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Family Practice Notebook Updates

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Family Practice Notebook Updates, FPN Updates

  • Updates
  • April 2025
  1. Oral Mucosa Hyperpigmentation (derm, pigment)
    1. Updates
  2. GLP1 Agonist (endo, pharm)
    1. Updates regarding gastrointestinal effects and Malnutrition risk
  3. Insulinoma (endo, Hypoglycemia)
    1. Updates
  4. Mastoiditis (ent, ear)
    1. Updates on Antibiotic management
  5. Epistaxis (ent, nose)
    1. Updates with TXA related evidence
  6. Hypothermia (er, environ)
    1. Updates regarding progressive EKG changes
  7. Cardiopulmonary Resuscitation (er, exam)
    1. Updates regarding pulse checks
  8. Trichloroethylene Poisoning (er, toxin)
    1. Added
  9. Radiation Exposure (er, weapon)
    1. Updates
  10. Central Retinal Artery Occlusion (eye, cv)
    1. Updates
  11. Barrett Esophagus Cancer Risk Score (gi, exam)
    1. Added
  12. Alcoholic Liver Disease (gi, liver)
    1. Updates
  13. Bacterial Vaginosis (gyn, id)
    1. Updated with refractory/recurrence co-treatment of male sexual partner with Flagyl oral and Clindamycin Topical
    2. Thank you to Nate D for bringing a new article from NEJM to my attention
  14. Chronic Pelvic Pain (gyn, sx)
    1. Updates
  15. Paraneoplastic Syndrome (hemeonc, endo)
    1. Added
  16. Sickle Cell Disease (hemeonc, Hemoglobin)
    1. Extensive updates including adding several subtopics
  17. Blood Culture (id, lab)
    1. Updates
  18. Mycobacteria (id, Bacteria)
    1. Updates
  19. Mycoplasma (id, Bacteria)
    1. Updates to Mycoplasma pneumonia and Ureaplasma Urealyticum
  20. Leprosy (id, Bacteria)
    1. Updates, including adding Clofazimine
  21. Syphilis Serology (id, lab)
    1. Extensive updates including Treponemal Specific Test, Non-Treponemal Test and Dark-field Microscopy
  22. Anti-Ribosomal Antibiotic (id, pharm)
    1. Updates to Macrolides, Tetracyclines, Aminoglycosides and other Anti-Ribosomal Antibiotics
  23. Beta Lactams (id, pharm)
    1. Updates to Penicillins, Cephalosporins, Carbapenems and Aztreonam
  24. Travel Preparation (id, travel)
    1. Updates to this and various related topics
  25. Rabies (id, virus)
    1. Updates
  26. Enzyme Activity (lab, exam)
    1. Added enzyme type image
  27. Clofazimine (lung, pharm)
    1. Added
  28. Acute Bronchitis (lung, rhonchi)
    1. Updates
  29. Susceptible Tuberculosis Treatment (lung, tb)
    1. Updates to this and Active Tuberculosis related to the shorter 4 month course with Moxifloxacin
  30. Down Syndrome (neuro, Disability)
    1. Updates
  31. Temporal Artery Biopsy (neuro, eye)
    1. Updates regarding Ultrasound
  32. Vertebral Osteomyelitis (ortho, id)
    1. Updates
  33. Wrist XRay (ortho, rad)
    1. Added Lateral XRay image
  34. Pectoralis Major Muscle Rupture (ortho, Shoulder)
    1. Added
  35. Pacifier (peds, behavior)
    1. Updates
  36. Kratom (pharm, alternative)
    1. Added
  37. Suzetrigine (pharm, Analgesic)
    1. Added
  38. Medication Patch (pharm, metabolism)
    1. Updates
  39. Religious Fasting During Ramadan (pharm, nutrition)
    1. Updates
  40. Trauma Informed Care (psych, anxiety)
    1. Added
  41. Prevention of Kidney Disease Progression (renal, prevent)
    1. Incorporated KDIGO 2024 recommendations
  42. Interscalene Block (surgery, pharm)
    1. Updates
  • Updates
  • March 2025
  1. Atrial Fibrillation (cv, ekg)
    1. Updates
  2. Mobitz II AV Block (cv, ekg)
    1. Updates
  3. Vagal Maneuver (cv, procedure)
    1. Updates
  4. POTS Syndrome (cv, exam)
    1. Updates regarding aerobic Exercise in its management
  5. Genital Wart (derm, wart)
    1. Updates
  6. Cat Scratch Disease (er, bite)
    1. Updates
  7. Gastric Cancer (gi, hemeonc)
    1. Extensive updates
  8. Helicobacter Pylori (gi, id)
    1. Updated H. pylori treatment again based on ACG 2024
  9. Bowel Preparation (gi, procedure)
    1. Updates
  10. Menorrhagia (gyn, Menses)
    1. Updates
  11. Enoxaparin (hemeonc, pharm)
    1. Updates
  12. Acinetobacter Baumannii (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  13. Brucellosis (id, Bacteria)
    1. Updates
  14. Burkholderia Cepacia (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  15. Chlamydiaceae (id, Bacteria)
    1. Updates including to Trachoma, Inclusion Conjunctivitis, Chlamydial Urethritis, Psittacosis, TWAR
  16. Pseudomonas Aeruginosa (id, Bacteria)
    1. Added
  17. Q Fever (id, Bacteria)
    1. Updates
  18. Rickettsiae (id, Bacteria)
    1. Updates to this and the associated diseases
  19. Stenotrophomonas Maltophilia (id, Bacteria)
    1. Added aerobic gram negative Nosocomial Infection
  20. Trench Fever (id, Bacteria)
    1. Added
  21. Haemophilus Influenzae (id, Bacteria)
    1. Added, and updated Haemophilus Influenzae Pneumonia, Hib Vaccine
  22. Yersinia Pestis (id, Bacteria)
    1. Updates
  23. Francisella Tularensis (id, vector)
    1. Updates
  24. Bordetella Pertussis (lung, Bacteria)
    1. Updates
  25. Legionella (lung, Bacteria)
    1. Updates
  26. First Seizure Evaluation (neuro, Seizure)
    1. Updates
  27. Status Epilepticus (neuro, Seizure)
    1. Updates
  28. Growth Plate (ortho, anatomy)
    1. Updates
  29. Plantar Fasciitis (ortho, foot)
    1. Updates
  30. Epiphyseal Fracture (ortho, Fracture)
    1. Updates
  31. Acute Osteomyelitis
    1. Updates (ortho, id)
  32. Pediatric Leg Disorder (ortho, peds)
    1. Extensive updates including related topics (Intoeing, Out-toeing, Genu Valgum, Genu Varum)
  33. Toxic Synovitis (ortho, peds)
    1. Updates
  34. Sudden Infant Death Syndrome (peds, er)
    1. Updates
  35. Alpha Lipoic Acid (pharm, alternative)
    1. Added
    2. Not recommended in Diabetic Neuropathy due to low efficacy
  36. Refractory Depression Management (psych, depression)
    1. Psilocybin is slightly better than Placebo in Major Depression
  37. Metabolic Acidosis (renal, acidbase)
    1. Updates
  38. Metabolic Alkalosis (renal, acidbase)
    1. Updates
  39. Arterial Blood Gas Interpretation (renal, lab)
    1. Updates
  40. Suprapubic Bladder Aspiration (urology, procedure)
    1. Added
  41. Phimosis (urology, penis)
    1. Updates regarding Topical Corticosteroid protocol
  • 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
  • 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