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Soft tissue corticosteroid injection

…corticosteroid and the lidocaine in the same syringe. The anaesthetic confirms that the injection has gone to the right place — immediate pain relief is a…

Performing Echocardiographic Examinations

…while remaining fingers stabilize the grip. The transducer tends to glide out of position due to the gel. One or two fingers may be placed…

Opioid therapy in severe pain

…lower doses than for pain). An opioid is rarely the right choice in nociplastic or neuropathic pain, in chronic non cancer pain, or in headache…

Chest Pain in the Emergency Department: Diagnostic Pathways

…to both arms or shoulders has a particularly strong association with myocardial infarction in the cited clinical data, although right arm radiation has not sho

Clinical application of ECG in chest pain & acute myocardial infarction

…Frank's leads etc). Note that in some situations it is appropriate to connect additional electrodes in order to detect right ventricular infarction (leads V3R…

Differential Diagnosis of Chest Pain: A Clinical Overview

…diagnosis, as the syndrome associated with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest…

Approach to patients with chest pain: differential diagnoses, management & ECG

…The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed…

Paracentesis

…error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain…

Dix–Hallpike test and Epley manoeuvre

…not fatigue Central cause New headache, neck pain, diplopia, dysarthria, dysphagia, ataxia Posterior circulation stroke Unilateral hearing loss or tinnitus Ménière's disease, vestibular schwannoma…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

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