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Dix–Hallpike test and Epley manoeuvre

…canal) the supine roll test is used for diagnosis, and the barbecue roll or the Gufoni manoeuvre for treatment. Contraindications Absolute: Unstable cervical spine injury…

Inotropes and vasopressors: doses, indications, contraindications and effects

…with inotropic and vasopressor effects, and they often need to be combined in order to optimise or correct the haemodynamics. Most agents exert both vasopressor…

Leg ulcers — wound debridement and compression therapy

Procedurer Compression is the treatment that heals venous leg ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…proximal fold over the base of the plate. Preparation and equipment Chlorhexidine in alcohol or an iodine solution. Lidocaine 10 mg/mL without adrenaline for…

Acute vertigo: quick reference for HINTS and differential diagnosis

…brief attacks. Lying down, turning over in bed or looking up triggers a new attack. A patient with vestibular neuritis or stroke, by contrast, is…

Ambulatory blood pressure monitoring and Holter ECG

…Suspected paroxysmal atrial fibrillation, including after cryptogenic stroke. Evaluation of antiarrhythmic treatment or pacemaker function. Suspected bradyarrhythmia or pauses, particularly at night. Symptom–rhythm correlation…

Intensive care parameters

…weight heparin unless contraindicated Head of the bed 30–45° Stress ulcer prophylaxis During mechanical ventilation, in coagulopathy, or with a history of gastrointestinal bleeding…

Right ventricular strain: definition, causes, echocardiography

…assessed using echocardiography. A common question is the presence of right ventricular load. This condition implies that the right ventricle is pressure and/or volume…

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