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Nasogastric tube

…stricture or a known diverticulum Relative Recent nasal or pharyngeal surgery Signs that should raise the suspicion of a base of skull fracture: periorbital bruising…

Tricuspid regurgitation (TR/TI)

…septal and posterior leaflets of the tricuspid valve adhere to the ventricular myocardium (failure of embryological delamination). The tricuspid valve annulus is displaced apically 0…

The electrical axis of the heart (ECG axis)

…causes of left axis deviation have been excluded. Causes of extreme axis deviation Extreme axis deviation is rare. It is most likely due to misplaced…

The electrical axis of the heart (heart axis): ECG & physiology

…s, provided that other causes of left axis deviation have been excluded. Causes of extreme axis deviation Rare. Most likely due to misplaced limb electrodes…

Posterior acute myocardial infarction (STEMI)

…heart is rotated 30° to the left in the thorax. This positions the basal portion of the left lateral wall posteriorly in thorax (Figure 1…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…infarction Definition and Pathophysiology Posterior myocardial infarction is myocardial necrosis involving the posterior region of the left ventricle, usually as part of an inferoposterior or…

Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…causes left posterior fascicular block (LPFB) . In a fascicular block, the myocardium without fascicular supply will depend on impulses spreading from other parts of the…

Mitral valve stenosis

…dilation. Atrial dilation causes a significantly increased risk of atrial fibrillation. The increase in left atrial pressure may also propagate backward to the pulmonary circulation…

Acute vertigo: quick reference for HINTS and differential diagnosis

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

Bone marrow aspiration and biopsy

…Choice of site The posterior superior iliac spine is the standard site for both aspiration and biopsy in adults. Here the posterior part of the…

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