracheal Intubation (lung, procedure)
    1. Added
  20. Nasotracheal Intubation (lung, procedure)
    1. Updates
  21. Advanced Airway (lung, procedure)
    1. Extensive updates
  22. Post-Intubation Sedation and Analgesia (lung, procedure)
    1. Updates
  23. Endotracheal Intubation (lung, procedure)
    1. Updates
  24. Tiagabine (neuro, pharm)
    1. Added Overdose findings and management
  25. PECARN C-Spine Imaging Rule (ortho, C-Spine)
    1. Added
  26. Morton's Neuroma (ortho, foot)
    1. Updates on Management
  27. Forearm Fracture in Children (ortho, Forearm)
    1. Updates
  28. Bursa Aspiration (ortho, procedure)
    1. Updates
  29. Carpal Tunnel (ortho, wrist)
    1. Updates regarding longterm surgical efficacy
  30. Traumatic Arthrotomy (rheum, id)
    1. Updates
  31. Urinary Catheterization (urology, procedure)
    1. Updates

V. Updates: September 2024

  1. Cardiogenic Shock (cv, chf)
    1. Updates
  2. Systolic Dysfunction (cv, chf)
    1. Updates
  3. Pulmonary Hypertension (cv, lung)
    1. Extensive updates
  4. Congenital Heart Disease (cv, peds)
    1. Updates
  5. Calcium Channel Blocker Overdose (cv, pharm)
    1. Updates
  6. Athletic Heart Syndrome (cv, sports)
    1. Updates
  7. Diabetic Ketoacidosis Management in Adults (endo, dm)
    1. Updates
  8. Obesity (endo, Obesity)
    1. Updates to Obesity, Obesity Evaluation and Obesity Measurements
  9. Alpha-Glucosidase Inhibitor (endo, pharm)
    1. Updates and added individual entries
  10. DPP4 Inhibitor (endo, pharm)
    1. Updates and added individual entries for Sitagliptin, Saxagliptin, Linagliptin, Alogliptin
  11. Glitazones (endo, pharm)
    1. Updates and added individual entries
  12. GLP-1 Agonist (endo, pharm)
    1. Updates and added individual entries for Dulaglutide, Exenatide, Liraglutide, Lixisenatide, Semaglutide
  13. Meglitinide (endo, pharm)
    1. Updates and added individual entries for Repaglinide, Nateglinide
  14. Metformin (endo, pharm)
    1. Updates
  15. Pramlintide (endo, pharm)
    1. Updates
  16. SGLT2 Inhibitor (endo, pharm)
    1. Updates and added individual entries for Canagliflozin, Dapagliflozin, Empagliflozin, Ertugliflozin, Sotagliflozin, Bexagliflozin
  17. Sulfonylurea (endo, pharm)
    1. Updates and added individual entries for Glipizide, Glyburide, Glimepiride
  18. Bariatric Surgery (endo, surgery)
    1. Updates
  19. Tirzepatide (endo, pharm)
    1. Updates
  20. Conjunctivitis (eye, Conjunctiva)
    1. Updates to Conjunctivitis, Bacterial Conjunctivitis, Viral Conjunctivitis, Allergic Conjunctivitis
  21. Hemorrhoid Management (gi, Rectum)
    1. Updates
  22. Chemotherapy (hemeonc, pharm)
    1. Updates
  23. Covid Vaccine (id, immunize)
    1. Updates
  24. HPV Vaccine (id, immunize)
    1. Updates
  25. Influenza Vaccine (id, immunize)
    1. Updates
  26. Antibiotic Resistance (id, emerging)
    1. Updates
  27. Antibiotic (id, pharm)
    1. Added
  28. Antiparasite Agent (id, pharm)
    1. Added
  29. Antimicrobial Agent (id, pharm)
    1. Added
  30. Antiviral (id, pharm)
    1. Added
  31. Microorganism (id, anatomy)
    1. Added
  32. Paxlovid (id, pharm)
    1. Updates
  33. Pivmecillinam (id, pharm)
    1. Added
  34. Protozoa (id, Parasite)
    1. Added
  35. RSV Vaccine (id, immunize)
    1. Updates
  36. Nitrofurantoin (id, pharm)
    1. Updates regarding high Bacterial resistance when pH>8
  37. Doxy PEP (id, sti)
    1. Added to STI prevention
  38. Cell Cycle (lab, anatomy)
    1. Added
  39. Ensifentrine (lung, pharm)
    1. Added
  40. Chronic Cough (lung, sx)
    1. Updates to Chronic Cough, Chronic Cough in Children and their related cause pages
  41. Mastitis (ob, id)
    1. Extensive updates
  42. Felon (ortho, id)
    1. Updates
  43. Adult ADHD (peds, neuro)
    1. Updates
  44. Ashwagandha (pharm, alternative)
    1. Added
  45. Elderberry (pharm, alternative)
    1. Added
  46. Acute Pain Management in patients on Chronic Buprenorphine (pharm, Analgesic)
    1. Updates
  47. Peripheral Vascular Disease Management (surgery, cv)
    1. Updates
  48. Abdominal CT (surgery, rad)
    1. Updates

