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Family Practice Notebook Updates 2024
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Family Practice Notebook Updates 2024
, FPN Updates 2024
See Also
Family Practice Notebook Updates
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
December 2024
Supraventricular Tachycardia
(cv, ekg)
Added images for
AVRT
and
AVNRT
Oral Papilloma
(dental, mucosa)
Added
Ecthyma
(derm,
Bacteria
)
Added
Diabetic Ketoacidosis
(endo, dm)
Updates including to management in both adults and children
Phentermine
(endo, pharm)
Updates
Anaphylaxis
(ent, allergy)
Updates
Relapsing Polychondritis
(ent, ear)
Updates
Lingual Thyroid
(ent,
Tongue
)
Added
Tongue Disorder
(ent,
Tongue
)
Updates on various
Tongue
related topics
Neurologic Anatomy of the Eye
(eye, anatomy)
Fixed images
Visual Pathway
images
Anal Cancer
(gi, hemeonc)
Added
Colorectal Cancer
(gi, hemeonc)
Added
Oakland Score for Safe Discharge After Lower Gastrointestinal Bleeding
(gi, exam)
Added
Lower Gastrointestinal Bleeding
(gi, sx)
Updates
Polycystic Ovary Disease
(gyn, endo)
Updates
Bleeding Disorder
(hemeonc, coags)
Updates
Serum Tryptase
(hemeonc, lab)
Added
Bacteria
(id, lab)
Updates to
Bacteria
,
Gram Negative
and
Gram Positive
Genital Herpes
(id, std)
Updates
Cranial Nerve 7
(neuro, anatomy)
Updated CN7 Image
Headache in Pregnancy
(neuro, ob)
Updates
Ankyloglossia
(nicu, ent)
Added
Manual Uterine Aspiration in First Trimester Pregnancy Loss
(ob, procedure)
Added
Central Slip Extensor Tendon Injury
(ortho, hand)
Added exam image
Lisfranc Fracture Dislocation
(ortho, foot)
Added image
Fifth Metatarsal Fracture
(ortho, foot)
Added image
Radiocapitellar Line
(ortho, rad)
Added image
Gilula Lines
(ortho, rad)
Added image to
Wrist XRay
Distal Triceps Tendon Rupture
(ortho, elbow)
Added
Patient Controlled Analgesia
(pharm, analgesia)
Updates
Epworth Sleepiness Scale
(psych, exam)
Updates
Genetic Syndromes Affecting Serum Potassium and Blood Pressure
(renal, lab)
Added
Rheumatoid Arthritis
(rheum, ra)
Updates to
Rheumatoid Arthritis
,
DMARDs
, specific agents and related decision tools
Hypophosphatasia
(rheum, peds)
Added (thanks to Dr. Parag Badami for the topic recommendation)
Pressure Ulcer
(surgery, derm)
Added image
Prostate Cancer
(urology, hemeonc)
Updates to
Prostate Cancer
,
Prostate Specific Antigen
and
Active Surveillance of Prostate Cancer
Testicular Torsion
(urology,
Testes
)
Updates
Updates
November 2024
Left Ventricular Outflow Tract Obstruction
(cv, chf)
Added
S1 Heart Sound
(cv, exam)
Updates
S3 Heart Sound
(cv, exam)
Updates
S4 Heart Sound
(cv, exam)
Updates
Pediatric Congestive Heart Failure
(cv, peds)
Updates
Tetralogy of Fallot
(cv, peds)
Updates
Ventricular Septal Defect
(cv, peds)
Updates
Neffy
(cv, pharm)
Added to
Epinephrine Autoinjector
s
Push Dose Pressor
(cv, pharm)
Updates to precautions
Mitral Regurgitation
(cv, valve)
Updates
Mitral Stenosis
(cv, valve)
Updates
Atopic Dermatitis
(derm, dry)
Updates
Dermal Filler
(derm, procedure)
Updates
Melanoma
(derm, hemeonc)
Extensive updates
Skin Tag
(derm, hyperplasia)
Updates
Sebaceous Hyperplasia
(derm, hyperplasia)
Updates
Keratoacanthoma
(derm, hyperplasia)
Updates
Pyogenic Granuloma
(derm, cv)
Updates
Dermatofibroma
(derm, hyperplasia)
Updates
Seborrheic Keratosis
(derm, hyperplasia)
Updates
Pilar Cyst
(derm, sebaceous)
Updates
Epidermoid Cyst
(derm, serbaceous)
Updates
Diabetes Mellitus
(endo, dm)
Updates to associated conditions
Perioperative Diabetes Management
(endo, dm)
Updates
Thyroid Eye Disease
(endo, eye)
Updates
Central Causes of Vertigo
(ent, vestibular)
Updates
Hemorrhagic Shock
(er, cv)
Updates
Strangulation
(er, ent)
Updates to
Strangulation
and
Near-Hanging
Coronary Angiography After Cardiac Arrest
(er, exam)
Updates
Post-Cardiac Arrest Care
(er, exam)
Updates
Concussion
(er, neuro)
Updates
Cardiopulmonary Resuscitation in Pregnancy
(er, ob)
Updates
IV Access Complication
(er, procedure)
Updates
Diarrhea in HIV
(gi,
Diarrhea
)
Updates
Primary Biliary Cirrhosis
(gi, liver)
Added
Budd-Chiari Syndrome
(gi, liver)
Added
Hepatic Encephalopathy
(gi, neuro)
Added
Polyethylene Glycol
(golytely) protocol for ICU
Contraceptive Selection
(gyn,
Contraception
)
Updates
Pancytopenia
(hemeonc, lab)
Updates
ISTH DIC Score
(hemeonc, lab)
Added
Multiple Myeloma
(hemeonc, marrow)
Updates
Cardiovascular Manifestations of HIV
(hiv, cv)
Updates
Hematologic Manifestations of HIV
(hiv, hemeonc)
Added
Sexually Transmitted Disease in HIV
(hiv, id)
Updates
Cryptococcus
(hiv, id)
Updates
Botulism
(id, neuro)
