…often missed. On medical and geriatric wards a substantial proportion of older patients are affected, and the incidence is particularly high after hip fracture, major…

…A single central feature is enough to proceed with urgent investigation , and a normal CT of the brain does not exclude an infarction in the…

…fatigue, faintness, and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is…

…do so only at the expense of abnormally high filling pressures. The resulting haemodynamic congestion produces a characteristic clinical phenotype of breathlessness, fatigue and oedema…

…fatigue, weight loss, hyperpigmentation, hyponatraemia, hyperkalaemia, postural symptoms. Suspected secondary adrenal insufficiency in pituitary disease, after pituitary surgery or radiotherapy, or with suspected suppression of…

…increased sweating, and muscle fatigue. Although this is a subjective measure, it provides a fairly good estimate of the actual workload. The perceived exertion may…

…Symptomatic patients typically experience fatigue, dizziness, dyspnea, presyncope/syncope, or diminished exercise tolerance. Whenever such symptoms are associated with ECG evidence of sinus node dysfunction…

…of breathing Use of accessory respiratory muscles or paradoxical abdominal breathing Impending muscle fatigue Respiratory rate above 25 to 30 per minute Increased risk of…

Procedurer The value of the exercise test lies not in ST depression alone but in the overall picture : exercise capacity, symptoms, blood pressure response, heart…

…loculated. A loculated collection can produce regional cardiac compression and tamponade even without a large circumferential effusion. Causes Tamponade shares the causes of pericardial effusion…