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Family Practice Notebook Updates
, FPN Updates
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Family Practice Notebook Updates 2024
Family Practice Notebook Updates 2023
Family Practice Notebook Updates 2022
Family Practice Notebook Updates 2021
Family Practice Notebook Updates 2020
Family Practice Notebook Updates 2019
Family Practice Notebook Updates 2018
Family Practice Notebook Updates 2017
Family Practice Notebook Updates 2016
Family Practice Notebook Updates 2015
Family Practice Notebook Updates 2014
Family Practice Notebook Updates 2013
Updates
Apri
l 2025
Oral Mucosa Hyperpigmentation
(derm, pigment)
Updates
GLP1 Agonist
(endo, pharm)
Updates regarding gastrointestinal effects and
Malnutrition
risk
Insulinoma
(endo,
Hypoglycemia
)
Updates
Mastoiditis
(ent, ear)
Updates on
Antibiotic
management
Epistaxis
(ent, nose)
Updates with TXA related evidence
Hypothermia
(er, environ)
Updates regarding progressive EKG changes
Cardiopulmonary Resuscitation
(er, exam)
Updates regarding pulse checks
Trichloroethylene Poisoning
(er, toxin)
Added
Radiation Exposure
(er, weapon)
Updates
Central Retinal Artery Occlusion
(eye, cv)
Updates
Barrett Esophagus Cancer Risk Score
(gi, exam)
Added
Alcoholic Liver Disease
(gi, liver)
Updates
Bacterial Vaginosis
(gyn, id)
Updated with refractory/recurrence co-treatment of male sexual partner with
Flagyl
oral and
Clindamycin Topical
Thank you to Nate D for bringing a new article from NEJM to my attention
Chronic Pelvic Pain
(gyn, sx)
Updates
Paraneoplastic Syndrome
(hemeonc, endo)
Added
Sickle Cell Disease
(hemeonc,
Hemoglobin
)
Extensive updates including adding several subtopics
Blood Culture
(id, lab)
Updates
Mycobacteria
(id,
Bacteria
)
Updates
Mycoplasma
(id,
Bacteria
)
Updates to
Mycoplasma pneumonia
and
Ureaplasma Urealyticum
Leprosy
(id,
Bacteria
)
Updates, including adding
Clofazimine
Syphilis Serology
(id, lab)
Extensive updates including
Treponemal Specific Test
,
Non-Treponemal Test
and
Dark-field Microscopy
Anti-Ribosomal Antibiotic
(id, pharm)
Updates to
Macrolide
s,
Tetracyclines
,
Aminoglycoside
s and other
Anti-Ribosomal Antibiotic
s
Beta Lactam
s (id, pharm)
Updates to
Penicillin
s,
Cephalosporin
s,
Carbapenem
s and
Aztreonam
Travel Preparation
(id, travel)
Updates to this and various related topics
Rabies
(id, virus)
Updates
Enzyme Activity
(lab, exam)
Added enzyme type image
Clofazimine
(lung, pharm)
Added
Acute Bronchitis
(lung, rhonchi)
Updates
Susceptible Tuberculosis Treatment
(lung, tb)
Updates to this and
Active Tuberculosis
related to the shorter 4 month course with
Moxifloxacin
Down Syndrome
(neuro,
Disability
)
Updates
Temporal Artery Biopsy (neuro, eye)
Updates regarding
Ultrasound
Vertebral Osteomyelitis
(ortho, id)
Updates
Wrist XRay
(ortho, rad)
Added Lateral XRay image
Pectoralis Major Muscle Rupture
(ortho,
Shoulder
)
Added
Pacifier
(peds, behavior)
Updates
Kratom
(pharm, alternative)
Added
Suzetrigine
(pharm,
Analgesic
)
Added
Medication Patch
(pharm, metabolism)
Updates
Religious Fasting During Ramadan
(pharm, nutrition)
Updates
Trauma Informed Care
(psych, anxiety)
Added
Prevention of Kidney Disease Progression
(renal, prevent)
Incorporated KDIGO 2024 recommendations
Interscalene Block
(surgery, pharm)
Updates
Updates
March 2025
Atrial Fibrillation
(cv, ekg)
Updates
Mobitz II AV Block
(cv, ekg)
Updates
Vagal Maneuver
(cv, procedure)
Updates
POTS Syndrome
(cv, exam)
Updates regarding aerobic
Exercise
in its management
Genital Wart
(derm, wart)
Updates
Cat Scratch Disease