Updates
Vaccines in Immunocompromised Patients
(id, immunize)
Updates
Infant Botulism
(id, peds)
Updates
Drug-Induced Enterocolitis Syndrome
(id, pharm)
Reaction to
Amoxicillin
added
Chest Tube
(lung, procedure)
Updates
Medicare
(manage, healthcare)
Added a brief summary of parts (surprised I had nothing on this)
Multiple Sclerosis
(neuro, Demyelinating)
Updates
BE-FAST Stroke Screening Tool
(neuro, exam)
Added
Eastern Equine Encephalitis
(neuro, id)
Added
Atypical
Parkinsonism
(neuro,
Tremor
)
Updates
Parkinsonism
(neuro,
Tremor
)
Updates
Peripheral Neuropathy
(neuro, sx)
Updates
Guillain Barre Syndrome
(neuro, demyelinating)
Updates
Postterm Pregnancy
(ob, antepartum)
Updates
Breech Delivery
(ob, ld)
Updates
Wilson Test
(ortho, exam)
Correction, thanks to Dr. Khalil
Carpal Tunnel Corticosteroid Injection
(ortho, procedure)
Updates, including
Ultrasound
approach
De Quervain's Tenosynovitis Injection
(ortho, procedure)
Updates
Dupuytren's Nodule Corticosteroid Injection
(ortho, procedure)
Updates
Wrist Extensor Tenosynovitis Corticosteroid Injection
(ortho, procedure)
Added
First Carpometacarpal Joint Steroid Injection
(ortho, procedure)
Added
TFCC Steroid Injection
(ortho, procedure)
Added
Trigger Finger Corticosteroid Injection
(ortho, procedure)
Updates
PECARN C-Spine Imaging Rule
(ortho, rad)
Updates
Apoaequorin
(pharm, alternative)
Added
Clinical Trial
(prevent, epi)
Added
Obsessive Compulsive Disorder
(psych, anxiety)
Updates
Psilocybin
(psych, cd)
Added
Z-Drug Overdose
(psych, pharm)
Added
Felty Syndrome
(rheum, ra)
Updates
Rheumatoid Arthritis Extra-articular Signs
(rheum, ra)
Updates
Lupus Nephritis
(rheum, renal)
Thanks to Dr. Sourabh Jain for topic recommendation
Added
Acute Limb Ischemia
(surgery, cv)
Updates
Fishhook Removal
(surgery, derm)
Thank you to Dr. Stephanie Minsky feedback regarding
Antibiotic
prophylaxis
Updates
Gross Hematuria
(urology, lab)
Updates
Eroxon
(urology, pharm)
Added
Updates
October 2024
Familial Hypercholesterolemia
(cv, lipid)
Updates
Nitroglycerin
(cv, pharm)
Updates
Cardiac Risk Management
(cv, prevent)
Updates
Coronary CT Angiography
(cv, rad)
Updates
Palpitation
s (cv, sx)
Updates
Alopecia
(derm, hair)
Updates
Cushing's Syndrome
(endo, adrenal)
Extensive updates
Otitis Media with Effusion
(ent, ear)
Updates
Reactive Infectious Mucocutaneous Eruption
(ent, mouth)
Updates
Denver Screening Criteria for Blunt Cerebrovascular Injury
(er, exam)
Updates
Head to Pelvis Sudden Death CT
(er, exam)
Updates
Resuscitation
(er, exam)
October updates will be lighter, due to my own CME courses attended (Difficult Airway,
ACLS
,
PALS
, BLS)
Updated content based on courses (esp. the excellent difficult airway course)
However, I am highly disappointed with the current
ACLS
/
PALS
/BLS online versions after having taken these every 2 years since 1994
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.
Perinatal Hepatitis C Exposure
(gi, nicu)
Updates
Resmetirom
(gi, pharm)
Updates
Difficult Clinical Encounter
(manage, communication)
Updates
Alzheimer's Disease
(neuro, cognitive)
Updates
Sleep Hygiene
(psych, prevent)
Updates
Pseudotumor Cerebri
(neuro, csf)
Updates
Awake Orotracheal Intubation
(lung, procedure)
Added
Nasotracheal Intubation
(lung, procedure)
Updates
Advanced Airway
(lung, procedure)
Extensive updates
Post-Intubation Sedation and Analgesia
(lung, procedure)
Updates
Endotracheal Intubation
(lung, procedure)
Updates
Tiagabine
(neuro, pharm)
Added
Overdose
findings and management
PECARN C-Spine Imaging Rule
(ortho, C-Spine)
Added
Morton's Neuroma
(ortho, foot)
Updates on Management
Forearm Fracture in Children
(ortho,
Forearm
)
Updates
Bursa Aspiration
(ortho, procedure)
Updates
Carpal Tunnel
(ortho, wrist)
Updates regarding longterm surgical efficacy
Traumatic Arthrotomy
(rheum, id)
Updates
Urinary Catheterization
(urology, procedure)
Updates
Updates
September 2024
Cardiogenic Shock
(cv, chf)
Updates
Systolic Dysfunction
(cv, chf)
Updates
Pulmonary Hypertension
(cv, lung)
Extensive updates
Congenital Heart Disease
(cv, peds)
Updates
Calcium Channel Blocker Overdose
(cv, pharm)
Updates
Athletic Heart Syndrome
(cv, sports)
Updates
Diabetic Ketoacidosis Management in Adults
(endo, dm)
Updates
Obesity
(endo,
Obesity
)
Updates to
Obesity
,
Obesity Evaluation
and
Obesity Measurement
s
Alpha-Glucosidase Inhibitor
(endo, pharm)
Updates and added individual entries
DPP4 Inhibitor (endo, pharm)
Updates and added individual entries for
Sitagliptin
,
Saxagliptin
,
Linagliptin
,
Alogliptin
Glitazone
s (endo, pharm)
