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Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…pericardiotomy syndrome. Acute transmural myocardial infarction. Rupture of the free ventricular wall. Neoplasms (particularly breast and lung cancer). Inflammatory conditions, such as rheumatoid arthritis, systemic…

Abscess incision and drainage

…argue for the operating theatre rather than the emergency room: a very large or deep abscess, a markedly unwell patient with fever and systemic upset…

Gynaecological examination and cervical smear

…information about each step, take place with the patient's ongoing consent, and be able to be stopped at any moment. A trauma informed approach…

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