VI. Updates: August 2024

  1. Mobitz II AV Block (cv, ekg)
    1. Updates
  2. Refractory Ventricular Fibrillation Management (cv, ekg)
    1. Added Esmolol and left stellate Ganglion block
  3. Midodrine (cv, pharm)
    1. Updates
  4. Cardiovascular Risk Factor (cv, prevent)
    1. Updates related to ethnicity and race
  5. Preseptal Cellulitis (derm, eye)
    1. Updates regarding Antibiotic coverage
  6. Darier Disease (derm, hair)
    1. Added
  7. Insulin (endo, pharm)
    1. Extensive updates to Insulin and subtypes
  8. Thyroid Cancer (endo, hemeonc)
    1. Updates
  9. Liothyronine (endo, pharm)
    1. Updates
  10. Levothyroxine (endo, pharm)
    1. Updates
  11. GLP-1 Agonist (endo, pharm)
    1. Updates
  12. Thionamide (endo, pharm)
    1. Updates including to adding separate pages for Methimazole and PTU
  13. DRESS Syndrome (ent, pharm)
    1. Updates
  14. Stevens Johnson (ent, allergy)
    1. Updates
  15. Azelastine (ent, pharm)
    1. Added
  16. Reactive Infectious Mucocutaneous Eruption (ent, mouth)
    1. Updates
  17. Health Concerns in the Elderly (geri, exam)
    1. Updates
  18. Deprescribing (geri, pharm)
    1. Updates
  19. Resmetirom (gi, pharm)
    1. Added
  20. Misoprostol (gi, pharm)
    1. Updates
  21. Chorionic Gonadotropin Injectable Solution (gyn, pharm)
    1. Added
  22. Recombinant Gonadotropin (gyn, pharm)
    1. Added
  23. Clomiphene (gyn, pharm)
    1. Updates
  24. Danazol (gyn, pharm)
    1. Updates
  25. Cancer Survivor Care (hemeonc, pharm)
    1. Updates
  26. Hemolytic Anemia (hemeonc, pharm)
    1. Updates
  27. Bleeding Disorders (hemeonc, pharm)
    1. Updates
  28. Hemophilia A (hemeonc, pharm)
    1. Updates
  29. CD25 Monoclonal Antibody (hemeonc, pharm)
    1. Added
  30. Lyme Disease Test (id, lab)
    1. Extensive updates
  31. Lymphocyte Immunoglobulin (id, pharm)
    1. Added
  32. Intravenous Immunoglobulin (id, pharm)
    1. Added
  33. Subcutaneous Immunoglobulin (id, pharm)
    1. Added
  34. RhoGAM (id, pharm)
    1. Updates
  35. Obstructive Sleep Apnea (lung, apnea)
    1. Updates
  36. Obesity Hypoventilation Syndrome (lung, apnea)
    1. Added
  37. Cromolyn Sodium (lung, pharm)
    1. Updates