Updates and added individual entries
GLP-1 Agonist
(endo, pharm)
Updates and added individual entries for
Dulaglutide
,
Exenatide
,
Liraglutide
,
Lixisenatide
,
Semaglutide
Meglitinide
(endo, pharm)
Updates and added individual entries for
Repaglinide
,
Nateglinide
Metformin
(endo, pharm)
Updates
Pramlintide
(endo, pharm)
Updates
SGLT2 Inhibitor
(endo, pharm)
Updates and added individual entries for
Canagliflozin
,
Dapagliflozin
,
Empagliflozin
,
Ertugliflozin
,
Sotagliflozin
,
Bexagliflozin
Sulfonylurea
(endo, pharm)
Updates and added individual entries for
Glipizide
,
Glyburide
,
Glimepiride
Bariatric Surgery
(endo, surgery)
Updates
Tirzepatide
(endo, pharm)
Updates
Conjunctivitis
(eye,
Conjunctiva
)
Updates to
Conjunctivitis
,
Bacterial Conjunctivitis
,
Viral Conjunctivitis
,
Allergic Conjunctivitis
Hemorrhoid Management
(gi,
Rectum
)
Updates
Chemotherapy
(hemeonc, pharm)
Updates
Covid
Vaccine
(id, immunize)
Updates
HPV Vaccine
(id, immunize)
Updates
Influenza Vaccine
(id, immunize)
Updates
Antibiotic Resistance
(id, emerging)
Updates
Antibiotic
(id, pharm)
Added
Antiparasite Agent (id, pharm)
Added
Antimicrobial Agent
(id, pharm)
Added
Antiviral
(id, pharm)
Added
Microorganism
(id, anatomy)
Added
Paxlovid
(id, pharm)
Updates
Pivmecillinam
(id, pharm)
Added
Protozoa
(id,
Parasite
)
Added
RSV Vaccine
(id, immunize)
Updates
Nitrofurantoin
(id, pharm)
Updates regarding high
Bacteria
l resistance when pH>8
Doxy PEP
(id, sti)
Added to STI prevention
Cell Cycle
(lab, anatomy)
Added
Ensifentrine
(lung, pharm)
Added
Chronic Cough
(lung, sx)
Updates to
Chronic Cough
,
Chronic Cough in Children
and their related cause pages
Mastitis
(ob, id)
Extensive updates
Felon
(ortho, id)
Updates
Adult ADHD
(peds, neuro)
Updates
Ashwagandha
(pharm, alternative)
Added
Elderberry
(pharm, alternative)
Added
Acute Pain Management in patients on Chronic Buprenorphine
(pharm,
Analgesic
)
Updates
Peripheral Vascular Disease Management
(surgery, cv)
Updates
Abdominal CT
(surgery, rad)
Updates
Updates
August 2024
Mobitz II AV Block
(cv, ekg)
Updates
Refractory Ventricular Fibrillation Management
(cv, ekg)
Added
Esmolol
and left stellate
Ganglion
block
Midodrine
(cv, pharm)
Updates
Cardiovascular Risk Factor
(cv, prevent)
Updates related to ethnicity and race
Preseptal Cellulitis
(derm, eye)
Updates regarding
Antibiotic
coverage
Darier Disease
(derm, hair)
Added
Insulin
(endo, pharm)
Extensive updates to
Insulin
and subtypes
Thyroid Cancer
(endo, hemeonc)
Updates
Liothyronine
(endo, pharm)
Updates
Levothyroxine
(endo, pharm)
Updates
GLP-1 Agonist
(endo, pharm)
Updates
Thionamide
(endo, pharm)
Updates including to adding separate pages for
Methimazole
and PTU
DRESS Syndrome
(ent, pharm)
Updates
Stevens Johnson
(ent, allergy)
Updates
Azelastine
(ent, pharm)
Added
Reactive Infectious Mucocutaneous Eruption
(ent, mouth)
Updates
Health Concerns in the Elderly
(geri, exam)
Updates
Deprescribing
(geri, pharm)
Updates
Resmetirom
(gi, pharm)
Added
Misoprostol
(gi, pharm)
Updates
Chorionic Gonadotropin Injectable Solution
(gyn, pharm)
Added
Recombinant Gonadotropin
(gyn, pharm)
Added
Clomiphene
(gyn, pharm)
Updates
Danazol
(gyn, pharm)
Updates
Cancer Survivor Care
(hemeonc, pharm)
Updates
Hemolytic Anemia
(hemeonc, pharm)
Updates
Bleeding Disorder
s (hemeonc, pharm)
Updates
Hemophilia A
(hemeonc, pharm)
Updates
CD25 Monoclonal Antibody
(hemeonc, pharm)
Added
Lyme Disease Test
(id, lab)
Extensive updates
Lymphocyte Immunoglobulin
(id, pharm)
Added
Intravenous Immunoglobulin
(id, pharm)
Added
Subcutaneous Immunoglobulin
(id, pharm)
Added
RhoGAM
(id, pharm)
Updates
Obstructive Sleep Apnea
(lung, apnea)
Updates
Obesity Hypoventilation Syndrome
(lung, apnea)
Added
Cromolyn Sodium
(lung, pharm)
Updates
Medical Precepting
(manage, communication)
Updates
Closed Head Injury
(neuro, er)
Updates including to various
Intracranial Hemorrhage
pages and
Closed Head Injury
severity types
Bacterial Meningitis Management
(neuro, id)
Updates
Dimethyl Fumarate
(neuro, pharm)
Added
Sphingosine 1-Phosphate Receptor Modulator
(neuro, pharm)
Added with 4 drugs in the class
Teriflunomide
(neuro, pharm)
Added
Psychogenic Nonepileptic Seizure
(neuro, psych)
Updates
Head CT
(neuro, rad)
Updates
Carboprost
(ob, pharm)
Added
Methergine
(ob, pharm)
Added
Oxytocin
(ob, pharm)
Updates
Terbutaline
(ob, pharm)
Updates
Ritodrine
(ob, pharm)
Updates
Dinoprostone
(ob, pharm)
Updates
Ergonovine
(ob, pharm)
Added
Carpal Tunnel Syndrome
(ortho, wrist)
Updates
Shilajit
(pharm, alternative)
Added
Iodine
(pharm, mineral)
Updates
Alcoholic Ketoacidosis
(psych, cd)
