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Pleural aspiration and chest drain

…or when the volume limit is reached. Indications Diagnostic aspiration: a new pleural effusion of unclear cause. An effusion not confidently explained by heart failure…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…is based on the following three components: Cardiac troponins – Elevation of cardiac troponins in peripheral blood is mandatory to establish a diagnosis of myocardial infarction…

Chest Pain in the Emergency Department: Diagnostic Pathways

…such as connective tissue disease. No single pain descriptor is diagnostic. The severity of pain also has limited discriminatory value. Features suggesting myocardial ischaemia Ischaemic…

Acute coronary syndrome: quick reference for loading doses and time targets

…NSTEMI and unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical…

Paracentesis

…commonest error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal…

Pulmonary embolism: quick reference for risk stratification and treatment

… An unstable pulmonary embolism is a reperfusion problem; a stable pulmonary embolism is a diagnostic pathway. The unstable patient Hypotension (systolic < 90 mmHg for…

Ankle-brachial index (ABI)

…An ABI ≤ 0.90 is diagnostic of peripheral arterial disease and at the same time indicates a substantially increased risk of myocardial infarction and stroke…

Sepsis and septic shock: quick reference for the first hour

…Sepsis is a dynamic condition. Investigation and treatment must therefore proceed in parallel and must not wait for complete diagnostic certainty. Sepsis is defined as…

Skin biopsy — punch, shave and excision

…punch in a case of bullous dermatosis misses the subepidermal split. Choose the technique according to the diagnostic question, not according to what is quickest…

Acute Coronary Syndrome: Definitions and Initial Triage

…in symptoms or clinical signs, with or without diagnostic electrocardiographic abnormalities and with or without an acute rise in cardiac troponin. The spectrum ranges from…

Courses
The Normal ECG: From Normality to Pathology

…course you will learn all about the normal ECG, normal variants and diagnosis of pathological findings. A total of 8 lessons will guide you through…

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