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Otoscopy and ear syringing

…or suspected perforation of the tympanic membrane — including a history of grommets, ear discharge or pain on contact with water. A history of ear surgery…

Foreign body in the ear and nose

…A child who cannot be kept still without sedation. Suspected tympanic membrane perforation. Irrigation is contraindicated in: suspected perforated tympanic membrane, organic material that swells…

Complications of Coronary Angiography and Vascular Access Management

…ostia. It remains the reference standard for defining the extent of coronary artery disease because it provides anatomical information while permitting functional assessment and, when…

Eye examination and corneal foreign body

…the visual acuity before anything else is done. The second most important is to look for signs of perforation — Seidel's sign, an irregular pupil…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…obstructed. Exclusion of coronary dissection compromising the true lumen. Assessment for thrombus, distal embolization, abrupt closure, or perforation. Evaluation of distal flow and myocardial perfusion…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…and infarction Definition and pathophysiology Post infarction mechanical complications are structural disruptions of acutely infarcted myocardium occurring most often during the first days after ST…

Epistaxis — compression, cautery and anterior nasal packing

…Relative The contralateral side of the septum already cauterised — bilateral cautery carries a risk of perforation Anterior packing: Suspected base of skull fracture or a…

Gastric lavage and activated charcoal

…perforation Gastric lavage An unprotected or unsecured airway in a patient with a reduced level of consciousness Gastric lavage Corrosive injury or suspected oesophageal perforation…

Cardiac arrest in intoxication (poisoning)

…if gastrointestinal perforation or obstruction is suspected. If the patient is intubated, administer activated charcoal through a gastric tube at a dose of 0.5…

Corticosteroids: quick reference for dose equivalents and stress dosing

…be silent despite perforation. Sources Endocrine Society clinical practice guideline on the diagnosis and treatment of primary adrenal insufficiency. The summary of product characteristics for…

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