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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a 27 G needle, a 5 mL syringe. A tourniquet: a Penrose drain with artery forceps, or the cut off finger of a sterile glove…

Eye examination and corneal foreign body

…body reaching the stroma or deeper. The absence of a slit lamp — the cornea should not be instrumented without magnification. With a suspected chemical injury…

Pericardiocentesis

…a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes, a three way tap. A Seldinger set with a…

Wound suturing

…was sutured over without being found. Indications A traumatic wound that gapes and cannot be expected to heal with good function or cosmesis without apposition…

Joint aspiration

…when the syringe is changed after aspiration. Procedure 1. Examine the joint, locate the effusion and mark the puncture site with a pen or an…

Skin biopsy — punch, shave and excision

…subcutis. 5. Lift the specimen gently with a needle tip or fine forceps applied to its edge , not by gripping across the whole biopsy, and…

Abscess incision and drainage

…lidocaine 10 mg/mL with adrenaline (epinephrine). Syringe, 27 G and 21 G needles. Irrigation fluid (NaCl 9 mg/mL) and a 20 mL syringe…

Otoscopy and ear syringing

…Irrigation: a 30–60 mL syringe with a soft irrigation catheter, or an electric ear irrigator with pressure limitation, body temperature water or saline ( 36…

Foreign body in the ear and nose

…4 % with oxymetazoline 0.5 % on pledgets. Mineral oil or lidocaine to kill an insect in the ear canal. A 30–60 mL syringe with…

Spirometry

…of pulmonary involvement in systemic disease, for example rheumatoid arthritis or scleroderma, and during treatment with pulmonary toxic drugs. Contraindications Forced expiration raises the pressure…

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