41 träffar

ArticleProcedurer
Skin biopsy — punch, shave and excision

…from a fresh blister (routine), one from perilesional skin (immunofluorescence) The immunofluorescence biopsy goes into Michel's medium, not formalin Suspected vasculitis 4 mm punch…

ArticleProcedurer
Cryotherapy of skin lesions

…10 s 1 1 mm Molluscum contagiosum 3–5 s 1 1 mm Skin tag 3–5 s 1 — The freeze time is counted from…

ArticleProcedurer
Casting and immobilisation

…comes after the injury, not before — and that an edge or a fold presses on a bony prominence until the skin breaks down. An acute…

ArticleProcedurer
Abscess incision and drainage

…drainage is the treatment; antibiotics are normally neither necessary nor sufficient in an uncomplicated cutaneous abscess in an otherwise healthy person. There are two ways…

ArticleReferensvärden
Anthropometric measurements

…expiration, with the tape horizontal and without compressing the skin. Ratios and other measurements Measurement Calculation Threshold : : : Waist–hip ratio Waist / hip Men 0.90…

ArticleProcedurer
Bone marrow aspiration and biopsy

…compression. Infection in the skin overlying the puncture site. Previous pelvic irradiation on the intended side (yields fibrotic, unrepresentative marrow — choose the other side). A…

ArticleProcedurer
Joint aspiration

…osteoarthritis related joint disease. Contraindications Infection of the skin or soft tissues over the puncture site — use another approach or refrain. Bacteraemia without suspicion of…

ArticleProcedurer
Leg ulcers — wound debridement and compression therapy

…Variable, often deep Pain Moderate, relieved by elevation Severe, worse on elevation, better when dependent Often painless (neuropathy) Surrounding skin Hyperpigmentation, oedema, lipodermatosclerosis, eczema Pale…

ArticleProcedurer
Lumbar puncture

…the threshold, but the threshold varies between regions. Infection of the skin over the puncture site. Marked haemodynamic instability — stabilise the patient first. CT before…

ArticleProcedurer
Otoscopy and ear syringing

…Diabetes, immunosuppression A risk of necrotising otitis externa Anticoagulant treatment Bleeding into the ear canal Previous radiotherapy to the head and neck Fragile skin, poor…

ArticleProcedurer
Pleural aspiration and chest drain

…Otherwise: Type Contraindication : : Absolute No safe pocket of fluid to puncture (no ultrasound verified fluid) Relative Uncorrected coagulopathy or thrombocytopenia Relative Ongoing anticoagulant treatment — plan…

ArticleProcedurer
Reduction of dislocations

…status must be documented before and after every attempt at reduction — otherwise it is impossible to determine afterwards whether a nerve injury was caused by…

ArticleProcedurer
Soft tissue corticosteroid injection

…a sufficient effect. Contraindications Absolute: Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint…

ArticleKunskapsbas
🟠 Aspirin (Acetylsalicylic acid)

…acetylsalicylic acid at the first sign of skin rash, mucosal lesions, or hypersensitivity. Interactions Pharmacodynamic interactions Anticoagulants, thrombolytics, or other platelet aggregation inhibitors: Salicylates inhibit…

ArticleECG
Components and construction of a pacemaker

…The pacemaker is commonly implanted under the clavicle, between the skin and the pectorialis major. The pulse generator has a shell of titanium which is…

ArticleCardiology
Management of bradycardia (bradyarrhythmia)

…wall movements Chest percussion Lung auscultation Pulse oximetry ( 95%) C Circulation Skin color Sweating Capillary refill time (<2 s) Palpate pulse Heart auscultation Blood pressure…

ArticleProcedurer
Ankle-brachial index (ABI)

…on the upper arm. Locate the brachial signal in the antecubital fossa with the Doppler probe at 45–60° to the skin. Inflate to 20…

ArticleProcedurer
Arterial line

…Disinfect and allow to air dry. 2. Anaesthetise the skin with a small amount of lidocaine without adrenaline (epinephrine). 3. Puncture 1–2 cm proximal…

ArticleProcedurer
Central venous catheter

…incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure…

ArticleProcedurer
Exercise stress test on cycle ergometer

…in the report. Shaving and careful skin preparation at the electrode sites — movement artefact ruins an exercise test more often than anything else. Record a…

ArticleProcedurer
Paracentesis

…mg/mL, 5–10 mL, 25 G for the skin wheal and 21 G for the deeper layers. Diagnostic tap: 21–22 G needle, 20…

ArticleProcedurer
Pericardiocentesis

…pulsus paradoxus Contraindications In overt tamponade with shock there are no absolute contraindications other than the conditions in which the procedure is the wrong treatment …

ArticleProcedurer
Transcutaneous and transvenous pacing

…a pulse that can be felt. The other predictable error is forgetting that pacing hurts a great deal in a conscious patient. Indications Immediate (transcutaneous)…

ArticleProcedurer
Wound suturing

…through a 20 mL syringe and a large bore needle. Chlorhexidine in alcohol to the skin around the wound — not into the wound. Sterile gloves…

ArticleCPR
Basic Life Support (BLS) in cardiac arrest

…recommended for medical professionals. Evaluation of skin color is not necessary to confirm cardiac arrest. Skin color is pale or cyanotic, but this may be…

ArticleCPR
Cardiac arrest in intoxication (poisoning)

…attire possibly contaminated with the toxicant. Irrigate skin and eyes using saline solution (NaCl) if suspected of toxin exposure. Gastrointestinal lavage is infrequently employed due…

ArticleEchocardiography
Performing Echocardiographic Examinations

…In addition to the gel, it is important to apply some pressure when holding the transducer against the skin. Patients with extensive subcutaneous fat require…

ArticleEchocardiography
The ultrasound transducer

…ultrasound transducer contains several components. The transducer contains acoustic insulation that ensures that no other sound waves affect the transducer. The crystals are supported by…