…a large change in TSH. During acute illness the TSH can be falsely low or high in the absence of thyroid disease; repeat it once…

…There are in practice no absolute contraindications; suspected spontaneous bacterial peritonitis carries more weight than a deranged coagulation profile . Avoid or modify in: Situation Management…

…Hypocalcaemia , symptomatic. Alkalosis increases the binding of calcium to albumin and lowers ionised calcium further; risk of tetany and seizures. Anuria or established renal failure…

…Notably, 31.2% of patients discharged with intact neurological function were observed to lack a pupillary reflex upon their initial presentation. An absent pupillary reflex…

…same actions (1 through 3) can be carried out by anyone, including laymen without prior training in cardiopulmonary resuscitation (CPR). Prompt delivery of chest compressions…

…traumatic aortic injury. In classic dissection, an intimal tear permits blood to enter the diseased aortic media. Blood then propagates along the wall, creating a…

…reperfusion therapy. This approach fails to identify a substantial proportion of patients with acute coronary occlusion (ACO) who present without diagnostic ST elevation, often resulting…

…is needed for the test to be conclusive. For assessment of function and prognosis, arrhythmia evaluation, known coronary artery disease and evaluation of treatment effect…

…2,3]. Respiratory complications occur, but untreated convulsive status itself carries a considerable risk of hypoxia and respiratory failure. In placebo controlled trials, respiratory depression…

…permanent part of the programme and is widely used — a woman who does not attend for a gynaecological examination, or who prefers to take the…