II. 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

III. 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

IV. 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

V. 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

VI. 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

VII. 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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