Table of Contents

• Free Topics
  • 10-2. Preparing for the Closure of the Biopsy Site - Fig
  • 1-1. Incision and Pus Expulsion - Fig
  • 11-3. Facilitating Easy Removal of a Lesion - Fig
  • 12-1. Lines of Least Skin Tension - Fig
  • 12-7. Deeply Buried Subcutaneous Stitch - Fig
  • 13-1. Stretching the Skin Surface - Fig
  • 14-3. Suturing Symmetric Amounts of Tissue - Fig
  • 2-1. Optimal Needle Insertion - Fig
  • 3-1. Diagnosis Suggested by Pleural Fluid Exam - Table
  • 3-2. Marking the Needle Insertion Site - Fig
  • 3-3. Characteristics of Pleural Exudates - Table
  • 3-4. Insertion of Thoracentesis Needle - Fig
  • 4-2. Connecting the Suction-Drain System - Fig
  • 4-8. Suturing the Skin Incision Site - Fig
  • 6-1. Wrapping the Digit in Spiral Ligature - Fig
  • 6-5. Choosing the Cutting Site on the Ring - Fig
  • 6-7. Removing the Ring - Fig
  • 7-2. String Yank Technique - Fig
  • Abbreviations
  • Abdominal Paracentesis
  • Advancement Flap Placement
  • Anoscopy with Biopsy
  • Basic Z-Plasty
  • Cervical Polyp Removal
  • Digital Nerve Block
  • Extensor Tendon Repair
  • Field Block Anesthesia
  • Fusiform Excision
  • Gomco Clamp Circumcision
  • Horizontal Mattress Suture Placement
  • Incision and Drainage of Abscesses
  • Local Anesthesia Administration
  • Lumbar Puncture
  • No-Scalpel Vasectomy
  • Paronychia Surgery
  • Punch Biopsy of the Skin
  • Reduction of Radial Head Subluxation (Nursemaid's Elbow)
  • Shoulder Injection
  • Treatment of Noncervical Human Papillomavirus Genital Infections
  • Vertical Mattress Suture Placement
• I. General Procedures
  • 1. Incision and Drainage of Abscesses
    • 1-1. Incision and Pus Expulsion - Fig
    • 1-2. Promote Drainage and Prevent Premature Closure - Fig
    • Incision and Drainage of Abscesses
  • 2. Lumbar Puncture
    • 2-1. Common Properties of CSF - Table
    • 2-1. Optimal Needle Insertion - Fig
    • 2-2. Needle Insertion between Spinous Processes - Fig
    • 2-3. Needle Withdrawal - Fig
    • Lumbar Puncture
  • 3. Thoracentesis
    • 3-1. Diagnosis Suggested by Pleural Fluid Exam - Table
    • 3-1. Positioning the Patient - Fig
    • 3-2. Marking the Needle Insertion Site - Fig
    • 3-2. Studies Performed in Complete Pleural Fluid Analysis - Table
    • 3-3. Characteristics of Pleural Exudates - Table
    • 3-3. Disinfecting the Area around the Insertion Site - Fig
    • 3-4. Causes and Properties of Transudative Pleural Effusions - Table
    • 3-4. Insertion of Thoracentesis Needle - Fig
    • 3-5. Aspiration of Pleural Fluid - Fig
    • 3-5. Causes and Properties of Exudative Pleural Effusions - Table
    • Thoracentesis
  • 4. Chest Tube Insertion
    • 4-1. Identification of Insertion Site - Fig
    • 4-2. Connecting the Suction-Drain System - Fig
    • 4-3. Infiltration of the Subcutaneous Tissue and Intercostal Muscle - Fig
    • 4-4. Making an Incision - Fig
    • 4-5. Pleural Space Verification - Fig
    • 4-6. Chest Tube Insertion - Fig
    • 4-7. Suturing the Tube - Fig
    • 4-8. Suturing the Skin Incision Site - Fig
    • 4-9. Gauze Placement and Taping - Fig
    • Chest Tube Insertion
  • 5. Abdominal Paracentesis
    • 5-1. Insertion Sites - Fig
    • 5-2. Lateral Site - Fig
