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Cryotherapy of skin lesions

…treating near the eye or on an irregular surface. Petroleum jelly around the lesion to protect the surrounding skin. Eye protection and gloves for the…

Leg ulcers — wound debridement and compression therapy

…Often painless (neuropathy) Surrounding skin Hyperpigmentation, oedema, lipodermatosclerosis, eczema Pale, hairless, atrophic, cold Dry, hyperkeratotic Pulses Palpable Weak or absent May be palpable despite ischaemia…

Poisoning: quick reference for antidotes and initial management

…wash the skin after external exposure A low Glasgow Coma Scale is not on its own an absolute indication for intubation. Assess ventilation, airway protection…

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…

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…

Ankle-brachial index (ABI)

…correct size (the width should correspond to about 40 % of the circumference of the limb), a manual manometer, plastic film or a dressing to protect…

Skin biopsy — punch, shave and excision

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

Anaphylaxis: quick reference for emergency management

…that can cause life threatening compromise of the airway, breathing or circulation. Skin symptoms may be absent, and circulatory shock does not have to be…

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

…these measurement points are the skin electrodes. Thus, the electrical potential difference is the difference in the electrical potential detected by two (or more) electrodes…

Abscess incision and drainage

…along the skin tension lines and make it long enough — as a rule of thumb, along the whole length of the abscess or at least…

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