Articles & courses

Articles
Skin biopsy — punch, shave and excision

…without a definite diagnosis. Choice of technique Diagnostic question Method Comment : : : Pigmented lesion, suspected melanoma Excision with a 1–3 mm margin, down into the…

🟠 CHADS-VA Bleeding Risk Score

…It is a modification of the widely used CHA₂DS₂ VASc score, with the primary distinction being the exclusion of sex parameter (female sex) as a…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…obstructed. Exclusion of coronary dissection compromising the true lumen. Assessment for thrombus, distal embolization, abrupt closure, or perforation. Evaluation of distal flow and myocardial perfusion…

🟠 Prasugrel (Effient, Efient, Prasita)

…History of stroke or transient ischemic attack (TIA). Severely impaired liver function classified as Child Pugh Class C. Dosage Adults Initial dose : A single loading…

Electrical cardioversion

…of adequate anticoagulation before cardioversion — an INR ≥ 2.0 checked weekly on warfarin, or documented well managed DOAC therapy with no missed doses. A single…

M-mode (motion mode) echocardiography

…single ultrasound line, its temporal and axial resolution is very high, as compared with 2D echocardiography. M mode is useful for quantifying the mobility of…

Invasive Coronary Angiography: Indications and Vascular Access

…on non invasive testing. Symptoms that are strongly suggestive of obstructive CAD. Uncertain or inconclusive non invasive test results, when confirmation or exclusion of ob

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