Shiraz Ellemdin

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In March 2012, a 37-year female patient presented to the emergency department with a 6 months history of progressive dyspnoea, fatigue, insomnia and generalized body pains. There was no accompanying cough or haemoptysis. She was a non-smoker with no background medical or surgical history. No risk factors for pulmonary disease could be identified from her(More)
OBJECTIVES We aimed to ascertain the efficacy of an intervention in which laboratory test costs were provided to clinicians as a pocket-sized brochure, in reducing laboratory test costs over a 4-month period. METHODS This was a non-randomised intervention study in the Internal Medicine wards at Steve Biko Academic Hospital, Pretoria, in which the(More)
BACKGROUND In patients with known or suspected coronary artery disease, diagnosis and risk stratification can be aided by non-invasive tests for myocardial ischaemia. The main indications for the use of radionuclide perfusion imaging (sestamibi) rather than exercise electrocardiography include complete left bundle branch block, inconclusive stress(More)
It is now clear that hepatopulmonary syndrome (HPS) may occur and contribute significantly to gas exchange abnormalities in the setting of other cardiopulmonary abnormalities. Since there is no gold-standard diagnostic test for HPS, diagnosis rests on documenting arterial oxygenation abnormalities resulting from intrapulmonary vasodilatation in the setting(More)
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