Articles & courses

Articles
Lumbar puncture

…clinical care programme for bacterial CNS infections states that CT must not be performed before lumbar puncture in suspected bacterial meningitis — not even with a…

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…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…required to become vulnerable and contaminated by bacteria . Infections are difficult to heal because the heart valves are not vascularized and therefore it is difficult…

Paracentesis

…commonest error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal…

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

…the same time, exacerbation is a clinical syndromic diagnosis, not a sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure…

Common laboratory tests

…L (women 10–150) An acute phase protein — a normal ferritin does not exclude iron deficiency in the presence of inflammation Transferrin saturation 15–50 %…

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…

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

…absent or markedly reduced y descent. The clinical impact depends not only on effusion volume but also on the rate of fluid accumulation, pericardial distensibility…

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