Articles & courses

Articles
Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…Infections are difficult to heal because the heart valves are not vascularized and therefore it is difficult for the immune system to reach the bacteria…

Paracentesis

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

Lumbar puncture

…the interspaces between the spinous processes. Sitting and leaning forward is an alternative when the lateral position does not work, but the opening pressure cannot…

Isoprenaline and Dopamine Infusions for Bradycardia

…The underlying pathophysiology varies widely and may involve intrinsic cardiac disease, extrinsic systemic conditions, or pharmacologic effects. Inflammatory heart disease, caused by infections (viral, bacterial…

Acute exacerbation of COPD: quick reference

…titrated cautiously and the blood gas determines the need for ventilatory support . At the same time, exacerbation is a clinical syndromic diagnosis, not a sufficient…

Common laboratory tests

…age and pregnancy Procalcitonin < 0.25 µg/L Supports a bacterial aetiology; used to guide antibiotic therapy Glucose and lipids Test Threshold Comment : : : Fasting…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…source.gif). ECG changes caused by pericardial effusion and cardiac tamponade Small amounts of pericardial effusion may not cause any ECG changes. Significant pericardial effusion…

Empirical antibiotic therapy: quick reference for common infections

…cholecystitis, diverticulitis and pancreatitis, antibiotics are given only in certain more severe cases. CNS and other Diagnosis Agent Dose Duration : : : : Bacterial meningitis, initial therapy (after…

Spirometry

…a disposable mouthpiece with a bacterial filter, a nose clip, a chair with armrests, a bronchodilator with a spacer, and current reference values (GLI 2012…

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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