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Acute exacerbation of COPD: quick reference

…Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the…

Chest Pain in the Emergency Department: Diagnostic Pathways

…diaphoresis, fatigue, faintness, and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort…

Dix–Hallpike test and Epley manoeuvre

…drugs . The diagnosis rests on the history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre…

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

…or arteries supplying the limbs. In adults over 40 years of age, atherosclerosis is the predominant cause. Other mechanisms include thrombosis, embolism, vasculitis, fibromuscular dysplasia…

Unstable Angina: Definition and Contemporary Management

…acute coronary syndromes are commonly related to atherothrombotic events, myocardial ischaemia may also result from other mechanisms. Differential diagnoses and alternative causes of troponin release…

Introduction to exercise stress testing (treadmill test, exercise ECG)

…pectoris). Yet, exercise stress testing provides a fundamental parameter that cannot be obtained by other imaging methods, namely exercise capacity (and VO2 max , see below…

Delirium in older adults: quick reference

…patient is drowsy, difficult to rouse, hypervigilant, or has reduced orientation to the surroundings Other cognitive disturbance Disorientation, memory impairment, disorganised thinking, language disturbance or…

Cardiac Tamponade: Recognition and Pericardiocentesis

…Other symptoms depend on the extent of reduction in cardiac output and arterial pressure and may include: Chest discomfort Fatigue Weakness Presyncope or syncope Exercise…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…relieving characteristics of angina; many patients report less characteristic symptoms, while others present primarily with exertional dyspnoea. Symptoms should be characterized systematically, including: Onset and…

Heart Failure With Mildly Reduced Ejection Fraction

…fatigue and oedema. The underlying mechanisms are not uniform across the HFmrEF population. Some patients have a pathophysiological profile closer to HFrEF, whereas others have…

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