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Skin biopsy — punch, shave and excision

…the fingers, toes, nose and ears), a 27 G needle, a 2–5 mL syringe. Punches of 2, 3, 4 and 6 mm. A size…

Arterial line

…departments; a palpable ulnar pulse and a warm, well perfused hand carry more weight. Choice of vessel The radial artery is the first choice : superficial…

Wound suturing

…gives a bloodless field and a longer duration. The old rule that adrenaline is forbidden on fingers, toes, nose, ears and penis has been abandoned…

Left Ventricular Thrombus After Myocardial Infarction

…superficial components may detach and embolize systemically. Observational data indicate approximately a fourfold greater risk of embolic events in patients with LV thrombus than in…

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

…measure and document the visual acuity before anything else is done. The second most important is to look for signs of perforation — Seidel's sign…

Soft tissue corticosteroid injection

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

Post-Infarction Pericarditis and Dressler Syndrome

…In patients with pericarditis complicated by constriction, symptoms and signs of right sided heart failure may predominate. Pericardial effusions associated with post infarction pericarditis are…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…and spotty calcification. However, the concept has important limitations. Although thin capped fibroatheromas may have imaging characteristics associated with rupture, fewer than 5% of such…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia. Immunosuppression. Suspicion of…

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