Updates
Adolescent Depression
(psych, peds)
Added
Bupropion
to treatment options age 12-20 years with
Major Depression
Composite Fingertip Graft Reimplantation
(surgery, derm)
Added composite graft to
Fingertip Amputation
Meckel Diverticulum
(surgery, gi)
Updates
Calcineurin Inhibitor
(surgery, pharm)
Updated with
Calcineurin
mechanism
Added inidividual topics for
Cyclosporine
,
Tacrolimus
,
Voclosporin
Azathioprine
(surgery, pharm)
Updates
Mycophenolate
(surgery, pharm)
Added
Sirolimus
(surgery, pharm)
Added
Everolimus
(surgery, pharm)
Added
T-Cell Costimulatory Modulator
(surgery, pharm)
Added
Angiokeratoma
(urology, derm)
Updates
Prostatitis
(urology,
Prostate
)
Updated
Acute Bacterial Prostatitis
,
Chronic Bacterial Prostatitis
and
Chronic Noninfectious Prostatitis
Prevention of Recurrent Urinary Tract Infection
(urology, id)
Updates related to cranberry products in the prevention of
Recurrent UTI
Urinary Tract Infection
(urology, id)
Updates
Updates
July 2024
Pacemaker
(cv, procedure)
Updates to specific
Pacemaker
related
Dysrhythmia
s
Arterial Line
(cv, procedure)
Updates
Rosacea
(derm, acne)
Updates
Photodermatitis
(derm, environ)
Added
Polymorphous Light Eruption
(derm, environ)
Added
Grave's Disease
(endo,
Thyroid
)
Updates
Corticosteroid
(endo, pharm)
Added
Betamethasone
,
Dexamethasone
,
Cortisone
,
Methylprednisolone
,
Prednisolone
,
Prednisone
,
Triamcinolone
(split into separate topics)
Updated
Hydrocortisone
,
Fludrocortisone
Salivary Gland Enlargement
(ent,
Saliva
ry)
Added differential diagnosis of
Salivary Gland Disorder
s, broken down by acute vs chronic, unilateral or bilateral
Extensive updates to each of the related conditions (
Sialolith
isias,
Sialoadenitis
,
Salivary Gland Tumor
)
Sideline Medical Evaluation
(er, sports)
Updates including emergency action plan
Ricin Poisoning
(er, toxin)
Updates
Unknown Ingestion
(er, toxin)
Updates to ekg
Gastrostomy Tube
(gi, procedure)
Updates
Rituximab
(hemeonc, pharm)
Updates
Sepsis
(id, fever)
Updates
Parasitic Infection
s (id,
Parasite
)
Added
Dientamoeba Fragilis
Updates to
Hookworm
,
Whipworm
,
Threadworm
Intravesical Gentamicin
(id, pharm)
Updated
Gentamicin
Interferon Beta-1A
(id, pharm)
Added
Interferon Beta-1B
(id, pharm)
Added
Stridor
(lung, sx)
Extensive updates
Status Epilepticus
(neuro,
Seizure
)
Updates
Glatiramer
(neuro, pharm)
Added
Dalfampridine
(neuro, pharm)
Added
Clavicle Fracture
(ortho,
Shoulder
)
Updates
NSAID
(pharm,
Analgesic
)
Added
Diclofenac
,
Etodolac
,
Fenoprofen
,
Flurbiprofen
,
Ketoprofen
,
Mefenamic Acid
,
Meclofenamate
,
Oxaprozin
,
Sulindac
,
Tolmetin
and several
Salicylate
s
Updated
NSAID
,
Ibuprofen
,
Indomethacin
,
Ketorolac
,
Naproxen
,
Celecoxib
,
Salicylate
s
Gender-Affirming Surgery
(prevent, manage)
Updates
Lithium
(psych, pharm)
Updates
Perimortem Cesarean Section
(er, ob)
Updates
DMARD
(rheum, pharm)
Updates on
Methotrexate
,
Hydroxychloroquine
,
Sulfasalazine
,
Leflunomide
TNF Inhibitor
(rheum, pharm)
Updates
Abatacept
(rheum, pharm)
Updates
Interleukin 23 Inhibitor
(rheum, pharm)
Added
Interleukin 17 Inhibitor
(rheum, pharm)
Added
Normal Spontaneous Vaginal Delivery
(ob, LD)
Updates for each of the stages of labor
Janus Kinase Inhibitor
(rheum, pharm)
Updates to
Baricitinib
Added
Tofacitinib
,
Upadacitinib
Toclizumab (rheum, pharm)
Updates
Anakinra
(rheum, pharm)
Updates
Allopurinol
(rheum, pharm)
Updates
Colchicine
(rheum, pharm)
Updates
Febuxostat
(rheum, pharm)
Added
Methotrexate
(rheum, pharm)
Added adverse effects, findings specific to leukoencephalopathy
Pegloticase
(rheum, pharm)
Added
Lesinurad
(rheum, pharm)
Added
Probenecid
(rheum, pharm)
Updates
Gallstone
(surgery, gallbladder)
Updates to
Gallstone
,
Biliary Colic
, acute colecystitis and
Choledocholithiasis
Male Hypogonadism
(urology, endo)
Updates to
Male Hypogonadism
and
Testosterone Replacement
Updates
June 2024
Wide QRS
(cv, ekg)
Updated with
QRS-T Complex
(shark fin)
Atrial Fibrillation
(cv, ekg)
Updates
Tetralogy of Fallot
(cv, peds)
Updates
Beta Blocker
s (cv, pharm)
Updates
Acute Pericarditis
(cv,
Pericardium
)
Updates
Cushing Syndrome
(endo, adrenal)
Updates
Post-ROSC Care
(er, exam)
Updates regarding
Hypertension
Morel Mushroom Poisoning
(er, toxin)
Added
Lid Lag
(eye, lid)
Added
Acute Fall Management in the Elderly
(geri, prevent)
Added to break up acute falls from
Fall Prevention
Also updated
Fall Prevention in the Elderly
and added several functional balance tests
Cyclic Vomiting Syndrome
(gi, sx)
Added this as well as
Chronic Functional Vomiting
Aromatase Inhibitor
(gyn, pharm)
