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Pleural aspiration and chest drain

…radiograph alone belongs to an earlier era. The needle is inserted close to the upper border of the rib, never at the lower border where…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Spirometry

…gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known lung disease. Follow up of treatment effect and of…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…These disruptions may initiate or complicate the haematoma. IMH most frequently involves the descending thoracic aorta, which is affected in approximately 60%–70% of cases…

Immediate Management of Type A and Type B Aortic Dissection

…aorta, usually just distal to the left subclavian artery. Type IIIa: remains confined to the descending thoracic aorta. Type IIIb: extends below the diaphragm. The…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…Atrial fibrillation with onset during hyperthyroidism (thyrotoxicosis), alcohol overdose, thoracic surgery, acute myocardial infarction, pericarditis/myocarditis or pulmonary embolism is often a reversible arrhythmia with…

Cardiac tamponade causing cardiac arrest

…injuries to the mediastinum can cause tamponade. Post operative Complications : Post surgical complications following thoracic procedures can cause tamponade. Tamponade with swinging heart of the…

Performing Echocardiographic Examinations

…left lateral decubitus position. In this position, the heart comes closer to the thoracic wall, with less lung tissue covering the heart. Some images in…

Right ventricular hypertrophy (RVH): ECG criteria & clinical characteristics

…less sensitive with respect to RVH, because the right ventricle is difficult to visualize clearly with trans thoracic echocardiography. Causes of right ventricular hypertrophy Lung…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…however, emphasize that symptoms and vital signs contribute to initial triage and that alternative cardiac and thoracic diagnoses must be considered. The immediate clinical categories…

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