…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…

…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…

…the end of the couch when laid down. 2. Turn the head 45° to the right. 3. Support the head and lay the patient quickly…

…lateral to the coracoid process, is an alternative but lies closer to the brachial plexus and the vessels. The elbow The elbow is flexed to…

…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…

…aside time, coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea…

…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…

…of other cause As above Severe pain Titrate the pressure up gradually Rheumatoid arthritis with vasculitis Individual assessment Repeat the ABI every three to six…

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

…whereas the posteromedial papillary muscle receives blood supply from either LCX or the right coronary artery (RCA). For details, refer to chapter The Coronary Arteries…

…as follows: Rheumatoid arthritis (RA) Systemic Lupus Erythematosus (SLE) Acute myocardial infarction (AMI) Post infarction (including Dressler syndrome) Uremia Radiation to the heart Trauma Tuberculousis…

…or process. Although Type 1 MI and acute coronary syndromes are commonly related to atherothrombotic events, myocardial ischaemia may also result from other mechanisms. Differential…

…s arteritis Iatrogenic (e.g complication of catheterization) Congenital dysplasia/aplasia of the pulmonary valve Idiopathic pulmonary artery dilation Pulmonary regurgitation results in right ventricular…

…without a visible intimal flap or false lumen. It is commonly attributed to rupture of the vasa vasorum, although improved imaging demonstrates small intimal disruptions…