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Acute Limb Ischaemia: Recognition and Urgent Management

…Evidence of systemic disease or a potential embolic source Neurological assessment is central to triage. Sensory loss extending beyond the toes and, especially, any motor…

Edrophonium test

…have selected an objectively measurable finding in advance — usually ptosis or fatigable gaze palsy — that can be assessed before and during the window of effect…

Cardiac thromboembolism: cardiac sources of embolism

…Lacunar stroke or lacunar infarct (occlusion of small penetrating arteries) : This is the most common type of ischaemic stroke, resulting from the occlusion of small…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

Delirium in older adults: quick reference

…poisoning, withdrawal or several factors Inattention is central. A simple check is to ask the patient to recite the months of the year backwards. A…

Wound suturing

…usually visible on plain films. Irrigation fluid: a copious volume of drinking quality tap water or sodium chloride 9 mg/mL. The volume matters more…

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