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Otoscopy and ear syringing

…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…

Dix–Hallpike test and Epley manoeuvre

…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…

Spirometry

…investigated Relative obstacles also include dementia, marked hearing loss and an inability to understand the instructions — spirometry requires active cooperation. Preparation and equipment Equipment: a…

Acute vertigo: quick reference for HINTS and differential diagnosis

…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…

Ankle-brachial index (ABI)

…rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of a leg ulcer — compression in arterial insufficiency can…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

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

Urinary catheterisation

…or as a substitute for mobilisation and bladder training. Contraindications Type Condition : : Absolute Suspected urethral injury — blood at the meatus, a perineal or scrotal haematoma…

Wound suturing

…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…

P-wave, PR interval, PR segment: physiology, criteria & ECG findings

…V2. lead V5 only notes vectors heading towards the exploring electrode (albeit with somewhat varying angles) and therefore displays a positive P wave throughout. Figure…

Leg ulcers — wound debridement and compression therapy

…ruler in the image. A reduction in size of 40% within four weeks predicts healing — failure to shrink should prompt reconsideration of the diagnosis. 3…

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