Articles & courses

Articles
Acute vertigo: quick reference for HINTS and differential diagnosis

…findings are absent in roughly half of patients with a central cause. A normal routine neurological examination is therefore not sufficient to exclude stroke [3]…

Dix–Hallpike test and Epley manoeuvre

…Central cause Nystagmus without latency that does not fatigue Central cause New headache, neck pain, diplopia, dysarthria, dysphagia, ataxia Posterior circulation stroke Unilateral hearing loss…

Foreign body in the ear and nose

…Nose 1. Ask the patient to blow the nose gently. Clear mucus with suction without pushing the object backwards. 2. Apply the anaesthetic and vasoconstrictor…

Primary Aldosteronism: Screening and Management

…with patients with primary hypertension matched for age, sex and blood pressure, affected patients have more frequent stroke, nonfatal myocardial infarction and atrial fibrillation, as…

Nasogastric tube

…1. Inspect both nasal passages and choose the more patent one. Ask the patient about a previous nasal fracture or unilateral nasal obstruction. 2. Measure…

Acute exacerbation of COPD: quick reference

…alternative diagnosis Silent or nearly silent chest Very severe airflow obstruction pH below 7.35 with raised pCO₂ Acute or acute on chronic hypercapnic respiratory…

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