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ArticleCardiology
Myocardial Perfusion Imaging With SPECT and PET

…Definition and Clinical Purpose Myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) or positron emission tomography (PET) is a radionuclide based method…

ArticleProcedurer
Nasogastric tube

Procedurer The insertion itself is rarely the difficult part — it is the confirmation of the position that determines whether the tube is safe. A misplaced…

ArticleEchocardiography
The ultrasound transducer

…that ensures that no other sound waves affect the transducer. The crystals are supported by a backing layer that suppresses the vibrations of the crystals…

ArticleProcedurer
Endotracheal intubation

Procedurer What determines the outcome of an emergency intubation is rarely the laryngoscopy itself but what was done before it: how well the patient was…

ArticleCardiology
Heart Failure With Mildly Reduced Ejection Fraction

…full range of LVEF, and echocardiographic measurement is subject to meaningful variability. HFmrEF may therefore represent several clinically distinct trajectories: A patient whose LVEF has…

ArticleEchocardiography
Performing Echocardiographic Examinations

…tip, using the thumb and the forefinger, while remaining fingers stabilize the grip. The transducer tends to glide out of position due to the gel…

ArticleProcedurer
Dix–Hallpike test and Epley manoeuvre

…history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre. Indications Brief attacks of vertigo, seconds…

ArticleLungmedicin
Acute severe asthma in adults: quick reference

…or raised Other Moderate work of breathing Accessory muscle use Cyanosis, exhaustion, hypotension or collapse The classification is based on a combination of clinical findings…

ArticleProcedurer
Bone marrow aspiration and biopsy

…while the biopsy shows marrow architecture and cellularity. What usually ruins the examination is not the technique but the handling of the specimen — an aspirate…

ArticleProcedurer
Casting and immobilisation

…protects against the edges of the cast Padding The wadding that protects the skin and the bony prominences Plaster bandages and plaster slabs (calcium sulfate…

ArticleProcedurer
Central venous catheter

…cooperate — consider sedation, a different position or a different vessel. Choice of site Vessel Advantages Disadvantages : : : Internal jugular vein (right) Best ultrasound conditions, a straight…

ArticleProcedurer
Gastric lavage and activated charcoal

…in which the patient reaches hospital early. The benefit of both methods falls steeply with the time since ingestion, and both can harm the patient…

ArticleProcedurer
Gynaecological examination and cervical smear

…or ruptured membranes in pregnancy — a speculum may be used, but not digital examination until the position of the placenta is known. Recent gynaecological surgery…

ArticleProcedurer
Joint aspiration

…important indication and an emergency procedure . An unclear arthritis, as part of the diagnostic work up. Haemarthrosis after trauma. A symptomatic effusion causing pain or…

ArticleProcedurer
Laryngeal mask and difficult airway

…kills because the tube would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation…

ArticleProcedurer
Lumbar puncture

…Only clinical signs of herniation halt the puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For questions other than acute…

ArticleProcedurer
Pleural aspiration and chest drain

…below the upper border of the fluid, but never below the ninth rib . Procedure Ultrasound localisation 1. Scan in the position in which the patient…

ArticleProcedurer
Reduction of dislocations

…afterwards whether a nerve injury was caused by the injury or by the treatment. Indications A clinically or radiologically confirmed dislocation of the shoulder, elbow…

ArticleProcedurer
Transcutaneous and transvenous pacing

…Position the pads, preferably anteroposteriorly : one anteriorly over the praecordium to the left of the sternum, the other on the back between the left scapula…

ArticleEchocardiography
Pericardial Effusion & Cardiac tamponade

…blood tests and other radiological examinations are most often required, in particular computed tomography (DT) and/or magnetic resonance imaging (MRI). Anatomy of the pericardium…

ArticleMyocardial ischemia and infarction
Posterior acute myocardial infarction (STEMI)

…the left in the thorax. This positions the basal portion of the left lateral wall posteriorly in thorax (Figure 1). This area is most frequently…