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Otoscopy and ear syringing

…Anticoagulant treatment Bleeding into the ear canal Previous radiotherapy to the head and neck Fragile skin, poor healing Ear canal stenosis or exostoses Narrow and…

Dix–Hallpike test and Epley manoeuvre

…rests on the history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre. Indications Brief attacks…

Acute vertigo: quick reference for HINTS and differential diagnosis

…3]. Step 1: classify by time course and triggers Syndrome Typical course Common or important causes Targeted examination : : : : Acute vestibular syndrome Acute or subacute onset…

Spirometry

…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…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…and the cuticle is the flap of skin that extends from the proximal fold over the base of the plate. Preparation and equipment Chlorhexidine in…

Leg ulcers — wound debridement and compression therapy

…40% within four weeks predicts healing — failure to shrink should prompt reconsideration of the diagnosis. 3. Palpate the pulses and measure the ankle brachial index…

Ankle-brachial index (ABI)

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

Urinary catheterisation

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

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…

The QRS complex: ECG features of the Q-wave, R-wave, S-wave & duration

…endocardium and heading towards the epicardium. As evident from Figure 7 , the vector of the ventricular free wall is directed to the left (and downwards…

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