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Edrophonium test

…AChR antibodies in about 80 % of generalised and around half of ocular myasthenia, thereafter MuSK and LRP4 antibodies) and on neurophysiology (repetitive nerve stimulation with…

Wound suturing

…in. A wound that has not been irrigated clean, has not been inspected to its depth, and has not been assessed for tendon and nerve…

Reduction of dislocations

…Digital nerve block The standard in finger dislocation Procedural sedation Propofol, ketamine or a combination. It requires a fasting history, two people, full monitoring and…

Soft tissue corticosteroid injection

…beside them. Anticoagulant treatment is not a contraindication to these superficial injections. Preparation and equipment Chlorhexidine in alcohol, an iodine solution or isopropyl alcohol. A…

ACE Inhibitor Cough and Angioedema: Practical Management

…syndrome" has emerged, emphasizing the putative role of sensitized sensory nerve endings and afferent neural pathways in causing chronic refractory cough, akin to chronic neuropathic…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…of EMI, although radiofrequency procedures, nerve stimulators, and other electronic equipment may also interfere with device function. The clinical consequences depend on the device, the…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…to increased Vagus nerve activity caused by digoxin. Increased Vagus activity diminishes the automaticity in the sinoatrial node (which lowers heart rate) and also slows…

Arterial line

…are poor and the median nerve lies close by. Preparation and equipment Arterial catheter, usually 20 G in an adult; a smaller size in children…

Injection technique — intramuscular, subcutaneous and intradermal

…are avoided with the right landmark and the right needle length. Indications Route Typical drugs Absorption : : : Intramuscular (IM) Vaccines, depot antipsychotics, hydroxocobalamin, adrenaline in anaphylaxis…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…and the cuticle is the flap of skin that extends from the proximal fold over the base of the plate. Preparation and equipment Chlorhexidine in…

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