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Dix–Hallpike test and Epley manoeuvre

…The test presupposes that the patient has spontaneous nystagmus at the time of examination and that the examiner is experienced with the head impulse test…

Otoscopy and ear syringing

…cheek so that the otoscope moves with the head if it moves. 4. Insert the speculum under vision, to a maximum of about 8 mm…

Cardiac amyloidosis

…heart sound is rarely heard due to restrictive pathophysiology and impaired ventricular relaxation [10]. There is also an increased risk of intracardiac thrombus and stroke…

Cardiac Tamponade: Recognition and Pericardiocentesis

…paradoxus. Tamponade is therefore characterized haemodynamically by elevation and near equalization of diastolic pressures in the cardiac chambers, with chamber pressures approaching intrapericardial pressure. The…

Resistant Hypertension: Evaluation and Treatment

…restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension. Resistant hypertension is associated with a higher likelihood of secondary hypertension and with…

Spirometry

…investigation that distinguishes obstructive from restrictive impairment of lung function, and COPD cannot be diagnosed without it . The quality of the test determines its entire…

Echocardiography in cardiomyopathies: an overview

…lead to obstruction of the LVOT (Hypertrophic Obstructive Cardiomyopathy, HOCM). Dilated cardiomyopathy (Dilated Cardiomyopathy, DCM) . Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC/ARVD) Restrictive Cardiomyopathy (RCM…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…thickness of the pericardium can be measured and in most cases, a thickening is noted. Table 1 presents the similarities and differences between restrictive cardiomyopathy…

Brugada Syndrome: Diagnosis & SCD Prevention

…fraught with controversies, particularly regarding the risk stratification of asymptomatic patients, the prognostic utility of electrophysiological studies (EPS), and the transition from a purely device…

Dilated Cardiomyopathy (DCM): Definition, Types, Diagnostics & Treatment

…dominant manner with variable penetrance and expressivity. Autosomal recessive, X linked recessive, and mitochondrial forms occur, albeit less frequently (McNally et al). Screening of family…

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