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Delirium in older adults: quick reference

…delirium with a structured instrument , for example the 4AT or the CAM according to local protocol. 6. Look for several concurrent causes. In older patients…

Spirometry

…surgery in a patient with known lung disease. Follow up of treatment effect and of disease progression. Assessment of pulmonary involvement in systemic disease, for…

Lumbar puncture

…that saves the patient — the puncture must never delay it. Indications Suspected meningitis or encephalitis. Suspected subarachnoid haemorrhage with a normal or non diagnostic CT…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…HFmrEF together account for approximately half of patients with symptomatic HF. The distinction is clinically useful but not absolute. Ejection fraction is a continuous variable…

Acute vertigo: quick reference for HINTS and differential diagnosis

…stroke is the most important dangerous differential diagnosis. Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal…

Differential Diagnosis of Chest Pain: A Clinical Overview

…in females, the elderly, or patients with diabetes [4]. Associated Findings: The sudden onset of symptoms coupled with diaphoresis should always raise concern for a…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…pain perception in patients without demonstrable ischaemia. The absence of obstructive disease therefore does not establish a benign diagnosis. ANOCA/INOCA is associated with recurrent…

Approach to patients with chest pain: differential diagnoses, management & ECG

…sufficient to make a diagnosis or identify a few likely diagnoses. The table below shows a systematic history taking in patients presenting with chest pain…

Indications and contraindications for myocardial perfusion imaging

…methylxanthines, which antagonize adenosine receptors, should be avoided for at least 12 hours before testing. Dobutamine : Contraindicated in patients with severe hypertension, unstable angina, and…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…Among patients with a very high probability of endocarditis, the sensitivity and specificity of the examination will increase, and vice versa. In case of suspicion…

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