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Neutropenic fever: quick reference for emergency management

…new confusion, tachypnoea, hypotension, rigors, abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…represent coronary atherothrombotic events in the setting of a stent thrombosis or restenosis. Type 1 myocardial infarction Definition and pathophysiology Type 1 MI results from…

Acute exacerbation of COPD: quick reference

…set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas determines the need for…

Hypoglycaemia: quick reference for emergency management

…a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit. Hypoglycaemia can cause hemiparesis, aphasia and radiological changes…

Upper gastrointestinal bleeding: quick reference

…of the bleeding clinically Signs of major or ongoing bleeding are: hypotension or a postural drop tachycardia a cold periphery and delayed capillary refill confusion…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…with diabetes and becomes more common with advancing age. Presentations without pain may include: Sudden breathlessness Syncope or sudden loss of consciousness Confusion Profound weakness…

Acute severe asthma in adults: quick reference

…Other Moderate work of breathing Accessory muscle use Cyanosis, exhaustion, hypotension or collapse The classification is based on a combination of clinical findings, oxygenation and…

Hyponatraemia: quick reference for work-up and correction

…least 48 hours Unknown Treated as chronic with respect to the correction limits The brain adapts to prolonged hypotonicity by extruding electrolytes and organic osmolytes…

Cardiac arrest due to electrolyte imbalance

…apathy, confusion, impaired reflexes. Severe <115 mmol/L Seizures, coma, respiratory arrest, brainstem herniation and death. Table 2. Grading of hyponatremia. Hypernatremia Hypernatremia does not…

Left bundle branch block (LBBB) in acute myocardial infarction: the Sgarbossa criteria

…lead to confusion between LBBB and acute STEMI. In fact, studies have shown that LBBB is the most common cause of false activations of the…

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