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Bone marrow aspiration and biopsy

…the knees drawn up , or prone with a pillow under the pelvis. The lateral position is usually the most comfortable and gives good access. 2…

Abdominal Aortic Aneurysm: Screening and Surveillance

…Plain abdominal radiography has limited sensitivity. A calcified aneurysmal outline may be visible, but approximately one quarter of aneurysms are not calcified and therefore cannot…

Metabolic Syndrome: Definition and Clinical Significance

…defined clinical and laboratory components; the diagnostic criteria themselves are not reproduced in the available source material. Waist circumference is particularly important because intra abdominal…

Obesity and Cardiovascular Disease: Assessment and Treatment

…of obesity or excess abdominal adiposity. Ethnic specific thresholds are lower or otherwise modified in some populations. Cardiometabolic mechanisms Visceral and ectopic fat are particularly…

Diuretic Strategy and Decongestion in Heart Failure

…preserved cardiac output; increased venous and intra abdominal pressures, impaired renal venous outflow and persistent right sided congestion may be important mechanisms. Diuretics relieve the…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…if orthostatic hypotension is present. High risk features on history include: New onset of chest discomfort, abdominal pain, shortness of breath, or headache Syncope during…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…at arterial branch points, where disturbed flow, altered shear stress and intimal injury promote atherosclerosis. The principal anatomical distributions are: Abdominal aorta and iliac arteries…

Lipoprotein(a): Measurement and Clinical Implications

…associated genetic variants and coronary artery disease. Associations have also been extended to peripheral arterial disease, ischaemic stroke, abdominal aortic aneurysm, and calcific aortic valve…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack (TIA) or stroke…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…hypertension, and concomitant abdominal aortic aneurysm. Clinical Presentation and Symptoms Acute chest and/or back pain is the predominant symptom of both IMH and PAU…

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