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Acute exacerbation of COPD: quick reference

…and sputum in particular that exceeds the patient's normal variation and requires a change of treatment. Common precipitants are viral infection, bacterial infection and…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…events during infections: An acute coronary event may be triggered by increased myocardial demand during the infection. Systemic inflammation results in increased levels of circulating…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…of infection. Approximately 20% of all endocarditis affect people with valve prostheses and among other cases 18% show significant valvular disease. Table 1. Etiologies in…

Wound suturing

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

Central venous catheter

…determines the outcome of a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of ultrasound throughout…

Endotracheal intubation

…in three sizes, a stylet or bougie taken out and shaped before induction , a syringe for the cuff, a cuff manometer. A laryngeal mask of…

Pleural aspiration and chest drain

Procedurer Almost all the complications of pleural aspiration arise from two errors: the needle is placed in the wrong site, and too much is drained…

Neutropenic fever: quick reference for emergency management

…rigors, abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the…

Common laboratory tests

…An acute phase protein — a normal ferritin does not exclude iron deficiency in the presence of inflammation Transferrin saturation 15–50 % < 15 % indicates iron…

Gynaecological examination and cervical smear

…menstrual status, previous smear results and any previous conisation. Procedure Inspection The patient lies in the lithotomy position, well covered. Say what you are do

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