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Paracentesis

…or catheterise, before puncture Pregnancy, previous extensive abdominal surgery Ultrasound guidance; choose a new site if in doubt Cellulitis over the insertion site Change the…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…Danlos syndrome Inflammatory aortitis, including Takayasu arteritis and giant cell arteritis Bicuspid aortic valve Coarctation of the aorta Previous aortic trauma Pregnancy, particularly the third…

Neutropenic fever: quick reference for emergency management

…Children, pregnant women, patients after allogeneic stem cell transplantation and patients treated with CAR T cells or other advanced immunotherapies may require separate local protocols…

Abdominal Aortic Aneurysm: Screening and Surveillance

…symptoms. Typical acute manifestations include severe pain, hypotension and abdominal tenderness. Leakage or rupture is life threatening and requires emergency operation or endovascular repair. AAA…

Metabolic Syndrome: Definition and Clinical Significance

Cardiology Endocrinology & metabolism Definition and Pathophysiology Metabolic syndrome is a clustering of cardiometabolic abnormalities centred on abdominal adiposity, insulin resistance, dyslipidaemia, elevated blood pressure 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

…new onset marked weakness rapidly progressive symptoms from several organ systems severe abdominal pain or repeated vomiting after probable allergen exposure sudden hypotension or severe…

Anthropometric measurements

…Waist / hip Men 0.90, women 0.85 = abdominal obesity Waist–height ratio Waist / height 0.5 = increased risk, irrespective of sex Mid…

Bone marrow aspiration and biopsy

…red marrow is abundant, and the distance to vessels and abdominal organs is large. The sternum may be used for aspiration when the iliac crest…

Nasogastric tube

…surgical ward. Decompression in severe vomiting where the stomach does not empty. Intraoperatively and postoperatively after major abdominal surgery, according to local practice. Enteral nutrition…

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