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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

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

Left Ventricular Thrombus After Myocardial Infarction

…Ongoing or newly recognized LV systolic dysfunction. A patient may also present because of complications of the underlying infarction or LV remodeling, including heart failure…

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

…2. A moistened cotton bud with a rolling movement can lift off a superficial body from the conjunctiva or the cornea. Never use a cotton…

Soft tissue corticosteroid injection

…fascia 10–20 mg 20–40 mg 1–2 mL The doses follow the summaries of product characteristics: Lederspan specifies 10–20 mg periarticularly in…

Post-Infarction Pericarditis and Dressler Syndrome

…cause: Diminished heart sounds Disappearance of the friction rub Loss of the apical impulse Electrical alternans on the ECG Compression of the left lung base

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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