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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

…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

…particularly when the effusion is substantial or when haemodynamic consequences develop. In patients with pericarditis complicated by constriction, symptoms and signs of right sided heart…

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

…extensions of the matrix, reaching out to the sides beneath the nail folds. It is these that must be destroyed during matrix ablation — miss the…

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