…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…

…loss of function Orthopaedic or hand surgeon, urgently Perianal and perirectal Often larger than it appears; risk of fistula Surgeon, often operative management Breast Cosmesis…

…is recommended for all examinations of the breasts, the genitalia and the rectum. Ask about pregnancy, menstrual status, previous smear results and any previous conisation…