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Anaphylaxis: quick reference for emergency management

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

Neutropenic fever: quick reference for emergency management

…is an emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let…

Ischemic Cardiomyopathy: Myocardial Viability Assessment and Revascularization

…infarction (MI) is absent. Heart failure (HF) symptoms may result from several overlapping processes: Recurrent or extensive MI with necrosis and scar formation Diffuse myocardial…

Other ECG changes in ischemia and infarction

…and then diminishes again in V6. Refer to Figure 1 . Abnormal R wave progression implies that the gradual increase from V1 to V5 is absent…

Pericardial Effusion & Cardiac tamponade

…or absent pericardium. In case of suspicion of pericardial disease, it is important to conduct a careful investigation as several conditions may affect hemodynamics and…

Acute vertigo: quick reference for HINTS and differential diagnosis

…most important dangerous differential diagnosis. Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal routine neurological examination…

Ambulatory blood pressure monitoring and Holter ECG

…the patient has not kept a diary. The set up and the instructions decide whether the investigation will be usable. Ambulatory blood pressure monitoring (ABPM…

Leg ulcers — wound debridement and compression therapy

…ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the worst case, amputation…

Cardiac Tamponade: Recognition and Pericardiocentesis

…pressures approaching intrapericardial pressure. The jugular venous waveform typically has a prominent x descent and an absent or markedly reduced y descent. The clinical impact…

Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…Signs may be absent in early disease or after effective treatment. HFrEF is commonly associated with structural and functional ventricular abnormalities and progressive neurohormonal activation…

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