…tetracosactide or ACTH. Marked atopic disease, particularly severe asthma and a history of anaphylaxis — a relative contraindication; the test is then performed with preparedness for…

…Sources Endocrine Society clinical practice guideline on the diagnosis and treatment of primary adrenal insufficiency. The summary of product characteristics for each glucocorticoid preparation. Internetmedicin…

…begins in the epicardium and gradually moves towards the endocardium. As the fibrofatty replacement progresses, the ventricular wall becomes thinner and the ventricle begins to…

…nervous system. Contact your national or regional poison control centre for advice on the treatment threshold and on whether haemodialysis should be considered. Rhabdomyolysis with…

…required to up to 900 μg/day. Transdermal (one patch lasts for a week): • Catapress TTS 1 (0.1 mg/24hrs). • Catapress TTS 2 …

…or those undergoing aortic valve replacement [1, 5, 10]. A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in…

…6°C (97.7 99.7°F). It arises when heat production or acquisition surpasses the body's capacity for heat elimination. Hyperthermia can induce an inflammatory…

…Diuretics may be used for symptom relief. Surgical repair or valve replacement is considered when medical therapy is insufficient, or when concomitant valvular disease (e…

…or renal replacement therapy started Below 0.3 mL/kg/h for at least 24 hours, or anuria for at least 12 hours Use whichever…

…on the ventilator. See the article on confusion for the management of delirium in intensive care. Renal replacement therapy Absolute indications: refractory hyperkalaemia, refractory acidosis…

…the hand is suitable for finer cannulae. Avoid the lower limb in adults. In shock with collapsed vessels, the antecubital fossa or the external jugular…

…pathophysiology Chronic kidney disease (CKD) is defined by abnormalities of renal structure or function that persist for more than 3 months and have health implications…

…replacement for, established secondary prevention treatment. Its potential role is greatest when cardiovascular risk remains high despite optimal or maximally tolerated guideline directed therapy, or…

…is generally treated initially with diuretics, whereas norepinephrine and/or inotropes are reserved for low output and hemodynamic instability. Evaluation and physical examination The objective…

…adenosine is considered safe for patients with narrow complex tachycardia (NCT). Adenosine typically causes a short lasting second or third degree AV block which may…

…initiation of renal replacement therapy. The study found no significant differences between the two treatment groups with respect to either the primary or secondary outcomes…