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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…melanoma (a pigmented longitudinal nail band that is widening, with pigment in the cuticle — Hutchinson's sign). An open fracture of the distal phalanx with…

Casting and immobilisation

…padding, folds and lumps are the commonest cause of pressure sores. 4. Dip the plaster in tepid water and squeeze out the excess without wringing…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…to three fold greater prevalence of asymptomatic atherosclerotic cardiovascular disease (ASCVD) than the general population. The evidence for premature atherosclerosis is particularly strong in RA…

Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…increased approximately five fold, and AF is associated with roughly one in five strokes. Thrombus formation is most commonly related to the left atrial appendage…

Cardiac troponin I (TnI) and T (TnT): Interpretation and evaluation in acute coronary syndromes

…3 fold higher in healthy elderly compared with healthy young individuals. Similarly, subjects with severely reduced glomerular filtration rate (GFR) have up to 3 fold…

Eye examination and corneal foreign body

…the eye with a rigid shield, give systemic antibiotics and contact an ophthalmologist urgently . A positive Seidel's sign. A foreign body centrally in the…

Urinary alkalinisation

…serum concentration. Alkalinisation increases renal elimination several fold and at the same time reduces the passage of salicylate into the central nervous system. Contact your…

Dietary Patterns and Cardiovascular Outcomes

…associated with reductions in sudden cardiac death and atrial fibrillation. Dietary quality also affects energy balance. Highly processed foods may promote greater ad libitum intake…

Type 2 Diabetes and Cardiovascular Risk Management

…condition. It is associated with a two to four fold increase in lifetime cardiovascular disease (CVD) risk and approximately doubles cardiovascular risk on average. Its…

Abdominal Aortic Aneurysm: Screening and Surveillance

…rapidly. Rapid enlargement is defined in the source recommendations as at least 10 mm per year or at least 5 mm over 6 months. Such…

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