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Paracentesis

…Follow the local protocol Ileus with distended bowel loops Ultrasound guidance mandatory; choose another site Scars, hernia or visible abdominal wall collaterals (caput medusae) Puncture…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…likelihood of clinically significant EMI is generally low, particularly with bipolar electrocautery performed away from the device and with monopolar electrocautery below the umbilicus. Nevertheless…

Lumbar puncture

…a minute or so. 5. Advance the needle in the midline with a slight cranial angulation , about 15 degrees towards the umbilicus. Use the intr

Abdominal Aortic Aneurysm: Screening and Surveillance

…palpable in the mid abdominal region, with its bifurcation usually located near the umbilicus and the fourth lumbar vertebral level. Physical examination can identify a…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…unexplained drop in arterial pressure. Silent or unrecognized infarction occurs more often in patients without antecedent angina and in those with diabetes and hypertension. Of

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…not every patient with an initial STEMI pattern has myocardial infarction as the final diagnosis. The underlying process usually involves acute thrombotic obstruction of an…

Cardiac arrest during pregnancy and childbirth

…either within or outside the hospital, prompt communication with an obstetrician and neonatologist is critical. Cardiopulmonary resuscitation (CPR) should generally adhere to the standard adult…

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