Articles & courses

Articles
Acute vertigo: quick reference for HINTS and differential diagnosis

…triggers it [1,2]. The single most important practical rule is: Continuous acute dizziness with spontaneous nystagmus: consider HINTS plus, but only if the examiner…

Dix–Hallpike test and Epley manoeuvre

…standing up, tilting the head backwards. A symptom free interval between attacks, with possible residual unsteadiness. No hearing loss, tinnitus or neurological deficits. In horizontal…

Foreign body in the ear and nose

…majority of cases, and the great majority of objects can be removed in general practice or in the emergency department with simple equipment. Two principles…

Primary Aldosteronism: Screening and Management

…balance. The principal sporadic subtypes are: Aldosterone producing adrenal adenoma Bilateral adrenal hyperplasia Primary or unilateral adrenal hyperplasia Rare aldosterone producing adrenal carcinoma Less commonly…

Nasogastric tube

…the tube is safe. A misplaced tube in the airway produces no reliable symptoms in a patient with an impaired cough reflex, and the first…

Acute exacerbation of COPD: quick reference

…35 with raised pCO₂ Acute or acute on chronic hypercapnic respiratory failure Rapidly falling pH An urgent ventilatory problem Focal chest pain or unilaterally reduced…

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