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A 35 year old man presents with palpitations. He has been drinking heavily with friends over the weekend. Present your findings and give a diagnosis. Question 2 A 45 year old business man presents with a feeling that his heart is racing. He also has some shortness of breath. Beats are transmitted with a, or block, leading to ventricular rates of, and 75 BPM respectively. A 75 year old man with a history of COPD presents with fever and increased sputum production. An ECG is taken in the emergency department. This is polymorphic atrial tachycardia. It occurs in respiratory disease and reflects an aberrant foci of atrial excitation.

The forebears of modern-day chiropodists were the itinerant corn-cutters of past centuries who plied their trade at fairs, markets, and in the streets. Little is known in detail about the history of corn-cutters, but by Lewis Durlacher, a leading British practitioner, was drawing a distinction between the new professional chiropodist and the humble journeyman cutter. Foot care at this time was becoming a major business area, which may have stimulated these professional responses. The Scholl remedial footwear firm had developed in the US, successfully responding to market needs, and had opened its first London branch in British doctors of the day were generally not interested in this area as part of their practice, and only a dedicated few served as mentors, patrons, and examiners for the new Society of Chiropodists. However, by its journal, The Chiropodist, was presenting the new profession as a collateral branch of medicine in line with Durlacher's earlier ambitions, drawing its scientific principles into a neglected but now crucially important area of health care practice.

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