Articles & courses

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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

…Both are checked in under a minute, and both are routinely missed. The third thing to know by heart is that an arterial line must…

Wound suturing

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

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

Procedurer The single most important step in any eye injury is to measure and document the visual acuity before anything else is done. The second…

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

…present intermittently during the illness and, in some series, is reported in up to approximately one third of patients. Its absence therefore does not exclude…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…factors. Plaque erosion Plaque erosion is increasingly recognized and is present in at least one third of acute coronary syndromes in the cited material. Eroded…

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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