A 70-year-old woman presented with an ulcer over the left ankle, which had developed over the previous nine months. She had a history of right deep vein thrombosis (DVT) five years previously.
On examination she had a superficial slough-based ulcer, 6 cm in diameter, over the medial malleolus with no evidence of cellulitis.
What investigation is required prior to the application of compression bandaging?
A 55-year-old man comes to the clinic complaining of palpitations that have been ongoing for the past day. He has no significant medical history. There are no accompanying symptoms of chest pain or difficulty breathing. Physical examination is normal except for an irregularly fast heartbeat. An electrocardiogram reveals atrial fibrillation with a rate of 126 bpm and no other abnormalities. What is the best course of action for treatment?
In what scenario would it be suitable to conduct 24-hour ambulatory blood pressure monitoring?
Which of the following is not a common side effect of amiodarone therapy?
You review a 59-year-old woman, who is worried about her risk of abdominal aortic aneurysm (AAA) due to her family history. She has a BMI of 28 kg/m² and a 20 pack-year smoking history. Her blood pressure in clinic is 136/88 mmHg. She is given a leaflet about AAA screening.
What is accurate regarding AAA screening in this case?
A cardiologist has requested you to initiate oral amiodarone for a young patient who has previously been hospitalized with ventricular tachycardia. What examinations are crucial to confirm that the patient has undergone before commencing the therapy?
You are assessing a 65-year-old man who has presented with concerns about his varicose veins. He has noticed that they have become more noticeable over the past year, but he doesn’t experience any pain.
Upon examination, you observe bilateral prominent varicose veins on his lower legs. There are no accompanying skin changes or leg swelling. His distal pulses are normal, and his feet are warm to the touch.
The patient has no significant medical history, and recent blood tests, including an HbA1c, are within normal limits.
As per current NICE guidelines, what is the recommended course of action for managing this patient’s varicose veins?
A GP receives notification from the Abdominal Aortic Aneurysm Screening program that one of his elderly patients has been found to have an aneurysm measuring 6.5cm in diameter. What should be the next course of action?
A 67-year-old man who has never been screened for abdominal aortic aneurysm (AAA) wishes to be included in the NHS screening programme for AAA.
He denies having recent abdominal or back pain. He doesn’t have any long term medical condition and is not on any long term medication. He has never smoked and his family history is negative for AAA.
He is offered an aortic ultrasound which reveals an abdominal aorta diameter of 5.7 cm.
What course of action should be taken for this patient based on the given information?
An 80-year-old woman presents with a leg ulcer above the right medial malleolus. Compression bandaging is being considered as a treatment option. Without diabetes, what is the minimum ankle-brachial pressure index (ABPI) recommended by SIGN guidelines to ensure the safety of compression bandaging?