  38. Medical Precepting (manage, communication)
    1. Updates
  39. Closed Head Injury (neuro, er)
    1. Updates including to various Intracranial Hemorrhage pages and Closed Head Injury severity types
  40. Bacterial Meningitis Management (neuro, id)
    1. Updates
  41. Dimethyl Fumarate (neuro, pharm)
    1. Added
  42. Sphingosine 1-Phosphate Receptor Modulator (neuro, pharm)
    1. Added with 4 drugs in the class
  43. Teriflunomide (neuro, pharm)
    1. Added
  44. Psychogenic Nonepileptic Seizure (neuro, psych)
    1. Updates
  45. Head CT (neuro, rad)
    1. Updates
  46. Carboprost (ob, pharm)
    1. Added
  47. Methergine (ob, pharm)
    1. Added
  48. Oxytocin (ob, pharm)
    1. Updates
  49. Terbutaline (ob, pharm)
    1. Updates
  50. Ritodrine (ob, pharm)
    1. Updates
  51. Dinoprostone (ob, pharm)
    1. Updates
  52. Ergonovine (ob, pharm)
    1. Added
  53. Carpal Tunnel Syndrome (ortho, wrist)
    1. Updates
  54. Shilajit (pharm, alternative)
    1. Added
  55. Iodine (pharm, mineral)
    1. Updates
  56. Alcoholic Ketoacidosis (psych, cd)
    1. Updates
  57. Adolescent Depression (psych, peds)
    1. Added Bupropion to treatment options age 12-20 years with Major Depression
  58. Composite Fingertip Graft Reimplantation (surgery, derm)
    1. Added composite graft to Fingertip Amputation
  59. Meckel Diverticulum (surgery, gi)
    1. Updates
  60. Calcineurin Inhibitor (surgery, pharm)
    1. Updated with Calcineurin mechanism
    2. Added inidividual topics for Cyclosporine, Tacrolimus, Voclosporin
  61. Azathioprine (surgery, pharm)
    1. Updates
  62. Mycophenolate (surgery, pharm)
    1. Added
  63. Sirolimus (surgery, pharm)
    1. Added
  64. Everolimus (surgery, pharm)
    1. Added
  65. T-Cell Costimulatory Modulator (surgery, pharm)
    1. Added
  66. Angiokeratoma (urology, derm)
    1. Updates
  67. Prostatitis (urology, Prostate)
    1. Updated Acute Bacterial Prostatitis, Chronic Bacterial Prostatitis and Chronic Noninfectious Prostatitis
  68. Prevention of Recurrent Urinary Tract Infection (urology, id)
    1. Updates related to cranberry products in the prevention of Recurrent UTI
  69. Urinary Tract Infection (urology, id)
    1. Updates