(er, bite)
Updates
Gastric Cancer
(gi, hemeonc)
Extensive updates
Helicobacter Pylori
(gi, id)
Updated
H. pylori
treatment again based on ACG 2024
Bowel Preparation
(gi, procedure)
Updates
Menorrhagia
(gyn,
Menses
)
Updates
Enoxaparin
(hemeonc, pharm)
Updates
Acinetobacter Baumannii
(id,
Bacteria
)
Added aerobic gram negative
Nosocomial Infection
Brucellosis
(id,
Bacteria
)
Updates
Burkholderia Cepacia
(id,
Bacteria
)
Added aerobic gram negative
Nosocomial Infection
Chlamydiaceae
(id,
Bacteria
)
Updates including to
Trachoma
,
Inclusion Conjunctivitis
,
Chlamydial Urethritis
,
Psittacosis
,
TWAR
Pseudomonas Aeruginosa
(id,
Bacteria
)
Added
Q Fever
(id,
Bacteria
)
Updates
Rickettsiae
(id,
Bacteria
)
Updates to this and the associated diseases
Stenotrophomonas Maltophilia
(id,
Bacteria
)
Added aerobic gram negative
Nosocomial Infection
Trench Fever
(id,
Bacteria
)
Added
Haemophilus Influenzae
(id,
Bacteria
)
Added, and updated
Haemophilus Influenzae Pneumonia
,
Hib Vaccine
Yersinia Pestis
(id,
Bacteria
)
Updates
Francisella Tularensis
(id, vector)
Updates
Bordetella Pertussis
(lung,
Bacteria
)
Updates
Legionella
(lung,
Bacteria
)
Updates
First Seizure Evaluation
(neuro,
Seizure
)
Updates
Status Epilepticus
(neuro,
Seizure
)
Updates
Growth Plate
(ortho, anatomy)
Updates
Plantar Fasciitis
(ortho, foot)
Updates
Epiphyseal Fracture
(ortho,
Fracture
)
Updates
Acute Osteomyelitis
Updates (ortho, id)
Pediatric Leg Disorder
(ortho, peds)
Extensive updates including related topics (
Intoeing
,
Out-toeing
,
Genu Valgum
,
Genu Varum
)
Toxic Synovitis
(ortho, peds)
Updates
Sudden Infant Death Syndrome
(peds, er)
Updates
Alpha Lipoic Acid
(pharm, alternative)
Added
Not recommended in
Diabetic Neuropathy
due to low efficacy
Refractory Depression Management
(psych, depression)
Psilocybin
is slightly better than
Placebo
in
Major Depression
Metabolic Acidosis
(renal, acidbase)
Updates
Metabolic Alkalosis
(renal, acidbase)
Updates
Arterial Blood Gas Interpretation
(renal, lab)
Updates
Suprapubic Bladder Aspiration
(urology, procedure)
Added
Phimosis
(urology, penis)
Updates regarding
Topical Corticosteroid
protocol
Updates
February 2025
QTc Prolongation
(cv, exam, ekg)
Updates
Myocardial Infarction with Nonobstructive Coronary Arteries
(cv, cad)
Added
Cardiac Amyloidosis
(cv,
Myocardium
)
Added
Electrocardiogram in Children
(cv, peds)
Added
Clonidine Overdose
(cv, pharm)
Updates for the related
Imidazoline Poisoning
Vasopressin
(cv, pharm)
Updates
Oral Health in Children
(dental, prevent)
Updates
Acute Sinusitis
(ent, sinus)
Updates
Copper Poisoning
(er, toxin)
Added
Seat Belt Sign
(er,
Trauma
)
Updates
Acute Vision Loss
(eye, sx)
Updates
Campylobacter jejuni
(gi, id)
Updates
Vibrio Cholerae
(gi, id)
Updates
Vibrio parahaemolyticus
(gi, id)
Added
Yersinia enterocolitica
(gi, id)
Updates
Pediatric Reflux
(gi, peds)
Updates
Sickle Cell Anemia
(hemeonc,
Hemoglobin
)
Updates to various associated topics
CVA Thrombolysis
(hemeonc, pharm)
TNK has low efficacy in minor stroke and is associated with increased CNS
Hemorrhage
risk
Andexxa
(hemeonc, pharm)
Updates on efficacy (does not alter patient-oriented outcomes and higher thrombosis risk)
Gram Negative Bacteria
(id,
Bacteria
)
Updates
Enterobacter
(id,
Bacteria
)
Added
Escherichia coli
(id,
Bacteria
)
Updates
Klebsiella Pneumoniae
(id,
Bacteria
)
Added
Proteus Mirabilis
(id,
Bacteria
)
Added
Salmonella
(id,
Bacteria
)
Updates
Serratia Marcescens
(id,
Bacteria
)
Added
Shigella
(id,
Bacteria
)
Updates
Yersinia Pestis
(id,
Bacteria
)
Updates
Meningococcal Vaccine
