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Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…cough, defecation, laugh, micturition, sneeze, swallow, and postprandial states. In some instances, patients may present with adenosine sensitive syncope, a subtype of reflex syncope that…

Acute exacerbation of COPD: quick reference

…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…

ACE Inhibitor Cough and Angioedema: Practical Management

…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…

Nasogastric tube

…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…

Anaphylaxis: quick reference for emergency management

…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…

Spirometry

…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…

CPAP and non-invasive ventilation (NIV)

…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…

Dix–Hallpike test and Epley manoeuvre

…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…

Edrophonium test

…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…

Gynaecological examination and cervical smear

…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…

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