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Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…of the QRS complexes vary from one beat to another (in the same lead). This is due to the swinging back and forth of the…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…cardiovascular risk. Dyslipidaemia may be difficult to interpret during active disease: inflammatory cytokines can lower LDL and HDL concentrations while increasing the atherogenic index, a…

Dix–Hallpike test and Epley manoeuvre

…manoeuvre. Indications Brief attacks of vertigo, seconds to a minute or so, that are provoked by a change of position — turning over in bed, lying…

Joint aspiration

…pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease. Contraindications Infection of the skin or soft…

Soft tissue corticosteroid injection

…over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint prosthesis in the adjacent joint. Known hypersensitivity to the preparations. Relative: Poorly…

Spirometry

…symptoms, and occupational exposure to dust, gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known lung disease. Follow…

Endotracheal intubation

…during airway management , and both are predictable. Indications Inability to protect the airway: reduced level of consciousness, loss of pharyngeal reflexes, vomiting with a risk…

Leg ulcers — wound debridement and compression therapy

…Severe pain Titrate the pressure up gradually Rheumatoid arthritis with vasculitis Individual assessment Repeat the ABI every three to six months during ongoing compression therapy…

Cardiovascular Risk in Women: Sex-Specific Factors

…premature menopause and subsequent hypertension or diabetes are insufficient to support firm conclusions. Systemic inflammatory and autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis…

Mitral valve stenosis

…Rheumatic heart disease Congenital mitral stenosis Calcification of the mitral valve Complications to radiation therapy Mucopolysaccharidosis Carcinoid tumor Systemic lupus erythematosus (SLE) Rheumatoid arthritis (RA…

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