Added
Gonadotropin-Releasing Hormone Agonist
(gyn, pharm)
Added
Gonadotropin-Releasing Hormone Antagonist
(gyn, pharm)
Added
Selective Estrogen Receptor Modulator
(gyn, pharm)
Updates
Erythropoietin
(hemeonc, pharm)
Updates and added the 3 epo agents
Granulocyte Colony Stimulating Factor
(hemeonc, pharm)
Added
Neupogen
,
Neulasta
and
Leukine
EGFR Monoclonal Antibody
(hemeonc, pharm)
Added
VEGFR Monoclonal Antibody
(hemeonc, pharm)
Added
Alemtuzumab
(hemeonc, pharm)
Added
Anti-
CD20 Monoclonal Antibody
(hemeonc, pharm)
Added
CD22 Monoclonal Antibody
(hemeonc, pharm)
Added
Rituximab
(hemeonc, pharm)
Updates
Daratumumab
(hemeonc, pharm)
Added
Hormonally Active Chemotherapy
(hemeonc, pharm)
Updates
Abiraterone
(hemeonc, pharm)
Added
Mogamulizumab-kpkc
(hemeonc, pharm)
Added
Nonsteroidal Antiandrogen
(hemeonc, pharm)
Added
Dinutuximab
(hemeonc, pharm)
Added
Brentuximab vedotin
(hemeonc, pharm)
Added
Gemtuzumab ozogamacin
(hemeonc, pharm)
Added
Thalidomide
(hemeonc, pharm)
Added
Thalidomide
and it's analogs
Ureaplasma Urealyticum
(id, std)
Added (thanks to Dr. Jai Jung)
Blastomycosis
(lung, id)
Updates
Cystic Fibrosis
(lung, peds)
Updates
Omalizumab
(lung, pharm)
Updates regarding
Food Allergy
indication
Preceptorship
(manage, communication)
Updates
Subarachnoid Hemorrhage
(neuro, cv)
Updates
Sugammadex
(neuro, pharm)
Updates
Spinal Epidural Hematoma
(ortho, c-spine)
Updates
Hip Fracture
(ortho, hip)
Updates with additional evidence that
Regional Anesthesia
reduces complications
Pellegrini-Stieda Syndrome
(ortho, knee)
Added
Spinal Epidural Abscess
(ortho, L-Spine)
Updates
Upper Extremity Injury
(er, ortho)
Updates to multiple topics in
Shoulder
, elbow and wrist injuries and
Regional Anesthesia
options
Collagen Supplement
(pharm, alternative)
Updates
Acetaminophen
(pharm,
Analgesic
)
Updates
Aspirin
(pharm,
Analgesic
)
Updates
Firearm Safety
(prevent, safety)
Updates
Gepirone
(psych, pharm)
Added
Refractory Depression Management
(psych, depression)
Updates
Hyperkalemia Management
(renal,
Potassium
)
Updates
Antiphospholipid Antibody Syndrome
(rheum, diffuse)
Updates
Limping Child
(rheum, sx)
Updates
Catastrophic Anti-Phospholipid Antibody Syndrome
(rheum, diffuse)
Added
Lidocaine Patch
(surgery, pharm)
Updates
Updates
May 2024
Hearing Loss
(ent, ear, exam)
Updates
Audiogram
(ent, ear, exam)
Updates
Noninsulin Therapy of Type 2 Diabetes
(endo, pharm)
Updates
Diabetic Foot Infection
(derm, endo)
Updates
Nevus Flammeus
(derm, peds)
Updates
Streptococcal Pharyngitis
(ent, mouth)
Updates, and added
Fever
PAIN score
Seat Belt Syndrome
(er, exam)
Updates
Beers List
(geri, pharm)
Updates
Misoprostol Poisoning
(gi, pharm)
Added
Droperidol
(gi, pharm)
Updates
Asparaginase
(hemeonc, pharm)
Added
Bexarotene
(hemeonc, pharm)
Added
Mitotane
(hemeonc, pharm)
Added
Porfimer
(hemeonc, pharm)
Added
Small Molecule Inhibitor-Mediated Chemotherapy
(hemeonc, pharm)
Updates
ALK Inhibitor
(hemeonc, pharm)
Added
BCL2 Inhibitor
(hemeonc, pharm)
Added
BCR-ABL Inhibitor
(hemeonc, pharm)
Added
BRAF Inhibitor
(hemeonc, pharm)
Added
BTK Inhibitor
(hemeonc, pharm)
Added
CDK Inhibitor
(hemeonc, pharm)
Added
cKIT Inhibitor (hemeonc, pharm)
Added
EGFR Inhibitor
(hemeonc, pharm)
Added
FGR Inhibitor (hemeonc, pharm)
Added
FLT3 Inhibitor
(hemeonc, pharm)
Added
IDH 1 Inhibitor
(hemeonc, pharm)
Added
IDH 2 Inhibitor
(hemeonc, pharm)
Added
MEK Inhibitor
(hemeonc, pharm)
Added
NTRK Inhibitor
(hemeonc, pharm)
Added
PARP Inhibitor
(hemeonc, pharm)
Added
PIK3CA Inhibitor
(hemeonc, pharm)
Added
ROS1 Inhibitor
(hemeonc, pharm)
Added
SHH Pathway Inhibitor
(hemeonc, pharm)
Added
VEGF Inhibitor
(hemeonc, pharm)
Added
Decoy VEGF Receptor
(hemeonc, pharm)
Added
Covid-19 Vaccine
(id, immunize)
Updates regarding spring booster doses of 2023 Monovalent
Inactivated Polio Vaccine
(id, immunize)
Updates
Nirsevimab
(id, immunize)
Updates
Airsupra
(lung, pharm)
Added to budesonide, as an overpriced combination agent that cannot substitute for
Symbicort
Triptan
(neuro, pharm)
Created entries for each of the currently active agents, and updated their content
Epidural Anesthesia
(ob, pharm)
Peanut ball with frequent movement significantly decreases
First Stage of Labor
after epidural
Lumbar Spinal Stenosis
(ortho, L-Spine)
Updates
Cervical Myelopathy
(ortho, c-spine)
Updates
Astaxanthin
(pharm, alternative)
Added
NSAID
(pharm,
Analgesic
)
Major orthopedic groups recommend
NSAID
use after
Fracture
over
Opioid
s
Theoretical risk of non-union with
NSAID
S is far overshadowed by the real risk of
Opioid Use Disorder
in the U.S.
