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Dix–Hallpike test and Epley manoeuvre

…to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can otherwise be hard to see, particularly when the patient…

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…

Otoscopy and ear syringing

…spread of infection A small or uncooperative child Movement causes injury Preparation and equipment Otoscopy: an otoscope with a charged battery and clean disposable specula…

Resistant Hypertension: Evaluation and Treatment

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

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

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

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

Cardiology Introduction Since its initial description in 1992 as a syndrome of right bundle branch block, ST segment elevation, and sudden cardiac death (SCD), Brugada…

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

…fraction is reduced). Left ventricular diastolic function may be normal or exhibit a restrictive pattern (increased E/A ratio and rapid deceleration time; see Diastolic…

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