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Dix–Hallpike test and Epley manoeuvre

…history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre. Indications Brief attacks of vertigo, seconds…

Myocardial Ischemia & infarction: Cellular changes, ECG and symptoms

…are balanced and no ischemia occurs. (Some individuals display a benign form of ischemia located in the subendocardium during exercise; this manifests with ST segment…

Acute vertigo: quick reference for HINTS and differential diagnosis

…targeted examination. The patient's description of the quality of the dizziness — rotatory vertigo, unsteadiness or faintness — discriminates poorly between dangerous and benign causes. Ask…

Cryotherapy of skin lesions

…Dark skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes…

Approach to patients with chest pain: differential diagnoses, management & ECG

…table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed above…

Cardiac tumors

…Thromboembolism). There are genetic syndromes that result in the emergence of multiple myxomas. Papillary fibroelastoma Papillary fibroelastoma is benign primary tumors affecting adults. These tumors…

Early repolarization on ECG: when guidelines confuse ECG criteria

…confused a completely benign condition (male/female pattern) with a condition which is associated with 5 times as great a risk of sudden cardiac death…

Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…causes left posterior fascicular block (LPFB) . In a fascicular block, the myocardium without fascicular supply will depend on impulses spreading from other parts of the…

Interpretation of neonatal and pediatric electrocardiograms (ECG)

…mentioned below are discussed in detail in other chapters, to which links are provided throughout the text. Heart rate During the first week of life…

Sinoatrial arrest & sinoatrial pause (sinus pause / arrest)

…is benign and the most common cause of sinus arrest/pause. It commonly affects younger individuals who endure intense emotional stress, acute pain or other…

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