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Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…cell recruitment, extracellular matrix remodelling, and thrombosis interact to produce focal arterial lesions. Although epicardial coronary arteries are a major site of disease, atherosclerosis is…

Acute vertigo: quick reference for HINTS and differential diagnosis

…most important dangerous differential diagnosis. Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal routine neurological examination…

Lumbar puncture

…known malignancy, immunosuppression, papilloedema or new focal neurological signs — CT is performed first. Preparation and equipment Informed consent, coagulation status and an up to date…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…haemorrhage within the aortic media without an identifiable communication between the aortic lumen and the haematoma and without a visible intimal flap or false lumen…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…Conversely, certain macroreentrant atrial tachycardias (MRATs) that traverse protected anatomical areas may display a focal atrial tachycardia pattern on the ECG, characterized by discrete P…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…carotid stenosis have no focal neurological symptoms. Asymptomatic disease may be discovered during targeted duplex ultrasound (DUS), pre operative assessment, or evaluation of other atherosclerotic…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…and infarction Definition and therapeutic rationale Multivessel coronary artery disease (CAD) refers to clinically significant atherosclerotic disease affecting two or more major epicardial coronary arteries…

Acute exacerbation of COPD: quick reference

…with raised pCO₂ Acute or acute on chronic hypercapnic respiratory failure Rapidly falling pH An urgent ventilatory problem Focal chest pain or unilaterally reduced breath…

Alcohol withdrawal and delirium tremens: quick reference

…illness or after prolonged very high intake More than 90 percent of withdrawal seizures occur within 48 hours. Seizures later than this, focal seizures or…

Hypertensive crisis: quick reference for acute blood pressure lowering

…4]. Step 2: look systematically for acute organ damage Organ or condition Findings to look for Initial investigation : : : CNS Confusion, reduced consciousness, visual disturbance, foca

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