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Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

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

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…Rheumatoid arthritis RA is associated with increased carotid intima–media thickness, early plaque formation and coronary microvascular dysfunction. Women with RA were reported to have…

Dix–Hallpike test and Epley manoeuvre

…Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre. Indications Brief attacks of vertigo, seconds to a minute…

Joint aspiration

…slightest suspicion of septic arthritis. If the picture is unclear — aspirate, send a culture, await the result and inject later. Preparation and equipment Chlorhexidine in…

Soft tissue corticosteroid injection

…or other infection over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint prosthesis in the adjacent joint. Known hypersensitivity to the…

Spirometry

…be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea, wheeze or reduced exercise capacity. Suspected asthma or COPD — diagnosis and follow up…

Endotracheal intubation

…cervical collar, rheumatoid arthritis, ankylosing spondylitis MACOCHA is validated for the intensive care patient and totals 12 points: Mallampati III–IV (5 points), obstructive sleep…

Leg ulcers — wound debridement and compression therapy

…to compression The ankle brachial index measured with Doppler determines whether compression may be applied at all, and if so at what pressure. Palpable foot…

Cardiovascular Risk in Women: Sex-Specific Factors

…erythematosus and rheumatoid arthritis, are important risk enhancing conditions and are more prevalent in women. Chronic kidney disease and several other comorbidities also contribute to…

Mitral valve stenosis

…in an increase in left atrial pressure (LAP), which gradually leads to atrial hypertrophy and dilation. Atrial dilation causes a significantly increased risk of atrial…

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