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Joint aspiration

…Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease. Contraindications Infection of the skin or soft tissues over the puncture site — use…

Reduction of dislocations

…oxide Rapid onset and offset; the patient cooperates Intra articular local anaesthesia Lidocaine into the glenohumeral joint in shoulder dislocation, with an effect equivalent to…

Secondary Hypertension: When and How to Investigate

…impairment to develop, leaving persistent hypertension despite correction of the initiating disorder. Earlier diagnosis is associated with a greater likelihood of cure. When to investigate…

Acute exacerbation of COPD: quick reference

…an acute or subacute worsening of dyspnoea, cough and sputum in particular that exceeds the patient's normal variation and requires a change of treatment…

Obesity and Cardiovascular Disease: Assessment and Treatment

…In clinical practice, obesity is conventionally defined by a body mass index (BMI) of ≥30 kg/m2. Severe obesity is generally defined as BMI ≥35…

Assessment of diastolic function by echocardiography

…across the mitral valve using pulsed Doppler. Estimating left ventricular filling pressure via e' . Measurement of deceleration time (DT) . Diastolic function can be estimated from…

Optimization of the ultrasound image

…of interest; e.g the aortic valve can be zoomed in to study its anatomy and function. Zooming in improves the resolution in a particular…

Overview of atrioventricular (AV) blocks

…the ventricles. First degree AV block is rarely serious and may be left untreated in the vast majority of cases (exceptions are discussed later). Second…

Pericardial Effusion & Cardiac tamponade

…in particular computed tomography (DT) and/or magnetic resonance imaging (MRI). Anatomy of the pericardium The pericardium consists of a parietal layer and a visceral…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…Causes of acute pericarditis/myocarditis The most frequent cause of pericarditis is infections, in particular viral infections. This explains why pericarditis may affect individuals of…

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