…a biopsy for direct immunofluorescence). Suspected cutaneous vasculitis, lymphoma or granulomatous disease. A treatment resistant rash without a definite diagnosis. Choice of technique Diagnostic question…

…done wrongly. The two commonest errors are that an intramuscular injection in fact ends up subcutaneously in a patient with a high BMI, and that…

…PCSK9 synthesis decreases circulating PCSK9, increases the availability of hepatic low density lipoprotein cholesterol (LDL C) receptors at the cell surface, and thereby enhances removal…

…Clinically, patients may present with: Absent breath sounds on the affected side Crepitus Subcutaneous emphysema Hypotension Hypoxia Mediastinal shift, with potential tracheal deviation to the…

…Indications Unexplained cytopenia in one or more cell lines. Suspected acute leukaemia, myelodysplastic syndrome or myeloproliferative neoplasm. Work up and staging of lymphoma and myeloma…

…dependent. Similarly, angioedema occurring in the setting of ACE inhibitor therapy is bradykinin mediated rather than mast cell mediated, distinguishing it from classic allergic reactions…

…some pressure when holding the transducer against the skin. Patients with extensive subcutaneous fat require harder pressure. Orientation index marker All ultrasound transducers have an…