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Eye examination and corneal foreign body

…Note the pupil size, shape and reaction to light. A teardrop shaped or peaked pupil suggests perforation. Look for hyphaema — blood with a fluid level…

Foreign body in the ear and nose

…septal perforation has been described after as little as seven hours. Never irrigate and never instil fluid onto a battery — the moisture drives the reaction…

Epistaxis — compression, cautery and anterior nasal packing

…electrocautery is used Relative A cochlear implant Relative The contralateral side of the septum already cauterised — bilateral cautery carries a risk of perforation Anterior packing…

Otoscopy and ear syringing

…wax retains moisture. Contraindications Absolute contraindications to irrigation: A known or suspected perforation of the tympanic membrane — including a history of grommets, ear discharge or…

Complications of Coronary Angiography and Vascular Access Management

…0.38 Vascular complications 0.43 Contrast agent reaction 0.37 Haemodynamic complications 0.26 Cardiac chamber perforation 0.03 Other complications 0.28 Total…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…vascular lesions. The interleukin 1β pathway, with downstream effects involving interleukin 6 and C reactive protein, has been a major therapeutic target. This concept…

Bempedoic Acid: Evidence and Clinical Use

…C, non high density lipoprotein cholesterol, apolipoprotein B and high sensitivity C reactive protein (hsCRP). Bempedoic acid also activates adenosine monophosphate activated protein kinase, which…

Lipid-Lowering Therapy: Statins as First-Line Treatment

…angiographic reduction of coronary obstruction. Intensive lipid lowering improves endothelial function, lowers circulating high sensitivity C reactive protein, reduces thrombogenicity, and favourably modifies inflammatory and…

Pharmacologic agents in myocardial perfusion imaging

…They are contraindicated in patients with bronchospastic lung disease, or a history of significant reactive airway disease. Contraindications also include second degree or third degree…

ST-Elevation Myocardial Infarction (STEMI): Pathophysiology, Diagnosis, and Management

…within the subendothelial space, LDL C particles undergo oxidative modification by reactive oxygen species (ROS) and enzymes such as myeloperoxidase and lipoxygenase. Oxidized LDL (oxLDL…

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