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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…fracture of the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the nail apparatus The terminology is hard…

Wound suturing

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

Injection technique — intramuscular, subcutaneous and intradermal

…poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An…

Short Synacthen test

…the day of the test can therefore be given dexamethasone. That is the practical key: the patient does not have to be left unprotected for…

Peripheral venous cannula and intraosseous access

…but the cannula kinks when the arm is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…Injection of contrast media into the ventricle will instead reveal that the apical portion of the left ventricle is dilated (hence the term apical ballooning…

Joint aspiration

…circles and let it dry for a couple of minutes before the needle is inserted. Sterile gloves, sterile gauze, and a fenestrated drape for injection…

Skin biopsy — punch, shave and excision

…chloride available. Infection in the area to be biopsied. Hypersensitivity to local anaesthetics. Areas at high risk of unsightly or hypertrophic scars: the sternum, the…

Abscess incision and drainage

…wall of the cavity before irrigating. 5. Let the pus drain out. Empty it with gentle pressure around the cavity, not by pressing hard on…

Eye examination and corneal foreign body

…the rest. Support your working hand against the patient's zygoma or the bridge of the nose. 4. Approach tangentially from the periphery , never through…

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