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Opioid therapy in severe pain

…is given. The serious incidents almost always arise when the principle of titration is abandoned — when a fixed dose is given without assessment, when a…

Obesity and Cardiovascular Disease: Assessment and Treatment

…from those of non obese patients, and obesity complicates assessment of intravascular volume in both ambulatory and inpatient settings. Clinical presentation and symptoms Obesity itself…

Clinical application of ECG in chest pain & acute myocardial infarction

…patient who experienced chest pain at home may be asymptomatic during the assessment in the ER, only to develop severe chest pain and magnificent ST…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

Echocardiography Echocardiographic assessment of regional contractile function Systolic ventricular function is one of the strongest predictors of total and cardiovascular mortality. Previous chapters have discussed…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…and infarction Definition and clinical rationale Stable angina, or chronic chest pain attributable to suspected chronic coronary syndrome, is evaluated by estimating the likelihood of…

Ankle-brachial index (ABI)

…of myocardial infarction and stroke. Indications Intermittent claudication, rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of…

Exercise stress test on cycle ergometer

…chest pain with an intermediate pre test probability of coronary artery disease. Assessment of exercise capacity and symptoms in known heart disease. Risk assessment after…

Gynaecological examination and cervical smear

…burning, pelvic pain, dyspareunia. Cervical cancer screening according to the national programme. Checking an intrauterine device or a pessary. Assessment of prolapse. Sampling for a…

Acute Limb Ischaemia: Recognition and Urgent Management

…and more severe pain or functional loss reduce the likelihood of successful limb salvage. Evaluation and physical examination ALI requires immediate clinical assessment by a…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…or mechanical complications. Risk assessment is intended to identify patients most likely to benefit from early coronary angiography and revascularization, while avoiding unnecessary procedural complications…

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