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Lumbar puncture

…care programme for bacterial CNS infections states that CT must not be performed before lumbar puncture in suspected bacterial meningitis — not even with a reduced…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…go unnoticed for many years. Occasionally, major defects may go unnoticed until adulthood. Echocardiography in CHD Echocardiography is performed in all patients with suspected CHD…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…accelerated algorithm has already been initiated. Evaluation and Physical Examination Patients with suspected ACS should undergo expedited emergency department assessment. The initial evaluation includes: Targeted…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…nurses, paramedics and physician assistants who rely on such books will realize their shortcomings at their first encounter with an ECG in reality. Books that…

Artifacts in ultrasound imaging

…structures ( i.e structures with high echogenicity). For each reflection, a portion of the sound waves return to the transducer and produce a copy of…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…sex , and race based percentile Comparison with the expected score for a person of the same age and sex CAC may also reveal extracoronary findings…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…sensitivity but high specificity with respect to detecting atrial enlargement. Left atrial enlargement is also referred to as P mitrale , and right atrial enlargement is…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…in patients with established atherosclerotic disease. Readiness and behavioural context A brief, structured intervention should be used whenever smoking is identified. During encounters with smokers…

Atrioventricular nodal reentry tachycardia (AVNRT): ECG features & management

…intraventricular conduction defect. The ventricular rhythm is regular (as is the atrial) with a rate ranging between 150 and 250 beats per minute. The P…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

…and arrhythmology ECG Mechanisms of cardiac arrhythmias: from automaticity to re entry This section introduces the most common arrhythmias encountered in clinical practice, beginning with…

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