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Otoscopy and ear syringing

…a history of grommets, ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open …

Dix–Hallpike test and Epley manoeuvre

…a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom free interval between attacks, with possible residual…

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…

Cardiac amyloidosis

…antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure, including lower extremity edema, ascites…

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…

Blood transfusion and massive haemorrhage

…the criteria for activation of the massive transfusion protocol. Plasma and platelets: in ongoing bleeding with coagulopathy, or as part of balanced transfusion in massive…

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