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Soft tissue corticosteroid injection

…of loading, eccentric exercise, an NSAID, an orthosis — has not given a sufficient effect. Contraindications Absolute: Cellulitis, a skin wound or other infection over the…

Transcutaneous and transvenous pacing

…is given as an infusion of isoprenaline, adrenaline or dopamine according to local practice, and does not replace pacing when the patient is markedly unstable…

Acute coronary syndrome: quick reference for loading doses and time targets

…regions. Always follow the local PCI and thrombolysis protocol where it specifies another approved regimen. The first 10 minutes 1. Assess airway, breathing and circulation…

Anticoagulation Strategies in Atrial Fibrillation

…echocardiography and surgical pathology demonstrate that over 90% of thrombi in non valvular AF originate within this specific anatomical cul de sac [19] . Concurrently, the…

Upper gastrointestinal bleeding: quick reference

…of the bleeding 7 Manage antiplatelet drugs according to their indication. Do not routinely stop aspirin given as secondary prevention 8 Contact the endoscopist and…

Delirium in older adults: quick reference

…the patient to recite the months of the year backwards. A normal result does not exclude delirium, however, and an abnormal result is not specific…

Differential Diagnosis of Chest Pain: A Clinical Overview

…suggest specific, nonidiopathic etiologies [2]. Summary of Pain Characteristics The following table synthesizes the key differential diagnoses and their characteristic pain patterns based on the…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…follow the local protocol for exact infusion rates, electrolyte concentrations and level of care. This quick reference is intended primarily for adults and summarises the…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…crush technique, stent fracture or collapse Lesion specific angiographic features Residual dissection at a stent margin, impaired flow into or out of the stent, stent…

Atrial flutter: classification, causes, ECG criteria and management

…of 25 mm/s, which is standard in the US and many other countries, a 2:1 block will be difficult to discern because the…

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