ECG Troponin is a protein complex expressed in cardiac and skeletal muscle. The complex consists of troponin I (TnI) , troponin C (TnC) and troponin T…

Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

…intravenous administration of 1 mg epinephrine. Predominant causes of anaphylactic cardiac arrest include food allergies, insect stings, and drug induced reactions. Approximately 90% of anaphylactic…

…circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect venom or another non food allergen 2. Acute airway, respiratory or circulatory compromise…

…creatinine ≥133 µmol/L Rivaroxaban 20 mg once daily with food 15 mg once daily at eGFR 15 49 mL/min Edoxaban 60 mg once…

…for patients who had coronary syndrome and are at high risk of developing a new event. Administration Ticagrelor can be administered with or without food…

Cardiology Clinical medicine Definition and Pathophysiology Dietary patterns are the overall combinations of foods habitually consumed rather than isolated nutrients considered independently. For cardiometabolic health…

…22 above 70 years, and reduced food intake together form the basis of most screening instruments and should prompt a nutritional assessment. See also unintentional…

…use drugs only in severe agitation or marked distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described as acute brain failure…

…pressure in both arms at the first assessment, particularly in chest pain, back pain or suspected acute aortic syndrome. 5. Use the correct cuff size…

…combination with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with acute coronary syndromes (ACS), including: Unstable angina (UA…

…acute myocardial infarction (AMI). Note that unstable angina pectoris and acute myocardial infarction are categorized under acute coronary syndromes (ACS). Aortic dissection Pneumothorax Pulmonary embolism…

…comes after the injury, not before — and that an edge or a fold presses on a bony prominence until the skin breaks down. An acute…

…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…

…of myocardial infarction and stroke. Indications Intermittent claudication, rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of…

…venous ulcer. After deep vein thrombosis with post thrombotic syndrome. Differential diagnosis Feature Venous ulcer Arterial ulcer Diabetic foot ulcer : : : : Site Gaiter area, above the…

…loosened or avulsed nail plate, or a damaged nail fold edge Nail avulsion and inspection of the nail bed, with suture of any nail bed…

…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…

…to men but a substantially higher rupture risk; one guideline summary describes approximately a four fold greater risk. This difference informs the use of sex…

…Sjögren syndrome, SLE and APS. Some patient groups have a two to three fold greater prevalence of asymptomatic atherosclerotic cardiovascular disease (ASCVD) than the general…

…of myocardial infarction, stroke, end stage renal disease, and death may be two to six fold higher in affected adults. True, apparent, and pseudo resistant…

…particularly stroke. In untreated AF, stroke risk is increased approximately five fold, and AF is associated with roughly one in five strokes. Thrombus formation is…

…milk ducts, malignancy differential Surgeon or mammography Sole of the foot Deep compartments Orthopaedic surgeon Close to large vessels, in the groin or on the…

…plate with a cotton bud, and at the same time fold the lid margin upwards and backwards towards the forehead. Double eversion is achieved by…

…and arrhythmology Drugs and electrolyte imbalance ECG Definition and Pathophysiology Acquired long QT syndrome (LQTS) is characterised by an abnormal prolongation of the QT interval…

…Calf symptoms are typical of femoropopliteal disease. More distal disease may cause foot symptoms, although lower extremity symptoms are much more common than upper extremity…

…or valvular disease Recent (<48 hours) use of dipyridamole or dipyridamole containing medications Ingestion of caffeinated foods or beverages within 12 hours prior to testing