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Digoxin: Dosing, Therapeutic Range and Toxicity Management

…Several underlying conditions increase a patient's sensitivity to digitalis related arrhythmias. The clinician must evaluate for the presence of worsening renal function, advanced age…

Gynaecological examination and cervical smear

…quality — a relaxed patient is easier to examine. Indications Symptoms: bleeding outside menstruation, postmenopausal bleeding, discharge, itching, burning, pelvic pain, dyspareunia. Cervical cancer screening according…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

🟠 Adjusted aortic root dimension

…The sinus of Valsalva diameter (SOVd) is a critical measurement in evaluating aortic root morphology. Age stratified formulas help determine expected normal values based on…

🟠 eGFR with MDRD

…Glomerular Filtration Rate (eGFR) is: eGFR = 175 × (Scr)^ 1.154 × (Age)^ 0.203 × (0.742 if female) × (1.212 if African American)…

Cardiac arrest during pregnancy and childbirth

…either within or outside the hospital, prompt communication with an obstetrician and neonatologist is critical. Cardiopulmonary resuscitation (CPR) should generally adhere to the standard adult…

Heart Failure with Reduced Ejection Fraction (HFrEF)

…Definition and terminology Heart failure (HF) is a complex clinical syndrome characterized by symptoms and signs resulting from structural or functional impairment of ventricular filling…

Deceased donor organ donation

… warm ischaemic time is the limiting factor The time critical element The diagnosis and the donor care The time from withdrawal of treatment to circulatory…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms or signs…

Brugada Syndrome: Diagnosis & SCD Prevention

…BrS is characterized by a distinct electrocardiographic (ECG) signature—coved ST segment elevation in the right precordial leads—and a propensity for life threatening polymorphic…

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