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NSTEMI (Non-ST Elevation Myocardial Infarction) & Unstable Angina: Diagnosis, Criteria, ECG, Management

…in a reduction of coronary blood flow and this causes subendocardial ischemia (i.e ischemia that only affects the subendocardium). STEMI, on the other hand…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…LCx supplies the posterior descending artery (PDA) in a left dominant circulation (i.e. 10 15% of cases). Clinically, patients present with severe chest pain…

Performing Echocardiographic Examinations

…from apical windows. The patient's left arm should be placed under the patient's head. This stretches in the chest wall, such that the…

Dix–Hallpike test and Epley manoeuvre

…Repeat on the left side. A positive test in the posterior canal is characterised by: A latency of 1–5 seconds before the nystagmus begins…

Eye examination and corneal foreign body

…with the forehead against the band and the chin in the rest. Support your working hand against the patient's zygoma or the bridge of…

Wound suturing

…avoided or considered carefully in: Bite wounds — particularly cat and human bites, and all bites on the hand. These are as a rule left open…

Abscess incision and drainage

…to involve a surgeon The following locations must not be handled routinely in primary care or in the emergency department without contacting the appropriate specialty:…

Joint aspiration

…2. Clean and let it dry. Do not palpate the puncture site again with an unsterile hand. 3. Insert the needle in one movement, aspirating…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…the left ventricle takes the shape of that octopus trap). Refer to Figure 1 and Figure 2. Figure 1. Echocardiogram showing takotsubo cardiomyopathy in acute…

Clinical application of ECG in chest pain & acute myocardial infarction

ECG Myocardial ischemia and infarction Use of ECG in acute coronary syndromes & chest pain patients An ECG must be performed on all patients seeking medical…

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