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Leg ulcers — wound debridement and compression therapy

…heals venous leg ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the…

Exercise stress test on cycle ergometer

…symptoms. 4. Blood pressure every second minute and on symptoms. 5. Ask actively about chest pain, breathlessness and leg fatigue; have the patient rate exertion

Ankle-brachial index (ABI)

…rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of a leg ulcer — compression in arterial insufficiency can…

Cryotherapy of skin lesions

…spray technique is better on irregular surfaces and in the scalp. Complications Complication Frequency and comment : : Pain during thawing The rule rather than the exception…

Joint aspiration

…after trauma. A symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease. Contraindications…

Gynaecological examination and cervical smear

…is known. Recent gynaecological surgery. Preparation and equipment An examination couch with leg supports, and good, directable lighting. Specula in several sizes (small, medium, large…

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

…and toes. Pain that is worse at night or when the limb is horizontal. Improvement when the leg is placed in a dependent position. With…

Evaluation of exercise stress test: ECG, symptoms, blood pressure, heart rate, performance

…Leg fatigue is, as compared with chest pain and dyspnea, a poor predictor of cardiovascular and all cause mortality. However, leg fatigue must be registered…

Opioids in acute pain: quick reference for dosing and conversion

…opioid at the same time. Opioids in abdominal pain of unclear cause do not delay the diagnosis and should be given, but document the examination…

Chest Pain in the Emergency Department: Diagnostic Pathways

…with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations The central pathophysiological concern in the emergency department is…

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