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Skin biopsy — punch, shave and excision

…requires a biopsy for direct immunofluorescence). Suspected cutaneous vasculitis, lymphoma or granulomatous disease. A treatment resistant rash without a definite diagnosis. Choice of technique Diagnostic…

Cryotherapy of skin lesions

…surrounding skin. Eye protection and gloves for the operator. Explain before treatment that it stings intensely during thawing, that a blister (sometimes a blood blister…

Anaphylaxis: quick reference for emergency management

…is a clinical diagnosis. Treat as anaphylaxis in any of the following: 1. Acute onset of skin or mucosal symptoms , for example generalised urticaria, itching…

Casting and immobilisation

…and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor function, pulses and capillary refill. Check the skin…

The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…ECG curves (diagrams). For some purposes (e.g. diagnosis of some arrhythmias) it is not always necessary to analyze all leads, as the diagnosis can…

Abscess incision and drainage

…in the skin or subcutis. Pilonidal abscess, hidradenitis abscess and paronychia with a collection of pus. Persistent painful induration after a few days of antibiotics…

Anthropometric measurements

…lowest rib and the iliac crest, at the end of expiration, with the tape horizontal and without compressing the skin. Ratios and other measurements Measurement…

Bone marrow aspiration and biopsy

…the skin. Aspiration needle (iliac crest or sternal needle with stylet) and a Jamshidi type biopsy needle. Syringes: a small 5–10 mL syringe for…

Injection technique — intramuscular, subcutaneous and intradermal

… gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before inserting the needle — alcohol carried…

Joint aspiration

…10 mL for smaller joints. Local anaesthesia of the skin and subcutis where needed, lidocaine 10 mg/mL. Sample tubes: an EDTA tube for the…

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