…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…

…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…

…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…

…scleroderma, and during treatment with pulmonary toxic drugs. Contraindications Forced expiration raises the pressure in the thorax, the abdomen, the skull and the eyes. Postpone…

…cautious and consider referral in: Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and…

…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…

…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…

…washout and continuous irrigation in macroscopic haematuria with clots (a three way catheter). Instillation therapy and contrast studies of the urinary tract. Wound healing with…

…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…

…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…