VII. Updates: July 2024

  1. Pacemaker (cv, procedure)
    1. Updates to specific Pacemaker related Dysrhythmias
  2. Arterial Line (cv, procedure)
    1. Updates
  3. Rosacea (derm, acne)
    1. Updates
  4. Photodermatitis (derm, environ)
    1. Added
  5. Polymorphous Light Eruption (derm, environ)
    1. Added
  6. Grave's Disease (endo, Thyroid)
    1. Updates
  7. Corticosteroid (endo, pharm)
    1. Added Betamethasone, Dexamethasone, Cortisone, Methylprednisolone, Prednisolone, Prednisone, Triamcinolone (split into separate topics)
    2. Updated Hydrocortisone, Fludrocortisone
  8. Salivary Gland Enlargement (ent, Salivary)
    1. Added differential diagnosis of Salivary Gland Disorders, broken down by acute vs chronic, unilateral or bilateral
    2. Extensive updates to each of the related conditions (Sialolithisias, Sialoadenitis, Salivary Gland Tumor)
  9. Sideline Medical Evaluation (er, sports)
    1. Updates including emergency action plan
  10. Ricin Poisoning (er, toxin)
    1. Updates
  11. Unknown Ingestion (er, toxin)
    1. Updates to ekg
  12. Gastrostomy Tube (gi, procedure)
    1. Updates
  13. Rituximab (hemeonc, pharm)
    1. Updates
  14. Sepsis (id, fever)
    1. Updates
  15. Parasitic Infections (id, Parasite)
    1. Added Dientamoeba Fragilis
    2. Updates to Hookworm, Whipworm, Threadworm
  16. Intravesical Gentamicin (id, pharm)
    1. Updated Gentamicin
  17. Interferon Beta-1A (id, pharm)
    1. Added
  18. Interferon Beta-1B (id, pharm)
    1. Added
  19. Stridor (lung, sx)
    1. Extensive updates
  20. Status Epilepticus (neuro, Seizure)
    1. Updates
  21. Glatiramer (neuro, pharm)
    1. Added
  22. Dalfampridine (neuro, pharm)
    1. Added
  23. Clavicle Fracture (ortho, Shoulder)
    1. Updates
  24. NSAID (pharm, Analgesic)
    1. Added Diclofenac, Etodolac, Fenoprofen, Flurbiprofen, Ketoprofen, Mefenamic Acid, Meclofenamate, Oxaprozin, Sulindac, Tolmetin and several Salicylates
    2. Updated NSAID, Ibuprofen, Indomethacin, Ketorolac, Naproxen, Celecoxib, Salicylates
  25. Gender-Affirming Surgery (prevent, manage)
    1. Updates
  26. Lithium (psych, pharm)
    1. Updates
  27. Perimortem Cesarean Section (er, ob)
    1. Updates
  28. DMARD (rheum, pharm)
    1. Updates on Methotrexate, Hydroxychloroquine, Sulfasalazine, Leflunomide
  29. TNF Inhibitor (rheum, pharm)
    1. Updates
  30. Abatacept (rheum, pharm)
    1. Updates
  31. Interleukin 23 Inhibitor (rheum, pharm)
    1. Added
  32. Interleukin 17 Inhibitor (rheum, pharm)
    1. Added
  33. Normal Spontaneous Vaginal Delivery (ob, LD)
    1. Updates for each of the stages of labor
  34. Janus Kinase Inhibitor (rheum, pharm)
    1. Updates to Baricitinib
    2. Added Tofacitinib, Upadacitinib
  35. Toclizumab (rheum, pharm)
    1. Updates
  36. Anakinra (rheum, pharm)
    1. Updates
  37. Allopurinol (rheum, pharm)
    1. Updates
  38. Colchicine (rheum, pharm)
    1. Updates
  39. Febuxostat (rheum, pharm)
    1. Added
  40. Methotrexate (rheum, pharm)
    1. Added adverse effects, findings specific to leukoencephalopathy
  41. Pegloticase (rheum, pharm)
    1. Added
  42. Lesinurad (rheum, pharm)
    1. Added
  43. Probenecid (rheum, pharm)
    1. Updates
  44. Gallstone (surgery, gallbladder)
    1. Updates to Gallstone, Biliary Colic, acute colecystitis and Choledocholithiasis
  45. Male Hypogonadism (urology, endo)
    1. Updates to Male Hypogonadism and Testosterone Replacement

