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Hypertensive Emergency and Urgency: Differentiation and Treatment

…seizures, cortical blindness, and, in advanced cases, loss of consciousness. Focal neurological findings are uncommon in hypertensive encephalopathy and should prompt consideration of stroke. Acute…

Gynaecological examination and cervical smear

…dyspareunia. Cervical cancer screening according to the national programme. Checking an intrauterine device or a pessary. Assessment of prolapse. Sampling for a suspected sexually transmitted…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…and these must also be recognized. Prompt identification of LMCA involvement is therefore critical. The 12 lead electrocardiogram (ECG) is an immediately available diagnostic tool…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…lesions can cause acute severe regurgitation, a left to right shunt, tamponade, or sudden loss of effective cardiac output. Their recognition is essential because treatment…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

Cardiology Critical care Pharmacology & dosing Definition and Pathophysiology In the management of acute heart failure and cardiogenic shock, intravenous vasoactive agents are categorised according to…

Atrial Fibrillation in the Critically Ill Patient

…the risk of stroke and other thromboembolic events. Subclinical cerebral injury may contribute to vascular dementia, and thromboembolism may affect organs other than the brain…

Isoprenaline and Dopamine Infusions for Bradycardia

Arrhythmias and arrhythmology Critical care Pharmacology & dosing Definition and Pathophysiology Bradycardia and conduction disorders arise from dysfunction within the sinus node, the atrioventricular node (AVN…

The chain of survival in sudden cardiac arrest

CPR Time is the most critical factor for survival in cardiac arrest. Life saving interventions must be initiated momentarily to maximize the probability of survival…

🟠 Adjusted aortic root dimension

[calc_aorta] Sinus of Valsalva (SOV) and Aortic Root Assessment The sinus of Valsalva diameter (SOVd) is a critical measurement in evaluating aortic root morphology…

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…Relevance The shunt fraction (Qp/Qs) is a critical hemodynamic parameter used to quantify the ratio of pulmonary blood flow (Qp) to systemic blood flow…

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