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Gynaecological examination and cervical smear

…be underestimated. Offer a chaperone according to local procedure; this is recommended for all examinations of the breasts, the genitalia and the rectum. Ask about…

Standard Transthoracic Echocardiogram: Complete Imaging Protocol

…obtained during the examination. Measurement techniques Measuring dimensions Chamber dimensions constitute key parameters of most echocardiographic examinations. For example, left ventricular size, measured as its…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…a dissecting haematoma may precede rupture. The tear commonly develops at the interface between infarcted and viable myocardium. The incidence has fallen substantially with contemporary…

Technical aspects of the ultrasound image

…tissue and fluid movements. All structures in a medium can reflect ultrasound waves. However, the greatest reflections occur in the interfaces between two media. Hence…

The chain of survival in sudden cardiac arrest

…of survival is only as strong as its weakest link, which means that all components of the chain must function and interact flawlessly to maximize…

ACE Inhibitors: Initiation, Titration and Creatinine Monitoring

…CKD). These agents interfere with the renin angiotensin aldosterone system (RAAS) by inhibiting the enzyme responsible for the conversion of angiotensin I to angiotensin II…

Common laboratory tests

…for glucose when the diagnosis is based on HbA1c. Albumin affects the total calcium — use the ionised calcium or correct for albumin. Biotin supplements interfere…

Central venous catheter

…large full body drape. Lidocaine 10 mg/mL for local anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing…

Lumbar puncture

…L3–L4 or L4–L5 interspace; in adults the spinal cord ends at T12–L1, so these levels encounter only the roots of the cauda…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…nerve stimulators, and other electronic equipment may also interfere with device function. The clinical consequences depend on the device, the patient's dependence on pacing…

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