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Sepsis and septic shock: quick reference for the first hour

…high 0 to 30 min Clinical assessment of the focus; check previous culture results, antibiotics, allergies, renal function, health care exposure and the risk of…

🟠 Nitroprusside

…is metabolized to cyanide. Cyanid toxicity may be fatal (should be suspected if patient develops altered mental status and lactic acidosis). Fatal outcomes are rare…

Spontaneous Coronary Artery Dissection

…Myocardial ischemia and infarction Definition and pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial wall…

Upper gastrointestinal bleeding: quick reference

…malignancy and an aortoenteric fistula. Variceal bleeding generally has a higher early mortality than non variceal bleeding [1,2]. Upper gastrointestinal bleeding can present as…

Acquired QT Prolongation and Drug-Induced Arrhythmia

…imbalance ECG Definition and Pathophysiology Acquired long QT syndrome (LQTS) is characterised by an abnormal prolongation of the QT interval on the surface electrocardiogram (ECG…

Diuretic Strategy and Decongestion in Heart Failure

…depression, sleep disturbance or altered mental status rather than prominent breathlessness. Hemodynamic phenotypes Initial assessment should distinguish congestion from hypoperfusion. This distinction provides a practical…

Indications and contraindications for myocardial perfusion imaging

…or after myocardial infarction. Assessing myocardial viability: Myocardial perfusion imaging can determine whether dysfunctional myocardium or myocardium supplied by a diseased vessel, is viable and…

Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…intervention (PCI). They evolved from balloon angioplasty and bare metal stents (BMS) in response to restenosis caused principally by neointimal hyperplasia. Contemporary DES combine a…

In-Stent Restenosis: Mechanisms and Treatment

…drug eluting stents (DES) than with bare metal stents (BMS). Clinical ISR is generally defined by recurrent symptoms or ischaemic events attributable to renarrowing within…

Physics of ultrasound

…e.g air, water, metal, or tissue and fluids in the human body. Sound waves arise when a sound source generates mechanical vibrations in the…

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