It has been difficult for the clinician to evaluate quantitatively and qualitatively the degree of damage to the liver in the presence of congestive heart failure. This paper gives a statistical analysis of the results of various liver function tests on a group of patients with congestive heart failure. The analysis includes comparisons based on etiology, type of rhythm, duration of heart failure, and nutrition.
Nurses are increasingly the first point of contact for patients in primary care settings such as general practice surgeries, community clinics and walk-in centres. Such roles are likely to continue to expand. This article discusses diagnosis and management options for the most common fungal infections and describes clinical situations that might require further investigation or referral. Accurate diagnosis is essential for successful therapy and, in all cases, can provide an opportunity for discussion, reassurance and advice.
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