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Abdominal Aortic Aneurysm: Screening and Surveillance

…cumulative incidence. The source material does not provide a detailed standardized physical examination protocol beyond assessment for a pulsatile abdominal mass and associated manifestations. Screening…

Metabolic Syndrome: Definition and Clinical Significance

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

Paracentesis

…in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and…

Clinical application of ECG in chest pain & acute myocardial infarction

…palpitations, back pain and selected cases of upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and mortality substantially in…

Anaphylaxis: quick reference for emergency management

…Skin symptoms may be absent, and circulatory shock does not have to be present for the condition to be serious [1]. Intramuscular adrenaline (epinephrine) is…

Anthropometric measurements

…population measure that performs poorly at the level of the individual: it does not distinguish muscle from fat and takes no account of fat distribution…

Bone marrow aspiration and biopsy

Procedurer Aspirate and biopsy answer different questions and do not replace one another: the aspirate shows cellular morphology and provides material for flow cytometry and…

Nasogastric tube

…The tube is not, however, indicated routinely after uncomplicated abdominal surgery — it prolongs the time to return of bowel function without reducing the risk of…

Spirometry

…gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known lung disease. Follow up of treatment effect and of…

Diuretic Strategy and Decongestion in Heart Failure

…renal function does not necessarily indicate reduced cardiac output or impaired renal perfusion. Many patients have preserved cardiac output; increased venous and intra abdominal pressures…

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