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Soft tissue corticosteroid injection

…to surgery De Quervain's tenosynovitis The first dorsal compartment A good effect Trigger finger The tendon sheath at the A1 pulley A good effect…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…of endocarditis. Endocarditis gives three typical findings on echocardiography: Vegetations. Abscesses. Prosthetic detachment. These three findings constitute the main criteria for diagnosing endocarditis. Traditionally, it…

Joint aspiration

…always weighs more heavily). A joint prosthesis: the aspiration must be performed by an orthopaedic surgeon under strictly sterile conditions. For corticosteroid injection there is…

Peripheral venous cannula and intraosseous access

…a major injury proximal to the puncture site. A joint prosthesis or orthopaedic metalwork in the area. A previous intraosseous attempt in the same bone…

Reduction of dislocations

…elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated…

Urinary catheterisation

…a straddle injury Relative Recent urethral or prostatic surgery — contact a urologist before attempting Relative A known urethral stricture Relative Acute prostatitis or urethritis Relative…

Warfarin therapy

…whoever starts the drug is responsible for the first week. Indications A mechanical valve prosthesis — warfarin is mandatory, and direct oral anticoagulants (DOACs) are contraindicated…

Atrial fibrillation: quick reference for emergency management

…2 An oral anticoagulant is recommended A DOAC is preferred to warfarin except in a mechanical valve prosthesis and in moderate to severe mitral stenosis…

Transcutaneous and transvenous pacing

…underlying cause. Contraindications Hypothermia with a body temperature below about 30 °C — the hypothermic myocardium is irritable and pacing can precipitate ventricular fibrillation. Prioritise rewarming…

Cardiac thromboembolism: cardiac sources of embolism

…strokes are caused by cardiac embolism. This figure does not include paradoxical embolism (discussed below) and emboli from the proximal aorta. Stroke and TIA (Transient…

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