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Dix–Hallpike test and Epley manoeuvre

…Retinal detachment. Relative: Marked cervical restriction of movement or pain — use the Semont manoeuvre or the side lying variant of the Dix–Hallpike test. Marked…

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…

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…

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

…to show a colleague. Indications Investigation of chronic cough, dyspnoea, wheeze or reduced exercise capacity. Suspected asthma or COPD — diagnosis and follow up. Risk groups:…

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…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…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…

Edrophonium test

…sick sinus syndrome or high grade AV block without pacemaker protection. Asthma and other marked obstructive airways disease — relative; the risk of bronchospasm is real…

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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