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Leg ulcers — wound debridement and compression therapy

…and vasculitis do occur. Wound debridement 1. Cleanse with lukewarm tap water or saline; showering the leg is a good option. 2. Apply topical anaesthetic…

Ankle-brachial index (ABI)

…compression treatment of a leg ulcer — compression in arterial insufficiency can cause necrosis. Screening in diabetes of 10 years' duration, or in diabetes with age…

Pediatric aspects of ECG leads & anatomy

…adults, the x axis represents time (the paper speed is typically 25 mm/s or 50 mm/s) and the y axis represents amplitude (millivolts…

Circulatory and haemodynamic parameters

…sinus rhythm without spontaneous breathing, passive leg raising with an increase in stroke volume 10%, or inferior vena cava variability . In the absence of responsiveness…

Cryotherapy of skin lesions

…with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes — the wound may not heal. Over superficial nerves…

Exercise stress test on cycle ergometer

…pericarditis or endocarditis. Acute aortic dissection. Physical inability to perform the test safely. Relative: Condition Comment : : Left main stenosis Known — perform the test only on…

Gynaecological examination and cervical smear

…examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination must be preceded by information about…

Joint aspiration

Procedurer A monoarthritis is septic until proven otherwise, and the only thing that proves otherwise is the synovial fluid. The aspiration is technically simple — what…

Pulmonary embolism: quick reference for risk stratification and treatment

…cancer, chronic cardiac or pulmonary disease, a pulse ≥ 110/min, a systolic blood pressure < 100 mmHg and a saturation < 90 per cent. An…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…40% are asymptomatic, 50% report atypical leg symptoms and fewer than 10% have classic claudication. Asymptomatic or atypical PAD remains clinically important. Reduced activity may…

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