    • 5-3. Midline Site - Fig
    • 5-4. Peritoneal Lavage - Fig
    • Abdominal Paracentesis
  • 6. Ring Removal
    • 6-1. Wrapping the Digit in Spiral Ligature - Fig
    • 6-2. Unwinding the Suture - Fig
    • 6-3. Rubber Glove Technique - Fig
    • 6-4. Ring Cutter - Fig
    • 6-5. Choosing the Cutting Site on the Ring - Fig
    • 6-6. Cutting the Ring - Fig
    • 6-7. Removing the Ring - Fig
    • 6-8. Removing Thicker Objects from the Digit - Fig
    • Ring Removal
  • 7. Fishhook Removal
    • 7-1. Retrograde Technique - Fig
    • 7-2. String Yank Technique - Fig
    • 7-3. Advance and Cut Technique - Fig
    • Fishhook Removal
  • 8. Tick Removal
    • 8-1. Positioning the Pair of Curved Hemostats - Fig
    • 8-2. Removing the Tick - Fig
    • 8-3. Using a Tick Removal Device - Fig
    • Tick Removal
• II. Dermatology
  • 10. Punch Biopsy of the Skin
    • 10-1. Selecting the Biopsy Site - Fig
    • 10-2. Preparing for the Closure of the Biopsy Site - Fig
    • 10-3. Technique to Use the Punch Biopsy Instrument - Fig
    • 10-4. Obtaining the Specimen - Fig
    • Punch Biopsy of the Skin
  • 11. Shave Biopsy
    • 11-1. Removal of Small Lesions - Fig
    • 11-2. Removal of Flat Lesion - Fig
    • 11-3. Facilitating Easy Removal of a Lesion - Fig
    • 11-4. Scalpel Technique - Fig
    • 11-5. Razor Blade also Can Be Used - Fig
    • 11-6. Radiosurgical Loop Excision - Fig
    • Shave Biopsy
  • 12. Fusiform Excision
    • 12-1. Lines of Least Skin Tension - Fig
    • 12-1. Techniques Incorporated into Fusiform Excision - Table
    • 12-2. Drawing the Fusiform Excision - Fig
    • 12-3. Performing Anesthesia - Fig
    • 12-4. Skin Incision - Fig
    • 12-5. Cutting the Lesion - Fig
    • 12-6. Undermining the Wound - Fig
    • 12-7. Deeply Buried Subcutaneous Stitch - Fig
    • 12-8. Eversion of the Skin Edges - Fig
    • 12-9. Principle of Halving - Fig
    • Fusiform Excision
  • 13. Skin Tag Removal
    • 13-1. Stretching the Skin Surface - Fig
    • 13-2. Using the Curved Iris Scissors - Fig
    • 13-3. Electrocautery Destruction - Fig
    • Skin Tag Removal
  • 14. Simple, Interrupted Skin Suture Placement
    • 14-1. Shadow Effect of a Retracted Scar - Fig
    • 14-2. Creating a Proper Closure - Fig
    • 14-3. Suturing Symmetric Amounts of Tissue - Fig
    • 14-4. Wound Edge Eversion - Fig
    • 14-5. Alternative Method - Fig
    • Simple, Interrupted Skin Suture Placement
  • 15. Running Cutaneous and Intracutaneous Sutures
    • 15-1. Running Cutaneous Suture - Fig
    • 15-2. Angling the Needle beneath the Wound - Fig
    • 15-3. Running Intradermal Suture - Fig
    • 15-4. Securing the Free Ends of the Suture - Fig
    • Running Cutaneous and Intracutaneous Sutures
  • 16. Vertical Mattress Suture Placement
    • 16-1. The Far-Far Pass - Fig
    • 16-2. Placing the Needle Backwards - Fig
    • 16-3. Tie Suture Snugly but Gently - Fig
    • Vertical Mattress Suture Placement
  • 17. Horizontal Mattress Suture Placement
    • 17-1. Horizontal Mattress Suture - Fig
    • 17-2. Tying the Horizontal Mattress Suture - Fig
    • 17-3. Multiple Horizontal Mattress Sutures - Fig
    • 17-4. Closure of Skin Defects Prone to Inversion - Fig
    • Horizontal Mattress Suture Placement
