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Soft tissue corticosteroid injection

Procedurer A corticosteroid injection into soft tissue gives rapid but time limited pain relief and rarely alters the natural history of the disease. In lateral…

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…

Abscess incision and drainage

…abscess, a markedly unwell patient with fever and systemic upset, suspected necrotising soft tissue infection, a child who cannot tolerate the procedure while awake. Suspected…

Empirical antibiotic therapy: quick reference for common infections

…Skin and soft tissue Diagnosis Agent Dose Duration : : : : Erysipelas phenoxymethylpenicillin 1 g × 3 (2 g × 3 if weight 90 kg) 10 days or benzylpenicillin 1…

Leg ulcers — wound debridement and compression therapy

…Septic phlebitis, ongoing soft tissue infection with systemic involvement. Relative: Condition Adaptation : : ABI 0.5–0.79 Reduced compression (20–30 mmHg) under vascular surgical…

Peripheral venous cannula and intraosseous access

…medium for most adults, long for thick soft tissue and for the head of the humerus. A pressure bag or a 50 mL syringe with…

Foreign body in the ear and nose

…insect in the ear canal. A 30–60 mL syringe with a soft catheter and body temperature water for irrigation. Small children need help to…

Nasogastric tube

…evacuation; a fine, soft tube (Ch 8–12) of polyurethane or silicone for nutrition, since it causes less mucosal irritation with longer term use. A…

Epistaxis — compression, cautery and anterior nasal packing

…compression. The reason compression nevertheless so often fails is that it is done wrongly: the patient pinches the nasal bone instead of the soft part…

Eye examination and corneal foreign body

…perforation — Seidel's sign, an irregular pupil, a soft globe — because a perforated eye must never be instrumented, have its pressure measured, or be palpated…

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