…Infections are difficult to heal because the heart valves are not vascularized and therefore it is difficult for the immune system to reach the bacteria…

…the samples are sent correctly. A corticosteroid must never be injected into a joint in which infection has not been excluded. Indications Acute monoarthritis in…

Procedurer In acute circulatory failure it is not the number of cannulae that matters but the flow per unit time . A large bore, short cannula…

Procedurer A dislocation is reduced with muscle relaxation, not with force. The methods that work best exploit time, gravity and slow movement; those that fail…

…year . The injection is therefore a tool to make rehabilitation possible, not an alternative to it. See the separate guide to joint aspiration and injection…

…Large eyes, allowing irrigation Prostatic enlargement, difficult passage Ch 16–18 Tiemann A curved, tapering tip A larger catheter is not easier to pass. With…

…What determines whether the treatment is safe is not the starting dose but the system around the patient : that the weekly dose is adjusted in…

…An anticoagulant is given as soon as possible, but must not delay cardioversion in an unstable patient. Rate control in the stable patient Drug Situation…

…known thrombosis in the target vein. With a mechanical tricuspid prosthesis the lead must not be passed through the valve. The order of management in…

…strokes are caused by cardiac embolism. This figure does not include paradoxical embolism (discussed below) and emboli from the proximal aorta. Stroke and TIA (Transient…