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Soft tissue corticosteroid injection

…of skin and fat atrophy. Lederspan states in addition that the dosing interval should not be shorter than four weeks . Mix the corticosteroid and the…

Injection technique — intramuscular, subcutaneous and intradermal

…whole shoulder; rolling up a sleeve creates a constriction that distorts the anatomy and tempts the operator to inject too high. 2. Palpate the acromion…

Clinical application of ECG in chest pain & acute myocardial infarction

…arm/shoulder/throat, palpitations, back pain and selected cases of upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and…

Reduction of dislocations

…status, the ASA class and the airway beforehand. Procedure Anterior shoulder dislocation The commonest of all dislocations. There is a hollow beneath the acromion, the…

Endotracheal intubation

…right shoulder. A reservoir mask with a tight fitting seal, a separate nasal cannula for apnoeic oxygenation, a bag with a PEEP valve, and an…

Joint aspiration

…to be given: hold the needle still, change the syringe and inject. The injection should go in easily. Resistance means the tip is in tissue…

Otoscopy and ear syringing

Procedurer Cerumen should be removed when it causes symptoms or obscures the tympanic membrane — not routinely . The wax has a protective function, and the commonest…

Skin biopsy — punch, shave and excision

…report. A shave biopsy of a pigmented lesion that turns out to be a melanoma can make the Breslow thickness unmeasurable and staging therefore impossible…

Post-Infarction Pericarditis and Dressler Syndrome

…after AMI should prompt investigation for possible subacute cardiac rupture, particularly when the effusion develops in the early post infarction period. Clinical presentation and symptoms…

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

…type of symptoms etc. Chest pain is one of the most nuanced symptoms in clinical practice and it is fundamental to be able to differentiate…

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