VIII. Updates: June 2024

  1. Wide QRS (cv, ekg)
    1. Updated with QRS-T Complex (shark fin)
  2. Atrial Fibrillation (cv, ekg)
    1. Updates
  3. Tetralogy of Fallot (cv, peds)
    1. Updates
  4. Beta Blockers (cv, pharm)
    1. Updates
  5. Acute Pericarditis (cv, Pericardium)
    1. Updates
  6. Cushing Syndrome (endo, adrenal)
    1. Updates
  7. Post-ROSC Care (er, exam)
    1. Updates regarding Hypertension
  8. Morel Mushroom Poisoning (er, toxin)
    1. Added
  9. Lid Lag (eye, lid)
    1. Added
  10. Acute Fall Management in the Elderly (geri, prevent)
    1. Added to break up acute falls from Fall Prevention
    2. Also updated Fall Prevention in the Elderly and added several functional balance tests
  11. Cyclic Vomiting Syndrome (gi, sx)
    1. Added this as well as Chronic Functional Vomiting
  12. Aromatase Inhibitor (gyn, pharm)
    1. Added
  13. Gonadotropin-Releasing Hormone Agonist (gyn, pharm)
    1. Added
  14. Gonadotropin-Releasing Hormone Antagonist (gyn, pharm)
    1. Added
  15. Selective Estrogen Receptor Modulator (gyn, pharm)
    1. Updates
  16. Erythropoietin (hemeonc, pharm)
    1. Updates and added the 3 epo agents
  17. Granulocyte Colony Stimulating Factor (hemeonc, pharm)
    1. Added Neupogen, Neulasta and Leukine
  18. EGFR Monoclonal Antibody (hemeonc, pharm)
    1. Added
  19. VEGFR Monoclonal Antibody (hemeonc, pharm)
    1. Added
  20. Alemtuzumab (hemeonc, pharm)
    1. Added
  21. Anti-CD20 Monoclonal Antibody (hemeonc, pharm)
    1. Added
  22. CD22 Monoclonal Antibody (hemeonc, pharm)
    1. Added
  23. Rituximab (hemeonc, pharm)
    1. Updates
  24. Daratumumab (hemeonc, pharm)
    1. Added
  25. Hormonally Active Chemotherapy (hemeonc, pharm)
    1. Updates
  26. Abiraterone (hemeonc, pharm)
    1. Added
  27. Mogamulizumab-kpkc (hemeonc, pharm)
    1. Added
  28. Nonsteroidal Antiandrogen (hemeonc, pharm)
    1. Added
  29. Dinutuximab (hemeonc, pharm)
    1. Added
  30. Brentuximab vedotin (hemeonc, pharm)
    1. Added
  31. Gemtuzumab ozogamacin (hemeonc, pharm)
    1. Added
  32. Thalidomide (hemeonc, pharm)
    1. Added Thalidomide and it's analogs
  33. Ureaplasma Urealyticum (id, std)
    1. Added (thanks to Dr. Jai Jung)
  34. Blastomycosis (lung, id)
    1. Updates
  35. Cystic Fibrosis (lung, peds)
    1. Updates
  36. Omalizumab (lung, pharm)
    1. Updates regarding Food Allergy indication
  37. Preceptorship (manage, communication)
    1. Updates
  38. Subarachnoid Hemorrhage (neuro, cv)
    1. Updates
  39. Sugammadex (neuro, pharm)
    1. Updates
  40. Spinal Epidural Hematoma (ortho, c-spine)
    1. Updates
  41. Hip Fracture (ortho, hip)
    1. Updates with additional evidence that Regional Anesthesia reduces complications
  42. Pellegrini-Stieda Syndrome (ortho, knee)
    1. Added
  43. Spinal Epidural Abscess (ortho, L-Spine)
    1. Updates
  44. Upper Extremity Injury (er, ortho)
    1. Updates to multiple topics in Shoulder, elbow and wrist injuries and Regional Anesthesia options
  45. Collagen Supplement (pharm, alternative)
    1. Updates
  46. Acetaminophen (pharm, Analgesic)
    1. Updates
  47. Aspirin (pharm, Analgesic)
    1. Updates
  48. Firearm Safety (prevent, safety)
    1. Updates
  49. Gepirone (psych, pharm)
    1. Added
  50. Refractory Depression Management (psych, depression)
    1. Updates
  51. Hyperkalemia Management (renal, Potassium)
    1. Updates
  52. Antiphospholipid Antibody Syndrome (rheum, diffuse)
    1. Updates
  53. Limping Child (rheum, sx)
    1. Updates
  54. Catastrophic Anti-Phospholipid Antibody Syndrome (rheum, diffuse)
    1. Added
  55. Lidocaine Patch (surgery, pharm)
    1. Updates

