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Foreign body in the ear and nose

…majority of cases, and the great majority of objects can be removed in general practice or in the emergency department with simple equipment. Two principles…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus…

Atropine: Dosing in Bradycardia and Its Limitations

…in the early hours following infarction may be associated with hemodynamic compromise. More broadly, bradyarrhythmic arrest and asystole represent severe manifestations of impulse generation or…

Acquired QT Prolongation and Drug-Induced Arrhythmia

…men and 460 ms for women. While there is no absolute QTc threshold at which TdP occurs, a QTc ≥ 500 ms is associated with a…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…guideline discussion. By contrast, the benefit of beta blockers in patients with CAD without previous MI and with normal LVEF is uncertain. Similarly, evidence for…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…the dose of prasugrel; extending DAPT beyond 12 months in carefully selected patients with high ischemic risk and low bleeding risk. These strategies are intended…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…Lesions due to heart surgery Myocarditis Collagen disease Amyloidosis Risk of supraventricular tachyarrhythmia (tachycardia) Sinus node dysfunction is also associated with a high risk of…

Gynaecological examination and cervical smear

Procedurer For many patients a gynaecological examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…Sjögren syndrome, gout and antiphospholipid syndrome (APS). Collectively, these disorders are associated with excess cardiovascular disease (CVD), although the cardiovascular phenotype varies substantially between diseases…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…TIA) or stroke. The risk associated with asymptomatic disease depends substantially on stenosis severity and plaque characteristics. In the general population, the prevalence of asymptomatic…

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