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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

…through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions and small 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

…a cryoprobe for contact technique. Cotton buds for small lesions (these give a more superficial and less controllable depth of freeze). A size 15 scalpel…

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

…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

…or the cut off finger of a sterile glove rolled down. A nail splitter or strong pointed scissors, a Freer elevator or small artery forceps…

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