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    Examination of the Spine Professional

    Inability of lateral flexion without forward flexion at the same time suggests atlanto-axial and atlanto-occipital joint abnormalities. Lateral rotation: normal range is 80° to both s...

    Cerebrovascular Events Professional

    The median survival time for people after an ischaemic stroke six months previously was longer in those who were independent in activities of daily living.

    Cataracts and Cataract Surgery Professional

    Most dysphotopsias resolve or diminish over time. However, in 0.2 to 1 % of patients severe symptoms persist [ 29 ] . Implantation of a secondary intraocular lens (IOL) can alleviate negative...

    Candidiasis Professional

    The correct method of use is to smear 1 ml (for neonates, 1.25 ml for babies aged 1 month to 1 year) of miconazole oral gel round the mouth and gums with a finger after feeds four times a day...

    Paediatric Examination Professional

    Check for central perfusion; capillary refill time should be less than two seconds. Palpate and percuss the anterior chest wall for heart size and the site and nature of the apex beat.

    Prevention of Venous Thromboembolism Professional

    Regard surgical patients and patients with trauma as being at increased risk of VTE if they meet one of the following criteria: Surgical procedure with a total anaesthetic and surgical time...

    Acute Pulmonary Oedema Professional

    This may need to be repeated based on response of clinical symptoms - diuretic effectiveness is greatly reduced in the presence of hypotension and when patients have been taking oral diuretics for a l...

    Bullying Professional

    These features are common in term time but absent at weekends and in holidays. The doctor may feel that the child is not so much ill as pleading that they don't want to be sent to school....

    Management of Type 2 Diabetes Professional

    Patient education Structured patient education should be made available to all people with diabetes at the time of initial diagnosis and then as required on an ongoing basis, based on a...

    Prevention of Falls in the Elderly Professional

    What was the patient doing at the time? Was it something involving exertion? Did it involve looking up? Extending the neck to look inside a low cupboard or to do high dusting risks vertebroba...

    Lung Cancer Professional

    One study found that cigarette smoking was associated with larger tumours than non-smoking at time of presentation [ 5 ] . Increased age. People with chronic obstructive pulmonary disea...

    Retinoblastoma Professional

    Osteosarcoma rates are believed to be 250-500 times that of the general population [ 26 ] . There is also an increased incidence of secondary tumours in children with hereditary retinoblas...

    Diabetic Foot Professional

    Assessment [ 2 ] For adults with diabetes, assess their risk of developing a diabetic foot problem at the following times: When diabetes is diagnosed and, thereafter, at least annua...

    Corneal Problems - Acute and Non-acute Professional

    If the scratch penetrates the cornea more deeply, however, the healing process will take longer, at times resulting in greater pain, blurred vision, tearing, redness, and extreme sensitivity ...

    Systemic Sclerosis (Scleroderma) Professional

    Softening laxatives (such as lactulose) and/or soluble fibre (such as ispaghula). At times, diarrhoea may be the prominent symptom and anti-diarrhoeal agents may be required. Constipation ...

    Uveitis Professional

    Recurrence rates as high as 66% have been reported, although there is a wide range in the number of reported attacks and the time period between them, which can be many years. [ 19 ] Newe...

    Conditions Affecting the External Eye Professional

    Secondary disease is also managed with oral aciclovir (200 mg-400 mg five times a day for 7-14 days). Impetigo . This superficial skin infection, caused by Staphylococcus aureus an...

    Infective Conjunctivitis Professional

    Cool compresses and artificial tears used several times daily may improve comfort. Viral conjunctivitis can last 4-6 weeks and can get worse before it gets better.

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