…or a non healing distal ulcer. Before compression treatment of a leg ulcer — compression in arterial insufficiency can cause necrosis. Screening in diabetes of 10…

…and the examination is needed for the diagnosis. Before audiometry or the fitting of a hearing aid. Recurrent otitis externa in which the wax retains…

…A symptom free interval between attacks, with possible residual unsteadiness. No hearing loss, tinnitus or neurological deficits. In horizontal positional vertigo (lateral semicircular canal) the…

…marked hearing loss and an inability to understand the instructions — spirometry requires active cooperation. Preparation and equipment Equipment: a calibrated spirometer with a daily volume…

…arrhythmia, panic attack, hypoglycaemia History, neurological examination, hearing, cardiac examination, ECG, selective vascular imaging Traumatic or toxic syndrome Onset after trauma, a change in medication…

…absolute contraindications, but be cautious and consider referral in: Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the…

…complete one. Contact the urologist or the surgeon on call for urethrography and suprapubic drainage. Preparation and equipment A sterile catheterisation pack, sterile gloves, chlorhexidine…

…contaminated wounds where a long time has passed since the injury (see below). Be particularly cautious with impaired healing: peripheral vascular disease, diabetes with neuropathy…

…of the P wave, PR interval and PR segment The P wave ECG interpretation usually starts with assessment of the P wave. The P wave…

…Severe pain Titrate the pressure up gradually Rheumatoid arthritis with vasculitis Individual assessment Repeat the ABI every three to six months during ongoing compression therapy…