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Paracentesis

…hernia or visible abdominal wall collaterals (caput medusae) Puncture at least a few centimetres away from them Full bladder Have the patient void, or catheterise…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…and cardiac resynchronization therapy (CRT) devices. Implantable loop recorders are diagnostic devices rather than pacing or defibrillation systems, but their stored data may also be…

Lumbar puncture

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

Abdominal Aortic Aneurysm: Screening and Surveillance

…lower back or scrotum. Aneurysmal pain is clinically important because it may herald rupture and constitutes a medical emergency. Rupture may occur without preceding symptoms…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…with or without pain, include sudden loss of consciousness, a confusional state, profound weakness, the appearance of an arrhythmia, evidence of peripheral embolism, or an…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…with advancing age. Presentations without pain may include: Sudden breathlessness Syncope or sudden loss of consciousness Confusion Profound weakness An arrhythmia Peripheral embolism An ot

Cardiac arrest during pregnancy and childbirth

…remains uncertain, the cesarean section should be pursued if the fundal height of the uterus reaches or surpasses the level of the umbilicus. The fetus…

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