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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

…a cryoprobe for contact technique. Cotton buds for small lesions (these give a more superficial and less controllable depth of freeze). A size 15 scalpel…

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

…of symptoms etc. Chest pain is one of the most nuanced symptoms in clinical practice and it is fundamental to be able to differentiate benign…

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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