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Soft tissue corticosteroid injection

…nothing documented but increase the risk of skin and fat atrophy. Lederspan states in addition that the dosing interval should not be shorter than four…

Injection technique — intramuscular, subcutaneous and intradermal

…with a high BMI, and that the deltoid injection is placed too high — which causes the shoulder injury known as SIRVA. Both are avoided with…

Clinical application of ECG in chest pain & acute myocardial infarction

…Other symptoms include dyspnea, pain radiating to the left arm/shoulder/throat, palpitations, back pain and selected cases of upper abdominal pain. An ECG recording…

Reduction of dislocations

…Procedure Anterior shoulder dislocation The commonest of all dislocations. There is a hollow beneath the acromion, the arm is held in slight abduction and external…

Endotracheal intubation

Procedurer What determines the outcome of an emergency intubation is rarely the laryngoscopy itself but what was done before it: how well the patient was…

Joint aspiration

…slightly caudally, parallel to the posterior surface of the patella. The shoulder The patient sits with the arm hanging relaxed and slightly internally rotated. The…

Otoscopy and ear syringing

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

Skin biopsy — punch, shave and excision

…at high risk of unsightly or hypertrophic scars: the sternum, the shoulder, the jawline, the ears. Anatomically hazardous areas: the branches of the facial nerve…

Post-Infarction Pericarditis and Dressler Syndrome

…ischemia and infarction Definition and pathophysiology Post infarction pericarditis encompasses two temporally and clinically distinct complications of acute myocardial infarction (AMI): Early infarct associated pericarditis …

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

…chest pain the primary task is to exclude or verify the following potentially life threatening causes of chest pain: Ischemic heart disease : stable angina pectoris…

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