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Skin biopsy — punch, shave and excision

…biopsy of a pigmented lesion that turns out to be a melanoma can make the Breslow thickness unmeasurable and staging therefore impossible; a superficial punch…

Arterial line

…Choice of vessel The radial artery is the first choice : superficial, easy to compress, with a dual collateral supply to the hand through the palmar…

Wound suturing

…because the edges are held apart. A wound through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds…

Left Ventricular Thrombus After Myocardial Infarction

…with extensive anterior or transmural infarction, apical dysfunction, LV aneurysm formation, and reduced LV systolic function. The principal mechanisms are the combination of an abnormal…

Cryotherapy of skin lesions

…the lower leg in a patient with peripheral arterial disease or diabetes — the wound may not heal. Over superficial nerves (the lateral aspects of the…

Eye examination and corneal foreign body

…or peaked pupil suggests perforation. Look for hyphaema — blood with a fluid level in the anterior chamber, best seen with the patient sitting up. 3…

Soft tissue corticosteroid injection

…trochanteric injection; 25–27 G, 25 mm for the carpal tunnel, de Quervain's and trigger finger. Syringes of 3, 5 and 10 mL, artery…

Post-Infarction Pericarditis and Dressler Syndrome

…including subacute rupture. Evaluation and physical examination The diagnosis of pericarditis is clinical and is supported by additional findings. A definite diagnosis requires a compatible…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…disease. Pathophysiology Mechanisms of acute coronary syndrome The major mechanisms producing acute coronary syndromes are: Plaque rupture with exposure of thrombogenic material. Superficial plaque erosion…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a bloodless field one works by feel, and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : …

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