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Gynaecological examination and cervical smear

…technically correct performance is only half the task. The examination must be preceded by information about each step, take place with the patient's ongoing…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…chemistry & laboratory medicine Emergency medicine Myocardial ischemia and infarction Definition and Pathophysiological Basis High sensitivity cardiac troponin (hs cTn) assays detect circulating troponin released from…

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

…therefore requires individualized balancing of ischemic and bleeding hazards. High bleeding risk (HBR) should be assessed in a structured manner. Within the ARC HBR framework…

🟠 Lipid lowering therapy after ACS

Initial Focus: High potency statin therapy is foundational unless contraindicated. Combination Therapy: Ezetimibe is the next step if LDL C targets are not met with…

🟠 Hydralazine

Hydralazine Hydralazine is not preferred for hypertensive emergencies due to the high risk of reflex sympathetic stimulation. Drug Hydralazine Brand names Apresoline ®, Bidil ®…

ApoB and Non-HDL Cholesterol in Cardiovascular Risk Assessment

…chemistry & laboratory medicine Definition and Pathophysiology Apolipoprotein B (apoB) and non high density lipoprotein cholesterol (non HDL C) are complementary measures of atherogenic lipoprotein burden…

Mitral regurgitation

…Mitral regurgitation Causes of mitral regurgitation The most common cause of mitral regurgitation in high income countries is age related degeneration of the valvular apparatus…

Alcohol withdrawal and delirium tremens: quick reference

…hyperactivity Up to 5 to 7 days, sometimes longer Persisting withdrawal, particularly after previous severe episodes, with concurrent physical illness or after prolonged very high…

Blood pressure

…< 120 and < 80 Normal 120–129 and/or 80–84 High normal 130–139 and/or 85–89 Grade 1 hypertension 140–159…

Exercise stress test on cycle ergometer

…recovery. A patient who stops at a low workload with a fall in blood pressure is a high risk patient even with normal ST segments…

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