  • 18. Minimal Excision Technique for Removing Epidermal Cysts
    • 18-1. Anesthetizing the Skin - Fig
    • 18-2. Emptying the Cyst Contents - Fig
    • 18-3. Using Hemostats to Empty the Cyst Contents - Fig
    • 18-4. Using Gauze to Clean the Skin Surface - Fig
    • 18-5. Using Straight Hemostats - Fig
    • 18-6. Using Second Hemostat in Case of Resistance - Fig
    • 18-7. Removing the Entire Cyst Wall - Fig
    • 18-8. Fusiform Excision for Cyst Wall Removal - Fig
    • Minimal Excision Technique for Removing Epidermal Cysts
  • 19. Skin Cryosurgery
    • 19-1. Selecting a Cryosurgical Tip - Fig
    • 19-2. Ring Wart - Fig
    • 19-3. The Duration of the Freeze - Fig
    • 19-4. Disengaging the Tip from the Target Tissue - Fig
    • Skin Cryosurgery
  • 20. Dermal Radiosurgical Feathering and Ablation
    • 20-1. Grasping and Elevating the Lesion - Fig
    • 20-2. Radiosurgical Feathering - Fig
    • 20-3. Fulguration Technique - Fig
    • 20-4. Inserting the Fine Tungsten Wire - Fig
    • Dermal Radiosurgical Feathering and Ablation
  • 21. Scalp Repair Techniques
    • 21-1. Emergent Field Technique - Fig
    • 21-2. Fishing Line Closure - Fig
    • 21-3. Hemostatic Scalp Suture - Fig
    • 21-4. Hemostatic Scalp Suture Variation - Fig
    • 21-5. Figure-of-8 Suture Closure - Fig
    • 21-6. Scoring the Galea - Fig
    • Scalp Repair Techniques
  • 22. Tangential Laceration Repair
    • 22-1. Angulated Skin Wound - Fig
    • 22-2. Simple Suture Repair Technique - Fig
    • 22-3. C-Shaped Wound with Beveled Edges - Fig
    • 22-4. Undermining the Wound Edges - Fig
    • Tangential Laceration Repair
  • 23. Field Block Anesthesia
    • 23-1. The Field Block in a Square Pattern - Fig
    • 23-2. Field Block for Ear - Fig
    • 23-3. Field Block for Nose - Fig
    • 23-4. Forehead Anesthesia - Fig
    • 23-5. Penile Block - Fig
    • Field Block Anesthesia
  • 24. Lipoma Removal
    • 24-1. Field Block Anesthesia - Fig
    • 24-2. Skin Incision - Fig
    • 24-3. Dissecting around the Entire Lesion - Fig
    • 24-4. Suturing the Large Defect - Fig
    • 24-5. Enucleation of Small Lipomas - Fig
    • Lipoma Removal
  • 25. Basic Z-Plasty
    • 25-1. Vertical Wound or Scar - Fig
    • 25-2. Incising the Diagonal Lines - Fig
    • 25-3. Undermining the Flaps and the Skin - Fig
    • 25-4. Transposing the Flaps - Fig
    • 25-5. Placing a Central Anchoring Stitch - Fig
    • 25-6. Z-Plasty of a Contracted Scar - Fig
    • 25-7. Z-Plasty of a Nasolabial Fold Wound - Fig
    • Basic Z-Plasty
  • 26. Advancement Flap Placement
    • 26-1. Single Advancement Flap Technique - Fig
    • 26-2. Sliding the Flap over the Defect - Fig
    • 26-3. Suturing the Corners and the Sides - Fig
    • 26-4. Application of Single Advancement Flap - Fig
    • 26-5. Bilateral Advancement Flap - Fig
    • 26-6. Joining the Centers and Corners of the Flaps - Fig
    • 26-7. Application of Bilateral Advancement Flap - Fig
    • Advancement Flap Placement
  • 27. O-to-Z Plasty
    • 27-1. Removal of Lesion and Fusiform Excision - Fig
    • 27-2. Sloping Incision Arms above and below the Central Line - Fig
    • 27-3. Incising Gentle Sloping Lines - Fig
    • 27-4. Flaps Anchored with Vertical Mattress Sutures and Corner Stitches Placed - Fig
