…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…

…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…

…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…

…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…

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…

…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…

…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…

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

…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…

…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…

…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…

…breathlessness, orthopnea, weight gain, peripheral edema, early satiety, abdominal distension and, in some patients, bendopnea. Congestion may also aggravate functional mitral regurgitation, ventricular dilatation, myocardial…

…have also been extended to peripheral arterial disease, ischaemic stroke, abdominal aortic aneurysm, and calcific aortic valve stenosis. Lp(a) is not associated with venous…

…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…

…altered shear stress and intimal injury promote atherosclerosis. The principal anatomical distributions are: Abdominal aorta and iliac arteries, involved in approximately 30% of symptomatic patients…

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

…first only if this does not delay treatment. Plus fluid and glucose Adrenal crisis: hypotension that does not respond to fluid, abdominal pain, vomiting, fever…

…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…

…should include: palpation of peripheral pulses; auscultation for carotid, femoral, and abdominal bruits; bilateral brachial blood pressure measurement; cardiac auscultation; inspection of the legs and…

…diagnosis is delayed. The typical presentation is sudden onset, severe chest, back or abdominal pain. Pain may be described as ripping, tearing, sharp or stabbing…

…and improves walking distance. The role of PCSK9 inhibition in thoracic or abdominal aortic aneurysmal disease remains an emerging area of research. Pharmacological Classes and…

…high non HDL cholesterol, hypertension, smoking, abdominal obesity, and diabetes. Behavioural factors also make a substantial contribution to all cause mortality, while low educational attainment…

…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…

…ventricular fibrillation (VF). Clinical presentation Confusion Abdominal pain Hypotension Arrhythmias and ECG changes Cardiac arrest Treatment Furosemide 1 mg/kg IV. Hydrocortisone 300 mg IV…