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Abscess incision and drainage

…wrong move — in the hand, in the medial triangle of the face or perianally. Indications Fluctuant, tender, erythematous and indurated swelling in the skin or…

Joint aspiration

…2. Clean and let it dry. Do not palpate the puncture site again with an unsterile hand. 3. Insert the needle in one movement, aspirating…

Wound suturing

…alone. Contraindications Primary closure must be avoided or considered carefully in: Bite wounds — particularly cat and human bites, and all bites on the hand. These…

Eye examination and corneal foreign body

…slit lamp with the forehead against the band and the chin in the rest. Support your working hand against the patient's zygoma or the…

Pleural aspiration and chest drain

…very small or loculated effusion — consider image guided puncture in the radiology department The thresholds for the INR and the platelet count vary between regions…

Exercise stress testing in special patient populations

…testing is lower in the elderly, as compared to younger individuals. Sensitivity, on the other hand, appears to be similar. Exercise stress testing and revascularization …

Otoscopy and ear syringing

…canal : pull the pinna upwards and backwards in adults, downwards and backwards in small children. 3. Rest your hand against the patient's cheek so…

Sinoatrial arrest & sinoatrial pause (sinus pause / arrest)

…acute pain or other stimuli that increases vagal tone. In all other situations, sinus arrest/pause should be considered abnormal, and the following differential diagnoses…

Classification of Acute Coronary Syndromes (ACS) & Acute Myocardial Infarction (AMI)

…will experience severe chest pain due to the abrupt reduction of coronary blood flow. Acute coronary syndromes are subdivided into STE ACS and NSTE ACS …

NSTEMI (Non-ST Elevation Myocardial Infarction) & Unstable Angina: Diagnosis, Criteria, ECG, Management

…in a reduction of coronary blood flow and this causes subendocardial ischemia (i.e ischemia that only affects the subendocardium). STEMI, on the other hand…

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