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Dix–Hallpike test and Epley manoeuvre

…for treatment. Contraindications Absolute: Unstable cervical spine injury, recent cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis of the neck. Symptomatic carotid stenosis, recent stroke…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…distal to the left subclavian artery. Penetrating atherosclerotic ulcer PAU is focal ulceration of an atherosclerotic plaque that penetrates through the internal elastic lamina into…

Post-Infarction Pericarditis and Dressler Syndrome

…interval of several weeks, improvement with anti inflammatory treatment, and the tendency to recur all support an immunopathological mechanism. The precise cause, however, is not…

Immediate Management of Type A and Type B Aortic Dissection

…of aorta involved, although the source material does not provide a detailed symptom to anatomy correlation. Pain may be absent, particularly in iatrogenic aortic injury…

Left Ventricular Thrombus After Myocardial Infarction

…may include systemic arterial embolic manifestations. The source material does not provide a detailed catalogue of specific embolic syndromes. Clinical suspicion should be heightened after…

Wound suturing

…tendon and nerve injury will heal badly however neatly the suture is placed. The commonest cause of wound infection is retained contamination, not poor suture…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…region of the left ventricle, usually as part of an inferoposterior or posterolateral infarction. Its recognition is clinically important because posterior infarction may not produce…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…zone. Coronary Occlusion and Myocardial Injury STEMI generally results from abrupt reduction in coronary blood flow caused by thrombotic occlusion of a previously atherosclerotic artery…

Diuretic Strategy and Decongestion in Heart Failure

…diuretic treatment has not been shown formally to reduce heart failure mortality; its established role is symptom relief and prevention of recurrent congestion and hospitalization…

Posterior acute myocardial infarction (STEMI)

…The heart is rotated 30° to the left in the thorax. This positions the basal portion of the left lateral wall posteriorly in thorax (Figure…

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