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New October 2026 update. What's in it
Need the previous version? Download the September 2026 deck
What's new in this update
11 new conditions, a refreshed tachyarrhythmia deck and corrections across ENT and cardiology.
New conditions
- Human Immunodeficiency Virus (HIV) Infectious Disease › Sexual Health
- Hordeolum (stye) Ophthalmology › Benign Eyelid Disorders
- Ovarian Torsion Obs & Gynae
- Ovarian Cysts (including rupture) Obs & Gynae
- Stable Angina Cardiovascular
- Guillain-Barré Syndrome (including AIDP) Neurosciences
- Chronic Pancreatitis Gastroenterology › Pancreatitis
- Variceal Disease (including oesophageal varices) Gastroenterology
- Mallory-Weiss Tear Gastroenterology
- Boerhaave Syndrome Gastroenterology
- Airway Compromise/Management Perioperative Medicine & Anaesthesia
Major updates
- Tachyarrhythmia deck brought in line with the Resuscitation Council UK guidelines.
- Updated cards in ENT and cardiology.
- AF rate control (nid:1674753418756): corrected the rate-control hierarchy. A beta-blocker or rate-limiting calcium channel blocker is first line, with clarified digoxin use, combination therapy and prescribing cautions.
How to Update
Before updating, it is recommended to export a full backup, including scheduling information.
- Keep your existing deck. The updated Spranki deck will import into the same Anki Profile.
- Use the import settings shown below:
- Import any learning progress: OFF
- Import any deck presets: OFF
- Merge note types: ON
- Update notes: If newer
- Update note types: If newer
New notes will be added, and existing notes will update where the imported version has a newer modification date. Unchanged notes will be skipped.
Important: Updates to existing notes may overwrite your personal edits. Conversely, if your edited version is newer, Anki may skip the Spranki update. We update existing content where needed for corrections, clarification and guideline changes.
Your scheduling and review history on existing cards should be preserved. Newly added cards will begin as new cards.
- Check your deck settings.
Choose your preferred preset in Deck Options. To apply it throughout Spranki, select Save to All Subdecks (top right arrow). If you use different presets for different subdecks, check these individually instead. New subdecks may initially use Anki’s default settings rather than your preferred preset.
- Choose when to study new cards.
Continue studying as usual. If you prefer to learn each topic before reviewing its cards, suspend the newly added cards and unsuspend them when ready. Otherwise, leave them available to enter your normal new-card queue.