IX. Updates: May 2024

  1. Hearing Loss (ent, ear, exam)
    1. Updates
  2. Audiogram (ent, ear, exam)
    1. Updates
  3. Noninsulin Therapy of Type 2 Diabetes (endo, pharm)
    1. Updates
  4. Diabetic Foot Infection (derm, endo)
    1. Updates
  5. Nevus Flammeus (derm, peds)
    1. Updates
  6. Streptococcal Pharyngitis (ent, mouth)
    1. Updates, and added FeverPAIN score
  7. Seat Belt Syndrome (er, exam)
    1. Updates
  8. Beers List (geri, pharm)
    1. Updates
  9. Misoprostol Poisoning (gi, pharm)
    1. Added
  10. Droperidol (gi, pharm)
    1. Updates
  11. Asparaginase (hemeonc, pharm)
    1. Added
  12. Bexarotene (hemeonc, pharm)
    1. Added
  13. Mitotane (hemeonc, pharm)
    1. Added
  14. Porfimer (hemeonc, pharm)
    1. Added
  15. Small Molecule Inhibitor-Mediated Chemotherapy (hemeonc, pharm)
    1. Updates
  16. ALK Inhibitor (hemeonc, pharm)
    1. Added
  17. BCL2 Inhibitor (hemeonc, pharm)
    1. Added
  18. BCR-ABL Inhibitor (hemeonc, pharm)
    1. Added
  19. BRAF Inhibitor (hemeonc, pharm)
    1. Added
  20. BTK Inhibitor (hemeonc, pharm)
    1. Added
  21. CDK Inhibitor (hemeonc, pharm)
    1. Added
  22. cKIT Inhibitor (hemeonc, pharm)
    1. Added
  23. EGFR Inhibitor (hemeonc, pharm)
    1. Added
  24. FGR Inhibitor (hemeonc, pharm)
    1. Added
  25. FLT3 Inhibitor (hemeonc, pharm)
    1. Added
  26. IDH 1 Inhibitor (hemeonc, pharm)
    1. Added
  27. IDH 2 Inhibitor (hemeonc, pharm)
    1. Added
  28. MEK Inhibitor (hemeonc, pharm)
    1. Added
  29. NTRK Inhibitor (hemeonc, pharm)
    1. Added
  30. PARP Inhibitor (hemeonc, pharm)
    1. Added
  31. PIK3CA Inhibitor (hemeonc, pharm)
    1. Added
  32. ROS1 Inhibitor (hemeonc, pharm)
    1. Added
  33. SHH Pathway Inhibitor (hemeonc, pharm)
    1. Added
  34. VEGF Inhibitor (hemeonc, pharm)
    1. Added
  35. Decoy VEGF Receptor (hemeonc, pharm)
    1. Added
  36. Covid-19 Vaccine (id, immunize)
    1. Updates regarding spring booster doses of 2023 Monovalent
  37. Inactivated Polio Vaccine (id, immunize)
    1. Updates
  38. Nirsevimab (id, immunize)
    1. Updates
  39. Airsupra (lung, pharm)
    1. Added to budesonide, as an overpriced combination agent that cannot substitute for Symbicort
  40. Triptan (neuro, pharm)
    1. Created entries for each of the currently active agents, and updated their content
  41. Epidural Anesthesia (ob, pharm)
    1. Peanut ball with frequent movement significantly decreases First Stage of Labor after epidural
  42. Lumbar Spinal Stenosis (ortho, L-Spine)
    1. Updates
  43. Cervical Myelopathy (ortho, c-spine)
    1. Updates
  44. Astaxanthin (pharm, alternative)
    1. Added
  45. NSAID (pharm, Analgesic)
    1. Major orthopedic groups recommend NSAID use after Fracture over Opioids
    2. Theoretical risk of non-union with NSAIDS is far overshadowed by the real risk of Opioid Use Disorder in the U.S.
  46. Drug Cost (pharm, manage)
    1. Updates
  47. Men who have Sex with Men (prevent, hme)
    1. Updates
  48. Critical Limb Ischemia (surg, cv)
    1. Updates

