Articles & courses

Articles
Neutropenic fever: quick reference for emergency management

…by haematological malignancy, stem cell transplantation, immunosuppressive drugs, radiotherapy, bone marrow failure and certain targeted cancer treatments. Fever is not obligatory Hypothermia, new confusion, tachypnoea…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia. Immunosuppression. Suspicion of another diagnosis: gout, a felon (pulp abscess)…

Otoscopy and ear syringing

…Diabetes, immunosuppression A risk of necrotising otitis externa Anticoagulant treatment Bleeding into the ear canal Previous radiotherapy to the head and neck Fragile skin, poor…

Wound suturing

…contamination, not poor suture technique — and the commonest cause of permanent loss of function is a tendon injury that was sutured over without being found…

Lumbar puncture

…other than acute meningitis — an insidious onset, known malignancy, immunosuppression, papilloedema or new focal neurological signs — CT is performed first. Preparation and equipment Informed consent…

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