Drug Cost
(pharm, manage)
Updates
Men who have Sex with Men
(prevent, hme)
Updates
Critical Limb Ischemia
(surg, cv)
Updates
Updates
Apri
l 2024
Accelerated Idioventricular Rhythm
(cv, ekg)
Added
Brugada Syndrome
(cv, ekg)
Updates
Resistant Hypertension
(cv, htn)
Updates
Hypertensive Disorders of Pregnancy
(cv, ob)
Extensive Updates
Diabetic Foot Infection
(derm, endo)
Updates
Tape Strip Melanoma Detection
(derm, lab)
Added
Diabetic Ketoacidosis Management in Children
(endo, dm)
Updates
Diabetic Neuropathy
(endo, neuro)
Updates
Nasal Foreign Body
(ent, nose)
Updates
Hearing Aid
(ent, pharm)
Updates
Pediatric Trauma
(er, peds)
Updates, including
Pediatric Abdominal Trauma
Penetrating Trauma
(er,
Trauma
)
Updates
Pediatric Blunt Abdominal Trauma Decision Rule
(gi, exam)
Updates
Pancreatic Cancer
(gi, hemeonc)
Updates
Carbohydrate
Antigen
19-9 (gi, lab)
Updates
Lower Gastrointestinal Bleeding
(gi, sx)
Updates
Fezolinetant
(gyn, pharm)
Updates
ASCCP Calculated Risk Based Protocol
(gyn, prevent)
Updates
IgA Vasculitis
(hemeonc, derm)
Updates
Juvenile Xanthogranuloma
(hemeonc, marrow)
Added
Checkpoint Inhibitor
(hemeonc, pharm)
Updates
Antiplatelet Therapy in CVA and TIA
(hemeonc, pharm)
Updates
Mitosis Inhibitor
Chemotherapy
(hemeonc, pharm)
Added
Vinca Alkaloid
s,
Taxane
s and
Topoisomerase Inhibitor
s
Also added
Ixabepilone
,
Eribulin
Vinca Alkaloid
s (hemeonc, pharm)
Added
Vinblastine
(Velban),
Vincristine
(Oncovin),
Vinorelbine
Taxane
s (hemeonc, pharm)
Added
Paclitaxel
(
Taxol
),
Albumin-Bound Paclitaxel
(
Abraxane
),
Docetaxel
(
Taxotere
),
Cabazitaxel
(
Jevtana
)
Topoisomerase Inhibitor
(hemeonc, pharm)
Added
Topotecan
,
Irinotecan
,
Irinotecan Liposome
,
Etoposide
Arsenic Trioxide
(hemeonc, pharm)
Added as a antineoplastic
Cytarabine
(hemeonc, pharm)
Added
Bleomycin
(hemeonc, pharm)
Added
Dactinomycin
(hemeonc, pharm)
Added
Daunorubicin
(hemeonc, pharm)
Added
Decitabine
(hemeonc, pharm)
Added
Floxuridine
(hemeonc, pharm)
Added
Fludarabine
(hemeonc, pharm)
Added
Fluorouracil
(hemeonc, pharm)
Added
Gemcitabine
(hemeonc, pharm)
Added
Proteasome Inhibitor
(hemeonc, pharm)
Added
Systemic Tretinoin
(hemeonc, pharm)
Added, as
Antineoplastic Agent
Trifluridine-Tipiracil
(hemeonc, pharm)
Added
Histone Deacetylase Inhibitor
(hemeonc, pharm)
Added individual agent entries for the 4 drugs in class
Hydroxyurea
(hemeonc, pharm)
Updates for use as antineoplastic
Mercaptopurine
(hemeonc, pharm)
Added
Nelarabine
(hemeonc, pharm)
Added
Pentostatin
(hemeonc, pharm)
Added
Thioguanine
(hemeonc, pharm)
Added
Pemetrexed
(hemeonc, pharm)
Added
Pralatrexate
(hemeonc, pharm)
Added
Doxorubicin
(hemeonc, pharm)
Added
Liposomal Doxorubicin
(hemeonc, pharm)
Added
Idarubicin
(hemeonc, pharm)
Added
Epirubicin
(hemeonc, pharm)
Added
Valrubicin
(hemeonc, pharm)
Added
Mitomycin
(hemeonc, pharm)
Added
Mitoxantrone
(hemeonc, pharm)
Added
Congenital Candida
(id, fungus)
Added
Measles
(id, virus)
Updates
Lumbar Puncture
(neuro, procedure)
Updates
Cutaneous Signs of Dysraphism
(nicu, derm)
Updates
Newborn Skin Exam
(nicu, exam)
Updates
Prosthetic Knee Arthrocentesis
(ortho, procedure)
Updates
Chronic Low Back Pain
(ortho, Sx, L-Spine)
Added
Acetaminophen Overdose
(pharm,
Analgesic
)
Updates
Ginger
(pharm, alternative)
Updates
Human Trafficking
(prevent, abuse)
Updates
Tianeptine
(psych, pharm)
Added
Hyperkalemia
(renal,
Potassium
)
Updates
Updates
March 2024
Abnormal Uterine Bleeding Associated with Hormonal Contraception
(gyn, pharm)
Updates including management of AUB for various contraceptive options
Atrial Fibrillation Acute Management
(cv, ekg)
Updates regarding case reports of self-cardioversion with aerobic
Exercise
in endurance athletes
Thanks to my friend, Chris Amley for forwarding the article
Cellulitis
(derm,
Bacteria
)
Updates
ACE inhibitor Induced Angioedema
(ent, derm)
Updates regarding ARB after ACE-related
Angioedema
(ARBs are no longer contraindicated)
G-Tube
(gi, procedure)
Updates
CT Angiography in Gastrointestinal Bleeding
(gi, rad)
Updates
Diabetes Mellitus Control in Hospital
(endo, dm)
Updates
DVT Prophylaxis
(hemeonc, prevent)
Updates
Azacitidine
(hemeonc, pharm)
Added
Alkylating Agent
(hemeonc, pharm)
Updates
Anal Fissure
(gi,
Rectum
)
Updates
Artesunate
(id, pharm)
Updates
Atovaquone/Proguanil
(id, pharm)
Updates
Belinostat
(hemeonc, pharm)
Added
Bendamustine
(hemeonc, pharm)
Added
Benznidazole
(id, Pharm)
Added
Busulfan
(hemeonc, pharm)
Added
Capecitabine
(hemeonc, pharm)
Added
Carmustine
(hemeonc, pharm)
Added
Chlorambucil
(hemeonc, pharm)
Added
Chloroquine
(id, pharm)
