Headache

Headache is a very common problem. The vast majority of headaches, even though they can be disabling for patients, will be benign. Important points in the history Pattern Intermittent Continuous Diurnal variation / time...

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Hearing Loss in Adults

Common causes External meatus blocked by wax Presbyacusis Sensorineural hearing loss Presbyacusis Loss of hair cells on cochlear as increase in age Audiogram; High frequencies lost first, low frequencies stay in normal range, no...

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Heart Failure

Heart Failure is… Inability of the heart to pump adequate amounts of blood to meet the body’s metabolic demands End stage of all heart diseases Accounts for 5 in 1000 hospital admission each year...

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Henoch Schonlein Purpura (HSP)

Introduction Henoch-Schonlein Purpura (HSP) is a vasculitis that most commonly occurs in children. It is the most common vasculitis of childhood, and typically present in children aged between 2-8. in 50% of cases there...

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Hepatic Encephelopathy

West Haven criteria for grading hepatic encephalopathy Grade 1: Trivial lack of awareness. Impaired attention span. Altered sleep, euphoria or depression. Mild asterixis may be present. Grade 2: Lethargy or apathy. Disorientation. Inappropriate behavior....

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Hepatitis A

Aetiology and Epidemiology The most common hepatitis virus. It is often seen in epidemics (usually in children), and most commonly occurs in the autumn Often found in communities with overcrowding Commonly found in water...

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Hepatitis B

Introduction Hepatitis B is an infection in the liver, caused by the hepatitis B virus (HBV). It is the most common cause of hepatitis. It is endemic in Asia and the Far East (up...

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Hepatitis C

Introduction First discovered in 1989, the hepatitis C virus (HCV) is blood-borne form of viral hepatitis. The incubation period is 6-9 weeks. Transmission is usually via blood products or vertical transmission from mother to...

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