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Wound suturing

…been assessed for tendon and nerve injury will heal badly however neatly the suture is placed. The commonest cause of wound infection is retained contamination…

Eye examination and corneal foreign body

…eye injury is to measure and document the visual acuity before anything else is done. The second most important is to look for signs of…

Post-Infarction Pericarditis and Dressler Syndrome

…traditionally termed Dressler syndrome , which is a manifestation of post cardiac injury syndrome (PCIS). PCIS is an umbrella term that also includes post pericardiotomy syndrome…

Left Ventricular Thrombus After Myocardial Infarction

…superficial components may detach and embolize systemically. Observational data indicate approximately a fourfold greater risk of embolic events in patients with LV thrombus than in…

Acute kidney injury: quick reference for management

Njurmedicin Lathundar Acute management on call Acute kidney injury, AKI, is a syndrome of rapidly deteriorating renal function. Management is governed not by the creatinine…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…laboratory medicine Myocardial ischemia and infarction Definition and pathophysiology Myocardial infarction (MI) is a clinical diagnosis that integrates myocardial injury, evidence of acute myocardial ischaemia…

Reduction of dislocations

…longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for reduction within a…

Complications of Coronary Angiography and Vascular Access Management

…ostia. It remains the reference standard for defining the extent of coronary artery disease because it provides anatomical information while permitting functional assessment and, when…

Immediate Management of Type A and Type B Aortic Dissection

…anatomically according to involvement of the ascending aorta: Stanford type A: involves the ascending aorta, with or without extension into the arch or descending aorta…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…ischaemic ECG changes. The distinction between myocardial injury and type 2 infarction is particularly important. Type 2 infarction requires clinical evidence of ischaemia; an elevated…

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