X. Updates: April 2024

  1. Accelerated Idioventricular Rhythm (cv, ekg)
    1. Added
  2. Brugada Syndrome (cv, ekg)
    1. Updates
  3. Resistant Hypertension (cv, htn)
    1. Updates
  4. Hypertensive Disorders of Pregnancy (cv, ob)
    1. Extensive Updates
  5. Diabetic Foot Infection (derm, endo)
    1. Updates
  6. Tape Strip Melanoma Detection (derm, lab)
    1. Added
  7. Diabetic Ketoacidosis Management in Children (endo, dm)
    1. Updates
  8. Diabetic Neuropathy (endo, neuro)
    1. Updates
  9. Nasal Foreign Body (ent, nose)
    1. Updates
  10. Hearing Aid (ent, pharm)
    1. Updates
  11. Pediatric Trauma (er, peds)
    1. Updates, including Pediatric Abdominal Trauma
  12. Penetrating Trauma (er, Trauma)
    1. Updates
  13. Pediatric Blunt Abdominal Trauma Decision Rule (gi, exam)
    1. Updates
  14. Pancreatic Cancer (gi, hemeonc)
    1. Updates
  15. Carbohydrate Antigen 19-9 (gi, lab)
    1. Updates
  16. Lower Gastrointestinal Bleeding (gi, sx)
    1. Updates
  17. Fezolinetant (gyn, pharm)
    1. Updates
  18. ASCCP Calculated Risk Based Protocol (gyn, prevent)
    1. Updates
  19. IgA Vasculitis (hemeonc, derm)
    1. Updates
  20. Juvenile Xanthogranuloma (hemeonc, marrow)
    1. Added
  21. Checkpoint Inhibitor (hemeonc, pharm)
    1. Updates
  22. Antiplatelet Therapy in CVA and TIA (hemeonc, pharm)
    1. Updates
  23. Mitosis Inhibitor Chemotherapy (hemeonc, pharm)
    1. Added Vinca Alkaloids, Taxanes and Topoisomerase Inhibitors
    2. Also added Ixabepilone, Eribulin
  24. Vinca Alkaloids (hemeonc, pharm)
    1. Added Vinblastine (Velban), Vincristine (Oncovin), Vinorelbine
  25. Taxanes (hemeonc, pharm)
    1. Added Paclitaxel (Taxol), Albumin-Bound Paclitaxel (Abraxane), Docetaxel (Taxotere), Cabazitaxel (Jevtana)
  26. Topoisomerase Inhibitor (hemeonc, pharm)
    1. Added Topotecan, Irinotecan, Irinotecan Liposome, Etoposide
  27. Arsenic Trioxide (hemeonc, pharm)
    1. Added as a antineoplastic
  28. Cytarabine (hemeonc, pharm)
    1. Added
  29. Bleomycin (hemeonc, pharm)
    1. Added
  30. Dactinomycin (hemeonc, pharm)
    1. Added
  31. Daunorubicin (hemeonc, pharm)
    1. Added
  32. Decitabine (hemeonc, pharm)
    1. Added
  33. Floxuridine (hemeonc, pharm)
    1. Added
  34. Fludarabine (hemeonc, pharm)
    1. Added
  35. Fluorouracil (hemeonc, pharm)
    1. Added
  36. Gemcitabine (hemeonc, pharm)
    1. Added
  37. Proteasome Inhibitor (hemeonc, pharm)
    1. Added
  38. Systemic Tretinoin (hemeonc, pharm)
    1. Added, as Antineoplastic Agent
  39. Trifluridine-Tipiracil (hemeonc, pharm)
    1. Added
  40. Histone Deacetylase Inhibitor (hemeonc, pharm)
    1. Added individual agent entries for the 4 drugs in class
  41. Hydroxyurea (hemeonc, pharm)
    1. Updates for use as antineoplastic
  42. Mercaptopurine (hemeonc, pharm)
    1. Added
  43. Nelarabine (hemeonc, pharm)
    1. Added
  44. Pentostatin (hemeonc, pharm)
    1. Added
  45. Thioguanine (hemeonc, pharm)
    1. Added
  46. Pemetrexed (hemeonc, pharm)
    1. Added
  47. Pralatrexate (hemeonc, pharm)
    1. Added
  48. Doxorubicin (hemeonc, pharm)
    1. Added
  49. Liposomal Doxorubicin (hemeonc, pharm)
    1. Added
  50. Idarubicin (hemeonc, pharm)
    1. Added
  51. Epirubicin (hemeonc, pharm)
    1. Added
  52. Valrubicin (hemeonc, pharm)
    1. Added
  53. Mitomycin (hemeonc, pharm)
    1. Added
  54. Mitoxantrone (hemeonc, pharm)
    1. Added
  55. Congenital Candida (id, fungus)
    1. Added
  56. Measles (id, virus)
    1. Updates
  57. Lumbar Puncture (neuro, procedure)
    1. Updates
  58. Cutaneous Signs of Dysraphism (nicu, derm)
    1. Updates
  59. Newborn Skin Exam (nicu, exam)
    1. Updates
  60. Prosthetic Knee Arthrocentesis (ortho, procedure)
    1. Updates
  61. Chronic Low Back Pain (ortho, Sx, L-Spine)
    1. Added
  62. Acetaminophen Overdose (pharm, Analgesic)
    1. Updates
  63. Ginger (pharm, alternative)
    1. Updates
  64. Human Trafficking (prevent, abuse)
    1. Updates
  65. Tianeptine (psych, pharm)
    1. Added
  66. Hyperkalemia (renal, Potassium)
    1. Updates

