Tag: acrrm
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Outpatient Management of Atrial Fibrillation
Diagnosis Feel a radial pulse regularly in patients over 65. If irregular do an ECG. AF is also commonly diagnosed on symptomatic presentations when doing a Holter etc. Be sure to consider and treat precipitants of new AF including sepsis, electrolyte derangement, hyperthyroidism, and excessive alcohol use. Classification Note that the non-valvular/valvular distinction “should be…
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Bright Red PR Bleeding and Perianal Disease
Perianal pain and PR bleeding can be confronting presentations in general practice. The conflict between trying to constrain healthcare resource utilisation and practicing safely and defensively is real, and not every patient can be sent for colonoscopy. However, separating out concerning cases requires substantial knowledge and experience. The first step is to differentiate melaena from…
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Gallstone Disease: An Overview
Gallstones are cholesterol-based aggregations of bile product which develop in the gallbladder and are present in something like 6% of the population at any one time. The majority of gallstones are asymptomatic and found when doing abdo ultrasounds or CT scans for other reasons. Symptomatic disease usually starts as biliary colic and then progresses to…