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Upper gastrointestinal bleeding: quick reference

…or are there signs of ongoing major bleeding? 2. Is there cirrhosis, or another strong suspicion of portal hypertension? Variceal and ulcer bleeding are managed…

Immediate Management of Type A and Type B Aortic Dissection

Cardiology Emergency medicine Surgery & trauma Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…subclavian artery. Penetrating atherosclerotic ulcer PAU is focal ulceration of an atherosclerotic plaque that penetrates through the internal elastic lamina into the media. The lesion…

Ankle-brachial index (ABI)

…compression treatment of a leg ulcer and as a risk marker in diabetes and known atherosclerotic disease. An ABI ≤ 0.90 is diagnostic of peripheral…

Leg ulcers — wound debridement and compression therapy

…signs of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only to unnecessary antibiotics. 5. Biopsy any ulcer that…

Intensive care parameters

…heparin unless contraindicated Head of the bed 30–45° Stress ulcer prophylaxis During mechanical ventilation, in coagulopathy, or with a history of gastrointestinal bleeding Refeeding…

🟠 Prasugrel (Effient, Efient, Prasita)

…gastrointestinal bleeding, or active peptic ulcer). Patients weighing < 60 kg (maintenance dose of 5 mg recommended instead of 10 mg). Patients receiving medications that…

Opioids in acute pain: quick reference for dosing and conversion

…in renal failure, heart failure, a history of peptic ulcer, and old age Titrate according to the effect and the respiratory rate, not to a…

Corticosteroids: quick reference for dose equivalents and stress dosing

…evening. See the quick reference on inpatient insulin therapy Peptic ulcer A proton pump inhibitor with concomitant NSAID use or a history of ulcer, not…

🟠 Aspirin (Acetylsalicylic acid)

…Thrombocytopenia. Active gastric or duodenal ulcers. Liver cirrhosis. Severe heart failure. Doses 100 mg/day during the third trimester of pregnancy. Dosage Acute myocardial infarction…

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