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Soft tissue corticosteroid injection

Procedurer A corticosteroid injection into soft tissue gives rapid but time limited pain relief and rarely alters the natural history of the disease. In lateral…

Antiplatelet Therapy in Secondary Prevention After Myocardial Infarction

…disease, including those with or without previous MI. It is generally continued indefinitely unless contraindications, intolerance, clinically important bleeding, or a competing anticoagulation strategy alters…

Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…functional blocks in a fascicle. This alters the ECG curve in a characteristic fashion which is rather easy to spot. The hallmark of fascicular blocks…

Statin Intolerance and Statin-Associated Muscle Symptoms

…80 years Female sex Low body mass index Asian ancestry Previous muscle disease or a personal or family history of muscle disorders Acute infection Renal…

Heart Failure with Reduced Ejection Fraction (HFrEF)

…diabetes mellitus, and metabolic syndrome [58] . Hypertension and coronary artery disease (CAD) remain the most potent population attributable risk factors. Furthermore, the "obesity paradox"—whereby…

Gastric lavage and activated charcoal

…be discussed later. Lavage must never be performed routinely in poisoning — it rarely alters the course and adds a risk of aspiration. Repeated doses of…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…in the anterior precordial leads. Acute myocardial ischaemia alters the resting membrane potential and action potential duration of affected myocardial cells. The resulting voltage gradient…

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