    • 27-5. Remove Dog Ears of Skin - Fig
    • O-to-Z Plasty
  • 28. Sclerotherapy
    • 28-1. Initial Consultation Session - Table
    • 28-1. Positioning the Patient - Fig
    • 28-2. Applying Colorless Antiseptic - Fig
    • 28-2. Complications of Sclerotherapy - Table
    • 28-3. Perform Injections - Fig
    • 28-3. Principles Guiding Injection Decisions during Small Vessel Sclerotherapy - Table
    • 28-4. Provide 3-Point Traction with Hands - Fig
    • 28-5. Terminate Injection if a Bleb Develops and Remove Fluid in the Tissue - Fig
    • 28-6. Target Larger, Straighter Portions of the Vein - Fig
    • Sclerotherapy
  • 9. Local Anesthesia Administration
    • 9-1. Stretching the Skin - Fig
    • 9-2. Needle Insertion - Fig
    • 9-3. Angle of Needle Insertion - Fig
    • 9-4. Needle Insertion at Laceration Site - Fig
    • 9-5. Administering Local Anesthetic for a Shave Excision - Fig
    • Local Anesthesia Administration
• III. Nail Procedures
  • 29. Digital Nerve Block
    • 29-1. Cross Section of a Digit - Fig
    • 29-2. Digital Block Technique - Fig
    • 29-3. Alternative Technique - Fig
    • Digital Nerve Block
  • 30. Ingrown Nail Surgery
    • 30-1. Applying Tourniquet to Limit Bleeding - Fig
    • 30-1. Causes of Ingrown Nails - Table
    • 30-2. Lifting the Cuticle - Fig
    • 30-3. Removing Lateral Nail - Fig
    • 30-4. Perform Matricectomy - Fig
    • 30-5. Removing Hypertrophied Lateral Tissue - Fig
    • Ingrown Nail Surgery
  • 31. Subungual Hematoma Drainage
    • 31-1. Evacuation of the Hematoma - Fig
    • 31-2. Evacuation Using Heated Paper Clip - Fig
    • 31-3. Removal of Nail Plate in Case of Laceration - Fig
    • Subungual Hematoma Drainage
  • 32. Nail Bed Biopsy
    • 32-1. Double-Punch Technique - Fig
    • 32-2. Nail Matrix Biopsy - Fig
    • Nail Bed Biopsy
  • 33. Paronychia Surgery
    • 33-1. Paronychia Block - Fig
    • 33-2. Elevation of the Nail Fold to Drain Abscess - Fig
    • 33-3. Excision of the Proximal Nail Fold - Fig
    • Paronychia Surgery
  • 34. Digital Mucous Cyst Removal
    • 34-1. Needling Cyst - Fig
    • 34-2. Ablation of Cyst Base - Fig
    • 34-3. Simple Excision Technique - Fig
    • Digital Mucous Cyst Removal
• IV. Gynecology and Urology
  • 35. Endometrial Biopsy
    • 35-1. Insertion of Endometrial Sampler - Fig
    • 35-2. Pulling Back the Piston - Fig
    • 35-3. Technique to Obtain the Tissue into the Sheath - Fig
    • Endometrial Biopsy
  • 36. Cervical Polyp Removal
    • 36-1. Differential Diagnosis - Table
    • 36-1. Removal of the Polyp Using Traction - Fig
    • Cervical Polyp Removal
  • 37. Colposcopy and Directed Cervical Biopsy
    • 37-1. Benign Colposcopic Findings - Table
    • 37-1. Vaginal Side Wall Retractor - Fig
    • 37-2. Parameters Used to Grade Severity of Cervical Dysplasia - Table
    • 37-2. Using Vinegar-Soaked Q-Tip to Help Manipulate the Cervix - Fig
    • 37-3. Kogan Endocervical Speculum - Fig
    • 37-4. Perform ECC if Indicated - Fig
    • 37-5. Using a Short Drinking Straw to Cover the Pap Smear Brush - Fig
    • 37-6. Perform Cervical Biopsy - Fig
    • 37-7. Labeling the Biopsy Sites - Fig
    • Colposcopy and Directed Cervical Biopsy
