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Skin biopsy — punch, shave and excision

…duration; it is safe even on the fingers, toes, nose and ears), a 27 G needle, a 2–5 mL syringe. Punches of 2, 3…

Arterial line

…treatment are relative contraindications and are an argument for a superficial, compressible vessel. Allen's test is still used in many units to assess the…

Wound suturing

…7 mg/kg with adrenaline . Adrenaline gives a bloodless field and a longer duration. The old rule that adrenaline is forbidden on fingers, toes, nose…

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

…Over superficial nerves (the lateral aspects of the fingers, the ulnar groove, the neck of the fibula). The eyelid margins, the cartilage of the nasal…

Eye examination and corneal foreign body

…the visual acuity before anything else is done. The second most important is to look for signs of perforation — Seidel's sign, an irregular pupil…

Soft tissue corticosteroid injection

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

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

…with or without left ventricular hypertrophy. Among patients with NSTE ACS undergoing angiography, approximately 10% have no critical epicardial stenosis. In some of these patients…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…an iodine solution. Lidocaine 10 mg/mL without adrenaline for the block (adrenaline is safe in fingers and toes according to modern data, but there…

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