…Evaluation and Physical Examination The evaluation of chronic cough in a patient taking an ACE inhibitor should begin with a comprehensive history and physical examination…

…the tube is safe. A misplaced tube in the airway produces no reliable symptoms in a patient with an impaired cough reflex, and the first…

…subacute worsening of dyspnoea, cough and sputum in particular that exceeds the patient's normal variation and requires a change of treatment. Common precipitants are…

…swelling of the tongue or throat dyspnoea, hypoxia, bronchospasm or severe cough hypotension, collapse, impaired consciousness or new onset marked weakness rapidly progressive symptoms from…

…coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea, wheeze or…

…of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when the…

…wheezing, or coughing before cardiac arrest also speak for anaphylaxis (airway obstruction caused by a foreign body is an important differential). Treatment of anaphylaxis and…

…Marked agitation or inability to cooperate. Copious secretions without an effective cough. Choice of method and settings Condition Method Starting pressure Escalation Oxygen target : : : : : Cardiogenic…

…intense emotion, the sight of blood, unpleasant sights and odors, and orthostatic stress. Situational triggers such as acute hemorrhage, cough, defecation, laugh, micturition, sneeze, swallow…

…be moved. 3. Ensure that the patient is sufficiently deeply sedated or relaxed — a half awake patient coughs, clenches the jaw and develops laryngospasm . 4…

…swallows — the pharyngeal muscles then guide the tip into the oesophagus rather than into the trachea. Coughing, stridor or an inability to speak means malposition…

…Pericardial effusion Pericardial pain is often sharp and pleuritic. It may worsen with inspiration, coughing, lying supine, or swallowing and typically improves when the patient…

…What is useful in practice: An examination couch that can be approached from all sides and on which the patient's head can hang over…

…to diplopia on upward gaze, or the number of seconds the patient can hold the head lifted off the couch. Filming before and during the…

…examination until the position of the placenta is known. Recent gynaecological surgery. Preparation and equipment An examination couch with leg supports, and good, directable lighting…

…and to detect fractures that have occurred or been unmasked. Preparation and equipment An examination couch that can be lowered, preferably allowing the prone position…