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Skin biopsy — punch, shave and excision

…thickness unmeasurable and staging therefore impossible; a superficial punch in a case of bullous dermatosis misses the subepidermal split. Choose the technique according to the…

Arterial line

…and a warm, well perfused hand carry more weight. Choice of vessel The radial artery is the first choice : superficial, easy to compress, with a…

Wound suturing

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

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

…above all the lower leg in a patient with peripheral arterial disease or diabetes — the wound may not heal. Over superficial nerves (the lateral aspects…

Eye examination and corneal foreign body

…chemical injury the priorities are reversed: irrigate first , for at least 30 minutes, and measure the pH in the conjunctival sac before anything else is…

Soft tissue corticosteroid injection

…inject into or beside them. Anticoagulant treatment is not a contraindication to these superficial injections. Preparation and equipment Chlorhexidine in alcohol, an iodine solution or…

Post-Infarction Pericarditis and Dressler Syndrome

…cardiovascular interventions. Dressler syndrome now occurs in fewer than 1% of AMI cases and is seen predominantly after larger infarctions and/or delayed reperfusion. Its…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…5% of such lesions caused a clinical event during 3.4 years of follow up in a prospective study of patients with acute coronary syndrome…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

Procedurer Three of the commonest minor procedures in general practice concern the nails, and all three rest on the same foundation: an effective digital block…

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