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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

…in verified inflammatory or osteoarthritis related joint disease. Contraindications Infection of the skin or soft tissues over the puncture site — use another approach or refrain…

Abscess incision and drainage

…a very large or deep abscess, a markedly unwell patient with fever and systemic upset, suspected necrotising soft tissue infection, a child who cannot tolerate…

Empirical antibiotic therapy: quick reference for common infections

…pregnancy and the period before a urological procedure. A positive urine dipstick in an older patient is difficult to interpret. Skin and soft tissue Diagnosis…

Leg ulcers — wound debridement and compression therapy

…high Contraindications to compression The ankle brachial index measured with Doppler determines whether compression may be applied at all, and if so at what pressure…

Peripheral venous cannula and intraosseous access

…for children and slim limbs, medium for most adults, long for thick soft tissue and for the head of the humerus. A pressure bag or…

Foreign body in the ear and nose

…Mineral oil or lidocaine to kill an insect in the ear canal. A 30–60 mL syringe with a soft catheter and body temperature water…

Nasogastric tube

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

Epistaxis — compression, cautery and anterior nasal packing

…with lidocaine and a vasoconstrictor vertically into the nose. Wait 10–15 minutes. 3. Apply the silver nitrate stick to the vessel with light pressure …

Eye examination and corneal foreign body

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

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