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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

…and perirectal Often larger than it appears; risk of fistula Surgeon, often operative management Breast Cosmesis, milk ducts, malignancy differential Surgeon or mammography Sole of…

Gynaecological examination and cervical smear

…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…

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