…compression may be applied at all, and if so at what pressure. Palpable foot pulses are not an acceptable substitute, and in patients with diabetes…

…cold foot gives falsely low pressures. No smoking or coffee in the preceding hour. Remove socks and any compression stockings. Avoid measuring the arm pressure…

…antibiotics are the treatment. Ultrasound shows the abscess as a hypoechoic or heterogeneous area whose contents move under pressure; cellulitis instead gives a diffuse oedematous…

…term hypertensive urgency is best avoided. It implies that an asymptomatic rise in blood pressure must be treated urgently, which is not supported by evidence…

…red meat. The principal evidence supported patterns are Mediterranean type and DASH style diets. Their effects are multidimensional and cannot be adequately inferred from changes…

…major surgery and intensive care [1,2]. The condition is associated with falls, aspiration, pressure sores, loss of function, longer length of stay, institutional care…

…risk factors, type of symptoms etc. Chest pain is one of the most nuanced symptoms in clinical practice and it is fundamental to be able…

…disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia…

…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…

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…

…resuscitation (CPR) algorithm, incorporating an intravenous administration of 1 mg epinephrine. Predominant causes of anaphylactic cardiac arrest include food allergies, insect stings, and drug induced…

…be suspected? Anaphylaxis is a clinical diagnosis. Treat as anaphylaxis in any of the following: 1. Acute onset of skin or mucosal symptoms , for example…

…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…

…or a prior heart attack and a high risk of developing an atherothrombotic event. Contraindications Hypersensitivity to the active substance or any excipient. Active bleeding…

…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…

…Prasugrel can be taken with or without food. Administering a 60 mg loading dose on an empty stomach may provide the fastest onset of effect…