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Dix–Hallpike test and Epley manoeuvre

…to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can otherwise be hard to see, particularly when the patient…

Cardiac arrest due to pneumothorax

…While this can occasionally be benign and manifest even in healthy individuals, a tension pneumothorax arises when the volume of air is substantial enough to…

Acute vertigo: quick reference for HINTS and differential diagnosis

…targeted examination. The patient's description of the quality of the dizziness — rotatory vertigo, unsteadiness or faintness — discriminates poorly between dangerous and benign causes. Ask…

Cryotherapy of skin lesions

…margin must be included in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is…

Approach to patients with chest pain: differential diagnoses, management & ECG

…table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed above…

Cardiac tumors

…often exhibits cavities, which consist of hemorrhages in the tumor. Polypoid myxoma usually causes haemodynamic complications due to obstruction. Papillary myxomas are small; they have…

Early repolarization pattern on ECG (early repolarization syndrome)

…ventricular fibrillation. The combination of early repolarization pattern on ECG and ventricular fibrillation or sudden cardiac arrest is referred to as early repolarization syndrome . Early…

Sinus arrhythmia (respiratory sinus arrhythmia)

…likely that the arrhythmia is benign; otherwise further examination is warranted. Figure 1. Sinus arrhythmia (respiratory sinus arrhythmia). Treatment of sinus arrhythmia Sinus arrhythmia is…

Ventricular Tachycardia

…and clinical presentation of VT, with a deep dive into the underlying etiologies ranging from benign idiopathic variants to complex scar related and genetic substrates…

Early repolarization on ECG: when guidelines confuse ECG criteria

…confused a completely benign condition (male/female pattern) with a condition which is associated with 5 times as great a risk of sudden cardiac death…

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