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Alcohol withdrawal and delirium tremens: quick reference

…part via NMDA receptors. With prolonged alcohol exposure the nervous system adapts through reduced GABA mediated inhibition and increased glutamatergic activity. When the alcohol level…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

Arrhythmias and arrhythmology Cardiology Definition and Pathophysiology Vasovagal syncope represents the most common form of neurally mediated syncope (NMS), a disorder of autonomic reflexes. It…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…an inherited disorder characterized by persistently elevated plasma low density lipoprotein cholesterol (LDL C) from early life and a consequent excess risk of premature atherosclerotic…

Blood gas interpretation: quick reference for acid-base disorders

…Skipping a step is a common reason why mixed acid base disorders are missed. The blood gas describes the physiology at the moment of sampling…

Cardiac arrest due to electrolyte imbalance

…managed as chronic hyponatremia. Degree of hyponatremia P/S Na + Common effects Mild 130 125 mmol/l Cognitive disorders, vertigo, balance disorder. Moderate 115 125…

Preeclampsia and Hypertensive Pregnancy Disorders as Future Cardiovascular Risk

…precise mechanism of preeclampsia remains incompletely established. Proposed contributors include chronic uteroplacental ischaemia, an exaggerated maternal inflammatory response, and disturbed angiogenic signalling. A central biochemical…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…the discomfort of angina pectoris but typically occurs at rest, is more severe, and lasts longer. The pain usually involves the central portion of the…

Chest Pain in the Emergency Department: Diagnostic Pathways

…2–6% of patients discharged with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations The central pathophysiological concern…

Differential Diagnosis of Chest Pain: A Clinical Overview

…Malignancy: A history suggesting an autoimmune disorder or known malignancy may suggest specific, nonidiopathic etiologies [2]. Summary of Pain Characteristics The following table synthesizes the…

ECG changes due to electrolyte imbalance (disorder)

…of serious arrhythmias. This is possible because there is a correlation between the severity of electrolyte imbalance and the visible ECG changes. Specific electrolyte disorders…

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