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Leg ulcers — wound debridement and compression therapy

…4. Culture only in the presence of clinical signs of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only…

Skin biopsy — punch, shave and excision

…A pot of 4 % formalin, and for immunofluorescence Michel's medium or saline according to local procedure. Photograph and draw in the site before the…

Cryotherapy of skin lesions

…pigmented lesion of uncertain diagnosis. A lesion in which histology is needed for management. Cryoglobulinaemia, cold agglutinin disease, cold urticaria. Relative: Basal cell carcinoma and…

Primary Aldosteronism: Screening and Management

…induces expression of aldosterone responsive genes. Although the kidney is a major target—where MR activation promotes sodium transport—MRs are also present in cardiac…

Pulmonary stenosis

…disease : Carcinoid syndrome is a paraneoplastic syndrome that occurs due to carcinomas secreting kallikrein and serotonin. In the heart, this can lead to thickening of…

Pulmonary regurgitation

…The regurgitation results in blood flowing back from the pulmonary artery into the right ventricle during diastole. The most common cause of abnormal pulmonary regurgitation…

Tricuspid regurgitation (TR/TI)

…1). Carcinoid heart disease. Endocarditis (common in intravenous drug addicts). Myxomatous degeneration. Rheumatic heart disease. Dilatation of the right ventricle. Dilatation of the right atrium…

Mitral valve stenosis

…Coronary Arteries. Mitral valve disease A wide range of conditions may cause mitral valve disease, which results in changes in the pressure volume relationships in…

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