…Cascade testing of parents, siblings, and children can identify relatives with high Lp(a) and increased risk of premature cardiovascular disease. Units and assay considerations…

…Parenteral thiamine early , preferably before or at the same time as carbohydrate administration. 3. Rapid identification of seizures, delirium tremens, infection, trauma and metabolic disturbance…

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

…the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or diarrhoea, unable to keep tablets down Parenteral hydrocortisone…

…50 mg of oral morphine per day. Patches have no place in acute, unstable pain: the onset takes 12 to 24 hours and the offset…

…nor desethylamiodarone is dialyzable. The volume of distribution is large, averaging 60 L/kg, and the drug is highly protein bound (96%). The elimination half…

…and disturbed angiogenic signalling. A central biochemical feature is an imbalance between antiangiogenic and angiogenic factors. Placental production of soluble fms like tyrosine kinase 1…

…be seen in arrhythmogenic tumors of the myocardium; in these cases, the tumor can debut with ventricular arrhythmias that result in asystole and sudden death…

…pericarditis, the pericardium becomes fibrotic (rigid) and thickened (about 80% have thickening). The parietal and visceral leaves of the pericardium are most often fused. The…

…leg electrodes are placed proximally on the thighs and arm electrodes are placed proximally on the upper arm. Placement of chest (precordial) electrodes are not…

…visceral and parietal layers there is the pericardial cavity (pericardial sac) containing pericardial fluid. This fluid is produced by the mesothelian cells and consists of…

…high risk of hypoglycaemia in a patient who is eating poorly. Consider stopping it GLP 1 receptor agonist It can cause nausea and delayed gastric…

…access cannot be obtained quickly and parenteral treatment is needed. Prepare airway equipment and contact anaesthesia early with a prolonged seizure, repeated doses of benzodiazepine…

…of pregnancy Preeclampsia Preterm delivery Gestational diabetes Small for gestational age delivery Placental abruption Pregnancy loss Polycystic ovary syndrome Functional hypothalamic amenorrhoea Fertility therapy and…

…dominant inheritance is predominant in many cardiomyopathies and channelopathies. Nevertheless, apparently sporadic disease may result from: Incomplete penetrance of a variant inherited from a parent…

…treated patients may develop premature CAD. Symptoms therefore depend on the vascular territory involved and may include manifestations of coronary, cerebral or peripheral arterial disease…