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Soft tissue corticosteroid injection

…is chiefly short term Lateral epicondylitis At the extensor origin Consider withholding it; the long term outcome is worse Medial epicondylitis At the flexor origin…

Abscess incision and drainage

…somewhere that makes incision in the emergency department the wrong move — in the hand, in the medial triangle of the face or perianally. Indications Fluctuant…

Leg ulcers — wound debridement and compression therapy

…with post thrombotic syndrome. Differential diagnosis Feature Venous ulcer Arterial ulcer Diabetic foot ulcer : : : : Site Gaiter area, above the medial malleolus Toes, heel, lateral malleolus…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…Intramural haematoma IMH is haemorrhage within the aortic media without an identifiable communication between the aortic lumen and the haematoma and without a visible intimal…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…large and medium sized arteries. Pathological features include plaque formation with calcium deposition, medial thinning, destruction of muscular and elastic tissue, fragmentation of the internal…

Type 2 Diabetes and Cardiovascular Risk Management

…In CKD, additional mechanisms include vascular stiffness and accelerated medial calcification related to disturbed calcium–phosphate metabolism. Patients with advanced CKD are particularly vulnerable to…

Mitral valve stenosis

…annular circumference. The posterior leaflet generally has two distinct indentations which divide it into three scallops, P1 (anterior or medial scallop), P2 (middle scallop), and…

Ankle-brachial index (ABI)

…hallucis longus tendon. Measure in the same way as on the arm. 4. Posterior tibial artery — behind the medial malleolus. Measure. 5. Repeat on the…

Joint aspiration

…highest accuracy for palpation guided aspiration. Press the fluid from the medial towards the lateral side with your free hand. The needle is inserted directed…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…digital block Anaesthetise from the dorsal aspect, one injection medial and one lateral to the base of the phalanx, 2–3 mL on each side…

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