  • 38. Cryotherapy for the Uterine Cervix
    • 38-1. Advantages and Disadvantages of Cryotherapy for Cervical Intraepithelial Neoplasia - Table
    • 38-1. Flat-Ended or Short Nipple-Tipped Probes - Fig
    • 38-2. Formation of a Rim of Ice - Fig
    • Cryotherapy for the Uterine Cervix
  • 39. Loop Electrosurgical Excisional Procedure
    • 39-1. Pure Cutting Mode - Fig
    • 39-2. Infiltrating Lidocaine Solution - Fig
    • 39-3. Excision of the Tissue - Fig
    • 39-4. Obtaining the Specimen - Fig
    • 39-5. Superficial Fulguration - Fig
    • 39-6. Excision of Transformation Zone - Fig
    • Loop Electrosurgical Excisional Procedure
  • 40. Treatment of Bartholin's Gland Cysts and Abscesses
    • 40-1. Insertion of Word Catheter - Fig
    • 40-2. Fusiform Incision - Fig
    • 40-3. Unroofing the Cyst - Fig
    • Treatment of Bartholin's Gland Cysts and Abscesses
  • 41. Treatment of Noncervical Human Papillomavirus Genital Infections
    • 41-1. Application of Podofilox - Fig
    • 41-1. Differential Diagnosis for Condylomata Acuminata - Table
    • 41-2. Introducing a Medium-Sized Loop - Fig
    • 41-3. Shaving the Remaining Lesion - Fig
    • 41-4. Cryotherapy - Fig
    • 41-5. Injecting an Anesthetic to Raise a Wheal - Fig
    • 41-6. Shaving the Lesion - Fig
    • Treatment of Noncervical Human Papillomavirus Genital Infections
  • 42. Fine-Needle Aspiration of the Breast
    • 42-1. Approximate Frequency of Common Findings in Women with Breast Lumps - Table
    • 42-1. Various FNA-Assist Devices - Fig
    • 42-2. Common Morphologic Features of Invasive Cancer - Table
    • 42-2. Stabilize the Lesion with Nondominant Hand - Fig
    • 42-3. Breast Needle Aspiration Cytology of Solid Lesions and Recommended Follow-Up - Table
    • 42-3. Withdrawing the Sample - Fig
    • 42-4. Depositing the Sample onto the Slide - Fig
    • Fine-Needle Aspiration of the Breast
  • 43. Fitting Contraceptive Diaphragms
    • 43-1. Diameter of the Diaphragm - Fig
    • 43-2. Removal of the Diaphragm - Fig
    • Fitting Contraceptive Diaphragms
  • 44. Intrauterine Device Insertion and Removal
    • 44-1. Grasping the Anterior Lip of the Cervix - Fig
    • 44-2. Folding Down the Arms of the IUD - Fig
    • 44-3. Withdrawing the Insertion Rod and Tube - Fig
    • 44-4. Removal of IUD - Fig
    • Intrauterine Device Insertion and Removal
  • 45. Gomco Clamp Circumcision
    • 45-1. Standard Gomco Clamp - Fig
    • 45-2. Breaking Up Adhesions - Fig
    • 45-3. Returning the Foreskin to its Anatomic Position - Fig
    • 45-4. Creating a Crush Line - Fig
    • 45-5. Inserting the Bell of the Gomco Clamp - Fig
    • 45-6. Attaching the Rocker Arm - Fig
    • 45-7. Cutting the Top of the Crush Line with a Scalpel - Fig
    • Gomco Clamp Circumcision
  • 46. No-Scalpel Vasectomy
    • 46-1. Anesthesia - Fig
    • 46-1. Goals for Preop Counseling Session - Table
    • 46-2. Grasping the Vas and Skin Inside the Clamp - Fig
    • 46-2. Nonsterile Tray for Anesthesia and Postop Care - Table
    • 46-3. Grasping the Vas Dissecting Forceps - Fig
    • 46-3. Sterile Procedure Tray - Table
    • 46-4. Complete Isolation of the Vas - Fig
    • 46-5. Making Hemitransection into the Vas - Fig
