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Treatment of u201csubacromial pain syndromeu201d of the shoulder has changed drastically in the past decade. The anatomical explanation as u201cimpingementu201d of the rotator cuff is not sufficient to cover the pathology. u201cSubacromial pain syndromeu201d, SAPS, describes the condition better. A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a guideline based on the available scientific evidence. This resulted in a new outlook for the treatment of subacromial pain syndrome<br>Visit here: https://www.a4medicine.co.uk/subacromial-pain-syndrome/<br><br>
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Cardiovascular WWW.A4MEDICINE.CO.UK/WARFARIN-HIGH-INR/ Warfarin-High INR High international normalised ratio ( INR )- Consider aspects which may have caused INR to be out of range and level of INR Any medication change ? antibiotic , amiodarone Missed dose or taken too much ? Any intercurrent illness ? gastroenteritis fever , onset of jaundice , weight loss , ? worsening renal function Excessive alcohol consumption ? herbal remedies OTC meds eg cranberry juice , miconazole gel Smoking cessation ( can ↑ the effect of warfarin )
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