Added
Cladribine
(hemeonc, pharm)
Added
Clofarabine
(hemeonc, pharm)
Added
Coartem
(id, pharm)
Added
Cyclophosphamide
(hemeonc, pharm)
Added
Dacarbazine
(hemeonc, pharm)
Added
DIP Dislocation
(ortho, hand)
Updates
Dizziness
(cv, sx)
Added image of differential Diagnosis
Eating Disorder
(psych, eating)
Updates
Foot Fracture
(ortho, foot)
Extensive updates to various
Fracture
s of the foot
Hordeolum
(eye, lid)
Updates
Ifosfamide
(hemeonc, pharm)
Added
Insomnia
(psych, sleep)
Updates
Lipoprotein A
Added (cv, lab)
Lomustine
(hemeonc, pharm)
Added
Mechlorethamine
(hemeonc, pharm)
Added
Methotrexate
(hemeonc, pharm)
Updates
Monomorphic Ventricular Tachycardia
(cv, ekg)
Updates
Ivermectin
(id, Pharm)
Updates
Measles
(id, virus)
Updates
Mebendazole
(id, Pharm)
Added
Mefloquine
(id, pharm)
Updates
Melphalan
(hemeonc, pharm)
Added
Miltefosine
(id, Pharm)
Added
Moxidectin
(id, pharm)
Added
Mumps
(id, virus)
Updates
Nitazoxanide
(id, pharm)
Added
Paromomycin
(id, pharm)
Added
Pediatric Asthma Score
(lung, exam)
Added
Pertussis
(lung,
Bacteria
)
Updates
Praziquantel
(id, pharm)
Added
Primaquine
(id, pharm)
Added
Procarbazine
(hemeonc, pharm)
Added
Pyrantel
(id, pharm)
Added
Pyrimethamine
(id, pharm)
Added
Quinine
(id, pharm)
Added
Streptozocin
(hemeonc, pharm)
Added
Tafenoquine
(id, pharm)
Added
Temozolomide
(hemeonc, pharm)
Added
Thiotepa
(hemeonc, pharm)
Added
Tibial Tuberosity Avulsion Fracture
(ortho, knee)
Added
Tinidazole
(id, pharm)
Added
Trabectedin
(hemeonc, pharm)
Added
Triclabendazole
(id, Pharm)
Added
Gepant
(neuro, pharm)
Updates
Tetanus
(id, neuro)
Updates
Toddler Fracture
(ortho, ankle)
Updates
Osteomyelitis
(ortho, id)
Updates
Cocoa
(pharm, nutrition)
Added
Brexanolone
(psych, pharm)
Added
Zuranolone
(psych, pharm)
Added
Hyperkalemia Management
(renal,
Potassium
)
Updates
Ring Removal
(surgery, derm)
Updates
Jehovah's Witness
(Surgery, Manage)
Added
Urinary Tract Infection
(urology,
Bladder
)
Updates
Unknown Ingestion
(er, toxin)
Extensive Updates
Varicella Zoster Virus
(id, virus)
Updates
Updates
February 2024
Acute Coronary Syndrome
(cv, cad)
Updates
Hypotension Causes
(cv, exam)
Updates
Lice
(derm,
Parasite
)
Added and updated topical
Antiparasitic
drugs
Scabies
(derm,
Parasite
)
Added and updated topical
Antiparasitic
drugs
Topical Antifungal
(derm, pharm)
Created entries for each of the currently active agents, and updated their content
Obesity Management
(endo,
Obesity
)
Updates
Basal insulin
(endo, pharm)
Detemir
is being discontinued
Snake Bite
(er, derm)
Updates
Scorpion Sting
(er, derm)
Updates
Hymenoptera Sting
(er, derm)
Updates
Vitreous Hemorrhage
(eye,
Retina
)
Updates
Retinal Detachment
(eye,
Retina
)
Updates
Optic Neuritis
(eye, neuro)
Updates
Vanoprazan (gi, pharm)
Added
Vomiting
(gi, sx)
Added pathway diagram
Progestin Only Pill
(gyn, pharm)
Norgestrel
75 mcg
Oral Contraceptive
will be OTC in 2024
Fibrinogen Concentrate
(hemeonc, pharm)
Added
Minimum Inhibitory Concentration
(id, emerging)
Added
Fluconazole
(id, pharm)
Extensive Updates
Flucytosine
(id, pharm)
Added
Griseofulvin
(id, pharm)
Extensive updates
Echinocandin
(id, pharm)
Added
Caspofungin
,
Micafungin
and Andulafungin
Ketoconazole
(id, pharm)
Extensive Updates
Isavuconazole
(id, pharm)
Added
Itraconazole
(id, pharm)
Extensive Updates
Posaconazole
(id, pharm)
Added
Terbinafine
(id, pharm)
Extensive Updates
Voriconazole
(id, pharm)
Added
Asthma Exacerbation
(lung,
Asthma
)
Updates
Mental Status Exam
(neuro, exam)
Updates
Phenytoin Toxicity
(neuro, pharm)
Updates
Prenatal Lab
s (ob, lab)
Updates related to
STI Screening
and prevention
Acute Calcific Tendonitis of the Longus Colli
(ortho, c-spine)
Added. Thanks to Dr. Tony Genia, MD for sharing a case of
ACTLC
with me
On the differential for
Globus Hystericus
and
Dysphagia
Nursemaid's Elbow
(ortho, elbow)
Updates
Hip Injection
(ortho, procedure)
Updates
Knee Injection
(ortho, procedure)
Updates
Coenzyme Q10
(pharm,
Vitamin
)
Updates
Alcohol Use Disorder Management
(psych, cd)
Updates including medications
Aripiprazole
(psych, pharm)
Updated long acting agents
Paliperidone
(psych, pharm)
Updated long acting agents
Risperidone
(psych, pharm)
Updated long acting agents
Metabolic Acidosis
(renal, acidbase)
Updates
Multisystem Inflammatory Syndrome
(cv, peds)
Updates
Infantile Hemangioma
(derm, peds)
Updates
Type 2 Diabetes Mellitus in Children
(endo, dm)
Updates
Pediatric Obesity
(endo, peds)
Updates
Tonsillectomy
(ent, mouth)
Updates
Bleeding Disorder
(hemeonc, coags)
Updates
Henoch-Schonlein Purpura
(hemeonc, derm)
Updates
