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Statin Intolerance and Statin-Associated Muscle Symptoms

…any dose of any statin. Partial intolerance: inability to tolerate the dose required to achieve the patient’s LDL C goal. Complete intolerance is uncommon…

Myocardial Perfusion Imaging With SPECT and PET

…Detect and characterize myocardial scar. Estimate the risk of major adverse cardiovascular events. Assess left ventricular volumes, regional wall motion, and ejection fraction using ECG…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…As always, foreign materials pose a high risk of infection. Approximately 20% of all endocarditis affect people with valve prostheses and among other cases 18…

Neutropenic fever: quick reference for emergency management

…emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let sampling, imaging…

Joint aspiration

…the samples are sent correctly. A corticosteroid must never be injected into a joint in which infection has not been excluded. Indications Acute monoarthritis in…

Wound suturing

…a bloodless field and a longer duration. The old rule that adrenaline is forbidden on fingers, toes, nose, ears and penis has been abandoned in…

Acute exacerbation of COPD: quick reference

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

Alcohol withdrawal and delirium tremens: quick reference

…as carbohydrate administration. 3. Rapid identification of seizures, delirium tremens, infection, trauma and metabolic disturbance. 4. Monitoring at the appropriate level of care , with readiness…

Arterial line

…Infection, burn or trauma over the insertion site. Insufficient collateral circulation to the hand. Vascular disease in the limb: marked peripheral arterial disease, Raynaud's…

Bone marrow aspiration and biopsy

…low platelet counts, followed by compression. Infection in the skin overlying the puncture site. Previous pelvic irradiation on the intended side (yields fibrotic, unrepresentative marrow…

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