    • 46-6. Stepwise Cutting of the Vas - Fig
    • No-Scalpel Vasectomy
• V. Gastroenterology
  • 47. Anoscopy with Biopsy
    • 47-1. Inserting the Anoscope - Fig
    • 47-2. Examining the Mucosa - Fig
    • Anoscopy with Biopsy
  • 48. Flexible Sigmoidoscopy
    • 48-1. Holding the Endoscope in the Left Hand - Fig
    • 48-2. Grasping/Twisting the Scope with the Right Hand - Fig
    • 48-3. Inserting the Scope into the Rectum - Fig
    • 48-4. Torquing the Endoscope - Fig
    • 48-5. Hooking and Straightening Technique - Fig
    • 48-6. Performing a Biopsy - Fig
    • 48-7. Retroversion of the Scope Tip - Fig
    • Flexible Sigmoidoscopy
  • 49. Esophagogastroduodenoscopy
    • 49-1. Endoscope - Fig
    • 49-2. Inserting the Scope into the Posterior Larynx - Fig
    • 49-3. Suctioning the Gastric Secretions - Fig
    • 49-4. Pass Endoscope to Pylorus - Fig
    • 49-5. Examine Entire Duodenal Bulb - Fig
    • 49-6. Intubating the Duodenum - Fig
    • 49-7. Examine Fundus and Cardia - Fig
    • Esophagogastroduodenoscopy
  • 50. Colonoscopy
    • 50-1. Descending and Transverse Colon Wall - Fig
    • 50-2. Traversing the Left Colon - Fig
    • 50-3. Intubating the Ileocecal Orifice - Fig
    • 50-4. Electrosurgical Polypectomy - Fig
    • Colonoscopy
  • 51. Excision of Thrombosed External Hemorrhoids
    • 51-1. Making an Elliptical Incision - Fig
    • 51-2. Suturing the Wound - Fig
    • Excision of Thrombosed External Hemorrhoids
  • 52. Treatment of Internal Hemorrhoids
    • 52-1. 4 Degrees of Internal Hemorrhoids - Table
    • 52-1. Location of Internal Hemorrhoids - Fig
    • 52-2. Conservative Management Options for Internal Hemorrhoids - Table
    • 52-2. Use of McGivney Ligator - Fig
    • 52-3. Applying IR Energy over the Hemorrhoid - Fig
    • Treatment of Internal Hemorrhoids
• VI. Ear, Nose, and Throat Procedures
  • 53. Conjunctival and Corneal Foreign Body Removal
    • 53-1. Using Saline to Wash out the Object - Fig
    • 53-2. Using Cotton-Tipped Applicator to Dislodge the Object - Fig
    • 53-3. Using a Needle to Lift the Object - Fig
    • Conjunctival and Corneal Foreign Body Removal
  • 54. Chalazia Removal
    • 54-1. Injection of Chalazia - Fig
    • 54-2. Placing a Corneal Shield - Fig
    • 54-3. Chalazion Protruding through the Open Ring - Fig
    • 54-4. Making an Incision into the Chalazion - Fig
    • Chalazia Removal
  • 55. Treatment for Anterior Epistaxis
    • 55-1. Apply Pressure Using Closed Hand Method - Fig
    • 55-1. Common Causes of Epistaxis - Table
    • 55-2. Inserting an Antibiotic Strip through the Nose - Fig
    • 55-2. Vasoconstrictive and Anesthetic Agents for Epistaxis - Table
    • 55-3. Using an "Accordion" Technique - Fig
    • Treatment for Anterior Epistaxis
  • 56. Flexible Nasolaryngoscopy
    • 56-1. Anatomic Areas Examined during Nasolaryngoscopy - Table
    • 56-1. Holding a Flexible Fiberoptic Scope - Fig
    • 56-2. Common Pathology Observed during Nasolaryngoscopy - Table
    • 56-2. Inserting the Scope into the Nares - Fig
    • 56-3. Controlling the Movement of the Scope - Fig
    • 56-4. Passage along the Floor of the Nose - Fig
    • 56-5. Examine the Nasopharynx - Fig
    • 56-6. Surveying the Laryngeal Structures - Fig
