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Acute exacerbation of COPD: quick reference

Lungmedicin Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and…

Ambulatory blood pressure monitoring and Holter ECG

…the patient has not kept a diary. The set up and the instructions decide whether the investigation will be usable. Ambulatory blood pressure monitoring (ABPM…

Joint aspiration

…fluid. The aspiration is technically simple — what determines the outcome is that it is done early and sterilely and that the samples are sent correctly…

Spirometry

…determines its entire value: a poorly performed manoeuvre gives a falsely low FVC and thus a falsely normal FEV₁/FVC. Set aside time, coach actively…

Continuous Wave Doppler (CW Doppler)

…two different sets of piezoelectric crystals; one set for sending ultrasound and the other for analyzing reflected sound waves. The cardinal difference between continuous wave…

Pacemaker-mediated tachycardia (PMT): ECG and management

…the ventricles with the same rate. This occurs if ventricular stimulation is set to be triggered by the atrial impulse. Another cause of pacemaker mediated…

Casting and immobilisation

…calcium sulfate) Mouldable, cheap, heavier, less strong, takes longer to set Synthetic cast material (fibreglass) Lighter, stronger, radiolucent, tolerates moisture better, more expensive and stiffer…

CPAP and non-invasive ventilation (NIV)

…Undrained pneumothorax. Facial trauma, facial burns or recent facial surgery that make a seal impossible. Recent surgery on the oesophagus or upper gastrointestinal tract, ileus…

Gynaecological examination and cervical smear

…the most recent sample analysed for HPV. Invitations are sent up to and including the age of 70, and the last sample is in practice…

Assessment of diastolic function by echocardiography

…the leaflet tips (1–3 mm axial length of SV) and sweep speed is set to 50 mm/s to 100 mm/s (Figure 1)…

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