(id, immunize)
Updates
Sulopenem Etzadroxil and Probenecid
(id, pharm)
Added
Neisseria gonorrhoeae
(id, std)
Updates
Social Generation Category
(manage, communication)
Added
Meningococcal Meningitis
(neuro, id)
Updates
Carbidopa-Levodopa
(neuro, pharm)
Updates
Luxatio Erecta
(ortho,
Shoulder
)
Updates
Picky Eating
(peds, behavior)
Updates
Thumb Sucking
(peds, behavior)
Updates
Hyperimmune Bovine Colostrum
(pharm, alternative)
Added
Pediatric Insomnia
(psych, peds, sleep)
Updates
Factitious Disorder
(psych, somatic)
Updates
Dysuria
(urology, sx)
Updates
Updates
January 2025
Left Ventricular Outflow Obstruction
(cv, chf)
Updates
Pediatric Hypertension
(cv, peds)
Updates
Aprocitentan
(cv, pharm)
Added this
Endothelin Receptor Antagonist
, limited fourth line agent for
Refractory Hypertension
Requires
REMS
program enrollment to prescribe (
Teratogen
ic)
Endothelin Receptor Antagonist
(cv, pharm)
Added this class used primarily for
Pulmonary Arterial Hypertension
Exercise Stress Test
(cv, procedure)
Updated various stress tests
Subungual Melanoma
(derm, hemeonc)
Updates
Keloid
(derm, hyperplasia)
Updates to
Keloid
and
Hypertrophic Scar
Cutaneous Sporotrichosis
(derm, id)
Updates
GLP-1 Agonist
(endo, pharm)
Added equivalent dosing for
GLP-1 Agonist
s (to aid switching between agents)
Cardiopulmonary Resuscitation
(er, exam)
Updates regarding
Pediatric Resuscitation
Listeria monocytogenes
(gi, id)
Updates
Liver Function Test Abnormality
(gi, lab)
Updates to this and related topics
Stress Ulcer
(gi, pud)
Updates regarding prophylaxis indications (need more than
Mechanical Ventilation
alone)
Premenstrual Disorder
(gyn, psych)
Updates
Direct Oral Anticoagulant Score
(hemeonc, exam)
Added
Sickle Cell Anemia
(hemeonc, hgb)
Updates regarding
Penicillin
prophylaxis
Pediatric Anemia
(hemeonc, peds)
Updates
Anthrax
(id,
Bacteria
)
Updates
Bacillus Cereus
(id,
Bacteria
)
Added
Coryneform Bacteria
(id,
Bacteria
)
Added
Corynebacterium diphtheriae
(id,
Bacteria
)
Updates
Clostridium
(id,
Bacteria
)
Updated
Clostridium botulinum
,
Clostridium tetani
,
Clostridium perfringens
Rhodococcus equi
(id,
Bacteria
)
Added
Streptococcus
(id,
Bacteria
)
Updates to
Streptococcus
,
Group A Streptococcus
,
Group B Streptococcus
Added
Streptococcus Viridans Group
Staphylococcus
(id,
Bacteria
)
Updates to
Staphylococcus Aureus
and
MRSA
Added
Staphylococcus Epidermidis
,
Staphylococcus Saprophyticus
Pneumococcal Conjugate Vaccine
(id, immunize)
Significant updates that simplify overall
Pneumococcal Vaccine
protocols
All adults age 50 years and older are now vaccinated with 1 dose of
PCV20
or
PCV21
Immunocompromised
Adults age 18 to 50 years are also vaccinated with
PCV20
or
PCV21
Children are still vaccinated with
Primary Series
with
PCV20
until
PCV21
is approved
Quinine Toxicity
(id, pharm)
Added
Advanced Airway in Children
(lung, procedure)
Updated failed airway in age <8 years: surgical
Tracheostomy
vs
Needle Cricothyrotomy
Cerebral Intraparenchymal Hemorrhage
(neuro, cv)
Updates
Subarachnoid Hemorrhage
(neuro, cv)
Updates
Duke Abdominal Assessment Scale
(nicu, exam)
Added as part of NEC evaluation
Stress Fracture
(ortho,
Fracture
)
Updates
Reverse Total Shoulder Arthroplasty
(ortho, surgery)
Updates
Peppermint Oil
(pharm, alternative)
Updates
Alcohol Withdrawal
(psych, cd)
Updates
Septic Joint
(rheum, id)
Updates
Pediatric Abdominal Pain
(surgery, peds)
Updates
Priapism
(urology, penis)
Correction in
Phenylephrine
preparation, thanks to Nick Yarbrough, Emergency PharmD
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