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Urinary alkalinisation

Procedurer Alkalinising the urine increases the excretion of weak acids by keeping them in a charged form in the tubular fluid, where they cannot be…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a bloodless field one works by feel, and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : …

Pleural aspiration and chest drain

…safe triangle (Figure 1). Outside it the risk of injuring the diaphragm, liver, spleen or internal thoracic artery increases. For diagnostic aspiration the point chosen…

Wound suturing

…on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic…

Warfarin therapy

…Warfarin has a narrow therapeutic index, a half life of several days and more than a hundred clinically relevant interactions. What determines whether the treatment…

Echocardiography

…body surface area (BSA), given in square metres. Aorta, standardised values Standardised values (mean ± SD) Age Aortic annulus, women Aortic annulus, men Sinuses of Valsalva…

🟠 Pulmonary valve

…morphology normal normal/abnormal abnormal Density CW Doppler weak, slow deceleration variable dense, steep deceleration, early termination of diastolic flow Jet width colour Doppler small…

Skin biopsy — punch, shave and excision

…report. A shave biopsy of a pigmented lesion that turns out to be a melanoma can make the Breslow thickness unmeasurable and staging therefore impossible…

Leg ulcers — wound debridement and compression therapy

…hyperkeratotic Pulses Palpable Weak or absent May be palpable despite ischaemia ABI 0.9 < 0.9 Often falsely high Contraindications to compression The ankle…

Soft tissue corticosteroid injection

…A cold spray or a lidocaine weal. Site Triamcinolone hexacetonide 20 mg/mL Methylprednisolone acetate 40 mg/mL Volume of lidocaine : : : : Subacromial 20 mg (1…

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