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Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

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

Clinical application of ECG in chest pain & acute myocardial infarction

…Other symptoms include dyspnea, pain radiating to the left arm/shoulder/throat, palpitations, back pain and selected cases of upper abdominal pain. An ECG recording…

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…

Immediate Management of Type A and Type B Aortic Dissection

…back or abdominal pain. Pain may be described as ripping, tearing, sharp or stabbing. Its location and radiation may reflect the segment of aorta involved…

Acute exacerbation of COPD: quick reference

…of breathing Use of accessory respiratory muscles or paradoxical abdominal breathing Impending muscle fatigue Respiratory rate above 25 to 30 per minute Increased risk of…

Opioids in acute pain: quick reference for dosing and conversion

…opioid at the same time. Opioids in abdominal pain of unclear cause do not delay the diagnosis and should be given, but document the examination…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…minutes of standing to determine if orthostatic hypotension is present. High risk features on history include: New onset of chest discomfort, abdominal pain, shortness of…

Anaphylaxis: quick reference for emergency management

…severe abdominal pain or repeated vomiting after probable allergen exposure sudden hypotension or severe bronchospasm during anaesthesia, a drug infusion or the administration of contrast…

Paracentesis

…paracentesis: Newly detected ascites — always. Every admission of a patient with known ascites. Clinical deterioration in a cirrhotic patient with ascites: fever, abdominal pain, encephalopathy…

Obesity and Cardiovascular Disease: Assessment and Treatment

…European populations, waist circumference above 94 cm in men or 80 cm in women is considered indicative of obesity or excess abdominal adiposity. Ethnic specific…

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