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Urinary alkalinisation

…overdose. Tumour lysis syndrome appears as an indication in older protocols but is no longer routinely recommended — alkaline urine increases the precipitation of calcium phosphate…

Hyperkalaemia: quick reference for emergency treatment

…Plasma glucose before insulin. Creatine kinase in suspected rhabdomyolysis. Phosphate, urate and lactate dehydrogenase in suspected tumour lysis syndrome. A digoxin level when toxicity i

Cardiac tumors

…are genetic syndromes that result in the emergence of multiple myxomas. Papillary fibroelastoma Papillary fibroelastoma is benign primary tumors affecting adults. These tumors most often…

Cardiac thromboembolism: cardiac sources of embolism

…occlusion of small penetrating arteries that provide blood to deep structures. Lacunar stroke results in five classical lacunar syndromes, namely: (1) pure motor stroke/hemiparesis …

Mitral valve stenosis

…Congenital mitral stenosis Calcification of the mitral valve Complications to radiation therapy Mucopolysaccharidosis Carcinoid tumor Systemic lupus erythematosus (SLE) Rheumatoid arthritis (RA) Iatrogenic stenosis after…

Pericardial Effusion & Cardiac tamponade

…pericardial effusion and tamponade. Less common are cysts and tumors of the pericardium, as well as congenital malformations leading to an incomplete or absent pericardium…

Tricuspid stenosis

…congenital heart disease, Whipple’s disease, or tumors. Rheumatic disease is the most common cause, in which scenario tricuspid stenosis is virtually always accompanied by…

Endotracheal intubation

…prominent incisors, a small chin, tumour, an irradiated neck E valuate 3 3 2 3 fingerbreadths of mouth opening, 3 fingerbreadths from chin to hyoid…

Laryngeal mask and difficult airway

…subglottic obstruction — the mask sits above the obstruction and solves nothing. A mouth opening below about 2 cm. Extensive pharyngeal pathology: tumour, abscess, marked swelling…

Liver parameters

…tumour, primary biliary cholangitis, drugs Mixed Both raised Drug induced liver injury is the commonest cause Isolated bilirubin Unconjugated, the others normal Gilbert's syndrome…

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