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Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

Echocardiography Endocarditis Endocarditis implies that a bacterial infection engages the heart valves and this is a serious condition. The focus of infection on the flap…

Paracentesis

…should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and peritonism and instead presents as encephalopathy, renal failure or simply deterioration…

Lumbar puncture

…the right place. In suspected bacterial meningitis it is the time to antibiotics that saves the patient — the puncture must never delay it. Indications Suspected…

Isoprenaline and Dopamine Infusions for Bradycardia

…cardiac disease, extrinsic systemic conditions, or pharmacologic effects. Inflammatory heart disease, caused by infections (viral, bacterial, protozoal, fungal, parasitic), autoimmune processes (giant cell myocarditis, sarcoidosis…

Acute exacerbation of COPD: quick reference

…change of treatment. Common precipitants are viral infection, bacterial infection and air pollution, but often no definite trigger can be identified [1,2]. Ask specifically…

Common laboratory tests

… raised by anaemia, age and pregnancy Procalcitonin < 0.25 µg/L Supports a bacterial aetiology; used to guide antibiotic therapy Glucose and lipids Test…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…of pericardial effusion and cardiac tamponade The most common cause of pericardial effusion is infections, such as viral, bacterial, and tuberculous infections. Post pericardiotomy syndrome…

Empirical antibiotic therapy: quick reference for common infections

…antibiotics are given only in certain more severe cases. CNS and other Diagnosis Agent Dose Duration : : : : Bacterial meningitis, initial therapy (after corticosteroid) cefotaxime plus ampicillin…

Spirometry

…equipment Equipment: a calibrated spirometer with a daily volume check (a 3 litre calibration syringe), a disposable mouthpiece with a bacterial filter, a nose clip…

Cardiac Tamponade: Recognition and Pericardiocentesis

…associations include: Idiopathic or viral pericarditis Malignant pericardial disease Tuberculosis Purulent or bacterial pericarditis Trauma Cardiac surgery and other iatrogenic cardiovascular procedures Acute aortic disease…

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