XI. Updates: March 2024

  1. Abnormal Uterine Bleeding Associated with Hormonal Contraception (gyn, pharm)
    1. Updates including management of AUB for various contraceptive options
  2. Atrial Fibrillation Acute Management (cv, ekg)
    1. Updates regarding case reports of self-cardioversion with aerobic Exercise in endurance athletes
    2. Thanks to my friend, Chris Amley for forwarding the article
  3. Cellulitis (derm, Bacteria)
    1. Updates
  4. ACE inhibitor Induced Angioedema (ent, derm)
    1. Updates regarding ARB after ACE-related Angioedema (ARBs are no longer contraindicated)
  5. G-Tube (gi, procedure)
    1. Updates
  6. CT Angiography in Gastrointestinal Bleeding (gi, rad)
    1. Updates
  7. Diabetes Mellitus Control in Hospital (endo, dm)
    1. Updates
  8. DVT Prophylaxis (hemeonc, prevent)
    1. Updates
  9. Azacitidine (hemeonc, pharm)
    1. Added
  10. Alkylating Agent (hemeonc, pharm)
    1. Updates
  11. Anal Fissure (gi, Rectum)
    1. Updates
  12. Artesunate (id, pharm)
    1. Updates
  13. Atovaquone/Proguanil (id, pharm)
    1. Updates
  14. Belinostat (hemeonc, pharm)
    1. Added
  15. Bendamustine (hemeonc, pharm)
    1. Added
  16. Benznidazole (id, Pharm)
    1. Added
  17. Busulfan (hemeonc, pharm)
    1. Added
  18. Capecitabine (hemeonc, pharm)
    1. Added
  19. Carmustine (hemeonc, pharm)
    1. Added
  20. Chlorambucil (hemeonc, pharm)
    1. Added
  21. Chloroquine (id, pharm)
    1. Added
  22. Cladribine (hemeonc, pharm)
    1. Added
  23. Clofarabine (hemeonc, pharm)
    1. Added
  24. Coartem (id, pharm)
    1. Added
  25. Cyclophosphamide (hemeonc, pharm)
    1. Added
  26. Dacarbazine (hemeonc, pharm)
    1. Added
  27. DIP Dislocation (ortho, hand)
    1. Updates
  28. Dizziness (cv, sx)
    1. Added image of differential Diagnosis
  29. Eating Disorder (psych, eating)
    1. Updates
  30. Foot Fracture (ortho, foot)
    1. Extensive updates to various Fractures of the foot
  31. Hordeolum (eye, lid)
    1. Updates
  32. Ifosfamide (hemeonc, pharm)
    1. Added
  33. Insomnia (psych, sleep)
    1. Updates
  34. Lipoprotein A
    1. Added (cv, lab)
  35. Lomustine (hemeonc, pharm)
    1. Added
  36. Mechlorethamine (hemeonc, pharm)
    1. Added
  37. Methotrexate (hemeonc, pharm)
    1. Updates
  38. Monomorphic Ventricular Tachycardia (cv, ekg)
    1. Updates
  39. Ivermectin (id, Pharm)
    1. Updates
  40. Measles (id, virus)
    1. Updates
  41. Mebendazole (id, Pharm)
    1. Added
  42. Mefloquine (id, pharm)
    1. Updates
  43. Melphalan (hemeonc, pharm)
    1. Added
  44. Miltefosine (id, Pharm)
    1. Added
  45. Moxidectin (id, pharm)
    1. Added
  46. Mumps (id, virus)
    1. Updates
  47. Nitazoxanide (id, pharm)
    1. Added
  48. Paromomycin (id, pharm)
    1. Added
  49. Pediatric Asthma Score (lung, exam)
    1. Added
  50. Pertussis (lung, Bacteria)
    1. Updates
  51. Praziquantel (id, pharm)
    1. Added
  52. Primaquine (id, pharm)
    1. Added
  53. Procarbazine (hemeonc, pharm)
    1. Added
  54. Pyrantel (id, pharm)
    1. Added
  55. Pyrimethamine (id, pharm)
    1. Added
  56. Quinine (id, pharm)
    1. Added
  57. Streptozocin (hemeonc, pharm)
    1. Added
  58. Tafenoquine (id, pharm)
    1. Added
  59. Temozolomide (hemeonc, pharm)
    1. Added
  60. Thiotepa (hemeonc, pharm)
    1. Added
  61. Tibial Tuberosity Avulsion Fracture (ortho, knee)
    1. Added
  62. Tinidazole (id, pharm)
    1. Added
  63. Trabectedin (hemeonc, pharm)
    1. Added
  64. Triclabendazole (id, Pharm)
    1. Added
  65. Gepant (neuro, pharm)
    1. Updates
  66. Tetanus (id, neuro)
    1. Updates
  67. Toddler Fracture (ortho, ankle)
    1. Updates
  68. Osteomyelitis (ortho, id)
    1. Updates
  69. Cocoa (pharm, nutrition)
    1. Added
  70. Brexanolone (psych, pharm)
    1. Added
  71. Zuranolone (psych, pharm)
    1. Added
  72. Hyperkalemia Management (renal, Potassium)
    1. Updates
  73. Ring Removal (surgery, derm)
    1. Updates
  74. Jehovah's Witness (Surgery, Manage)
    1. Added
  75. Urinary Tract Infection (urology, Bladder)
    1. Updates
  76. Unknown Ingestion (er, toxin)
    1. Extensive Updates
  77. Varicella Zoster Virus (id, virus)
    1. Updates

XII. 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

XIII. 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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