Penicillin Allergy
(id, pharm)
Updates
Congenital Cytomegalovirus
(id, virus)
Updates
Sarcoidosis
(lung, ILD)
Updates
ADHD Medication
(peds, neuro)
Updates
Autism
Spectrum Disorder (peds, neuro)
Updates
Child Abuse
(prevent, abuse)
Updates
Obsessive Compulsive Disorder
(psych, anxiety)
Updates
Avoidant-Restrictive Food Intake Disorder
(psych, eating)
Updates
Adolescent Drug Abuse
(psych, cd)
Updates
Respiratory Syncytial Virus
(lung, peds)
Updates
Systemic Lupus Erythematosus
(rheum, diffuse)
Updates
Hypospadias
(urology, peds)
Updates
Neonatal Circumcision
(urology, procedure)
Updates
Updates
January 2024
Congestive Heart Failure Exacerbation Management
(cv, chf)
Acetazolamide
speeds acute pulmonary decongestion in CHF exacerbation when added to
Loop Diuretic
s
Cardiovascular Disease in Women
(cv, gyn)
Updates
Hypertension Management
(cv, htn)
At least one study shows no significant cardiovascular benefit to nighttime dosing over am dosing
Severe Asymptomatic Hypertension
(cv, htn)
Updates
Chlorthalidone
(cv, pharm)
Hydrochlorothiazide
has similar cardiovascular outcomes and less risk of
Hypokalemia
Statin-Induced Myalgias
(cv, pharm)
More than 90% of myalgias in patients taking
Statin
s are NOT due to other cause or
Nocebo Effect
(see above)
Orbital Cellulitis
(derm, eye)
Updates to
Preseptal Cellulitis
and
Orbital Cellulitis
Psoriasis
(derm, hyperplasia)
Extensive updates
SGLT2 Inhibitor Associated Ketosis
(endo, dm)
Updates
Ear Irrigation
(ent, procedure)
Updates
Chronic Hepatitis B Infection
(gi, liver)
Added and updated all
nRTI
agents used in Chronic HBV (
Tenofovir
,
Entecavir
,
Adefovir
,
Lamivudine
)
Pediatric Reflux
(gi, peds)
Updated regarding acid suppression precautions
Methylnaltrexone
(gi, pharm)
Updates
Adnexal Mass
(gyn, hemeonc)
Updates
Andexxa
(hemeonc, pharm)
Updates
Tenecteplase
(hemeonc, pharm)
Updates related to
Intracerebral Hemorrhage
risk
Anti-Retroviral Therapy
(hiv, pharm)
Updates
Enfuviritide (hiv, pharm)
Updates
Ibalizumab
(hiv, pharm)
Updates
Integrase Strand Transfer Inhibitor
(hiv, pharm)
Created entries for each of the currently active agents, and updated their content
Maraviroc
(hiv, pharm)
Updates
Nucleoside Reverse Transcriptase Inhibitor
(hiv, pharm)
Created entries for each of the currently active agents, and updated their content
Non-Nucleoside Reverse Transcriptase Inhibitor
(hiv, pharm)
Created entries for each of the currently active agents, and updated their content
Amphotericin B
(id, pharm)
Updates
Atovaquone
(id, pharm)
Updates
Clotrimazole
(id, pharm)
Updates
Miconazole
(id, pharm)
Updates
Nystatin
(id, pharm)
Updates
Pentamidine
(id, pharm)
Updates
COPD Management
(lung, copd)
Extensive updates based on GOLD 2023
Covid19
(lung, id)
Added
Angioedema
as a manifestation
Dapsone
(lung, pharm)
Updates
Hemoptysis
(lung, sx, bleed)
Updates
Dementia Diagnosis
(neuro, cognitive)
Updates regarding
Mental Status Exam
tools
Neonatal Seizure
(neuro, nicu,
Seizure
)
Updates
Preconception Counseling
(ob, prevent)
Updates to
Preconception Counseling
and
Pregnancy Risk Assessment
, as well as
Teratogen Exposure
Knee Dislocation
(ortho, knee)
Updates
Chronic Low Back Pain Management
(ortho, L-Spine)
Spinal stimulators appear to offer little benefit at 6 and 12 months (cochrane review)
St. Johns Wort
(pharm, alternative)
Updates
Omega-3 Fatty Acid Supplement
(pharm, nutrition)
Longterm Marine Omega 3
Fatty Acid
s (esp. >1 g/day) are associated with an increased risk of
Atrial Fibrillation
Vitamin A Toxicity
(pharm,
Vitamin
s)
Added
GRADE Approach
(prevent, epi)
Added
Hazard Ratio
(prevent, epi)
Added
Cannabinoid
(psych, cd)
Updates including longterm, continuous use adverse effects
Vaping-Associated Lung Disease
(psych, cd)
Updates
Renal Infarction
(renal, cv)
Added
Chronic Kidney Disease
(renal, failure)
Updates to
Chronic Kidney Disease
,
End Stage Renal Disease
,
Prevention of Kidney Disease Progression
Baking Soda
(renal, pharm)
Added to
Oral Sodium Bicarbonate
and the toxicity risk
Colchicine Toxicity
(rheum, pharm)
Added
Exercise
(sports,
Exercise
)
Updates related to timing of
Exercise
(clustered
Exercise
has similar benefits, total
Exercise
time per week matters)
Pediatric Sports Overuse Injury
(sports, peds)
Added, and updated specific conditions
High Pressure Injection Wound
(surgery, derm)
Updates
Etomidate
(surgery, pharm)
May be associated with higher mortality when used for RSI based on metaanalysis
Urethral Catheterization
(urology, procedure)
Updates and pearls
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