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Wound suturing

…the face and scalp — where the blood supply is good and a scar is stigmatising — up to about 24 hours is accepted in Swedish practice…

Soft tissue corticosteroid injection

…contraindication to these superficial injections. Preparation and equipment Chlorhexidine in alcohol, an iodine solution or isopropyl alcohol. A depot glucocorticoid: triamcinolone hexacetonide (Lederspan 20 mg…

Bone marrow aspiration and biopsy

…with the knees drawn up , or prone with a pillow under the pelvis. The lateral position is usually the most comfortable and gives good access…

Gynaecological examination and cervical smear

…the most recent sample analysed for HPV. Invitations are sent up to and including the age of 70, and the last sample is in practice…

Skin biopsy — punch, shave and excision

…rarely needs to be stopped for small biopsies, but have diathermy or aluminium chloride available. Infection in the area to be biopsied. Hypersensitivity to local…

Antibiotic dosing in renal impairment: quick reference

…course (no more than 7 days) may be given to selected patients with an eGFR of 30 40 mL/min for lower urinary tract infection…

Leg ulcers — wound debridement and compression therapy

…above Severe pain Titrate the pressure up gradually Rheumatoid arthritis with vasculitis Individual assessment Repeat the ABI every three to six months during ongoing compression…

Pericardial Effusion & Cardiac tamponade

…Effusion: fluid in the pericardial space Normally, the pericardial sac contains 25 to 50 ml of liquid. This volume is so small that the pericardial…

Injection technique — intramuscular, subcutaneous and intradermal

…For vaccination: adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid…

Short Synacthen test

…These thresholds are also assay dependent. Follow up of known HPA suppression to determine whether replacement can be stopped. The test is not the first…

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