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Pulmonary embolism: quick reference for risk stratification and treatment

…stable patient The Wells criteria for pulmonary embolism: Criterion Points : : Clinical signs of deep vein thrombosis 3 Pulmonary embolism is the most likely diagnosis 3…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…patient with an initial STEMI pattern has myocardial infarction as the final diagnosis. The underlying process usually involves acute thrombotic obstruction of an epicardial coronary…

Empirical antibiotic therapy: quick reference for common infections

…See the separate quick reference for dosing in impaired renal function. Respiratory tract Diagnosis Agent Dose Duration : : : : Pneumonia, non severe (DS CRB65 0–1) phenoxymethylpenicillin…

Pulmonary Hypertension: Classification and Treatment Principles

…the most common risk factor for PH. It produces postcapillary PH through elevation of left atrial and pulmonary venous pressure. In some patients, chronic postcapillary…

Acute exacerbation of COPD: quick reference

…target prescription, for example in chronic hypercapnia Follow the patient's prescription, if it is clinically reasonable Give oxygen if the patient is hypoxaemic. Oxygen…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…a patient may have acute myocardial injury without having an infarction. The degree of troponin elevation does not by itself establish the mechanism. Increased concentrations…

ACE Inhibitor Cough and Angioedema: Practical Management

…In patients presenting with angioedema, a rapid assessment of the airway is paramount to evaluate for impending respiratory compromise. Diagnostics The diagnosis of ACE inhibitor…

Spirometry

…when the patient cannot stand, the arm span divided by 1.06 is used as the height. Procedure 1. Explain and demonstrate. Show for yourself…

Opioid therapy in severe pain

…palliative phase (at lower doses than for pain). An opioid is rarely the right choice in nociplastic or neuropathic pain, in chronic non cancer pain…

Leg ulcers — wound debridement and compression therapy

…and in patients with diabetes or renal failure the index may be falsely normal because of medial sclerosis — in that case add toe pressure measurement…

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