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Cryotherapy of skin lesions

…in selected cases, but surgery is the standard. Dark skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in…

Paracentesis

…straightforward: ultrasound to find the fluid, an insertion site in the left lower quadrant lateral to the rectus sheath, and a cell count plus albumin…

Hypertensive crisis: drugs and doses

…blood pressure in combination with new or progressive acute target organ damage. Common manifestations are hypertensive encephalopathy, intracerebral haemorrhage, acute coronary syndrome, acute left ventricular…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…dysfunction and death. In the setting of ST elevation myocardial infarction (STEMI), cardiogenic shock most commonly reflects severe left ventricular (LV) dysfunction, accounting for approximately…

Immediate Management of Type A and Type B Aortic Dissection

…material does not provide a detailed symptom to anatomy correlation. Pain may be absent, particularly in iatrogenic aortic injury. Iatrogenic lesions commonly follow cardiac surgery…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…or lower jaw. Discomfort may extend superiorly as far as the occipital region but typically does not radiate below the umbilicus. Epigastric or subxiphoid pain…

Neutropenic fever: quick reference for emergency management

…rigors, abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the…

Eye examination and corneal foreign body

…up. 3. Ocular movements in all directions; pain on upward gaze may suggest an orbital floor fracture. 4. Topical anaesthesia into the lower fornix. 5…

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…

Differential Diagnosis of Chest Pain: A Clinical Overview

…2], [5]. Localization: While often retrosternal, the pain may be localized to the left anterior chest and can radiate to the neck, shoulders, and arms…

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