    • 56-7. Visualizing the Infundibulum Area - Fig
    • Flexible Nasolaryngoscopy
  • 57. Cerumen Impaction Removal
    • 57-1. Removing Hardened Cerumen - Fig
    • 57-2. Ear Irrigating Devices - Fig
    • 57-3. Using the Water Jet to Remove Cerumen - Fig
    • Cerumen Impaction Removal
  • 58. Foreign Body Removal from the Auditory Canal and Nasal Cavity
    • 58-1. Using Alligator Forceps for Fibrous Objects - Fig
    • 58-2. Using Attic Hook for Smooth Objects - Fig
    • Foreign Body Removal from the Auditory Canal and Nasal Cavity
• VII. Musculoskeletal Procedures
  • 59. Greater Trochanteric Bursa Injection
    • 59-1. Inserting a Needle to Reach the Greater Trochanter - Fig
    • 59-2. Injecting a Steroid and 1% Lidocaine - Fig
    • Greater Trochanteric Bursa Injection
  • 60. Shoulder Injection
    • 60-1. Inserting a Needle to Reach the Supraspinatus Tendon - Fig
    • 60-2. Administering a Steroid and 1% Lidocaine in a Fan-Shaped Pattern - Fig
    • Shoulder Injection
  • 61. Knee Joint Aspiration and Injection
    • 61-1. Criteria for Classification of Osteoarthritis of the Knee Using Clinical and Lab Findings - Table
    • 61-1. Direct Injection into the Joint - Fig
    • 61-2. Recommended Tests for Synovial Fluid - Table
    • 61-2. Superolateral Technique - Fig
    • 61-3. Stretching the Skin with Nondominant Hand - Fig
    • 61-4. Gently Inserting the Needle beneath the Patella - Fig
    • Knee Joint Aspiration and Injection
  • 62. Reduction of Radial Head Subluxation (Nursemaid's Elbow)
    • 62-1. Technique to Accomplish Reduction - Fig
    • Reduction of Radial Head Subluxation (Nursemaid's Elbow)
  • 63. Plantar Fascia Injection
    • 63-1. Differential Diagnosis of Heel Pain - Table
    • 63-1. Medial Approach - Fig
    • 63-2. Plantar Approach - Fig
    • Plantar Fascia Injection
  • 64. Trigger Point Injection
    • 64-1. Using Pressure to Isolate the Location - Fig
    • 64-2. Penetration of the Trigger Point - Fig
    • 64-3. Injection Sites at the Trigger Point - Fig
    • Trigger Point Injection
  • 65. Trigger Finger Injection
    • 65-1. Inserting the Needle into the Palm - Fig
    • 65-2. Injecting the Sheath - Fig
    • Trigger Finger Injection
  • 66. De Quervain's Tenosynovitis Injection
    • 66-1. Finkelstein's Test - Fig
    • 66-2. Inserting the Needle at a 45-Degree Angle - Fig
    • De Quervain's Tenosynovitis Injection
  • 67. Short Arm Cast
    • 67-1. Instructions for Cast Care - Table
    • 67-1. Placing the Arm in a Handshake Position - Fig
    • 67-2. Applying the Cast Padding - Fig
    • 67-3. Applying the Fiberglass Roll - Fig
    • 67-4. Contouring and Molding the Casting Material - Fig
    • 67-5. Using a Vibrating Saw for Cast Removal - Fig
    • Short Arm Cast
  • 68. Short Leg Cast
    • 68-1. Place the Foot at 90 Degrees to the Lower Leg - Fig
    • 68-2. Applying the Cast Padding - Fig
    • 68-3. Applying the Plaster or Fiberglass Roll - Fig
    • 68-4. Cast Material Adequately Covers the Heel Area - Fig
    • 68-5. Rolling the Material over the Metatarsal Head - Fig
    • 68-6. Using a Vibrating Saw for Cast Removal - Fig
    • Short Leg Cast
  • 69. Extensor Tendon Repair
    • 69-1. Kessler Technique - Fig
    • 69-2. Modified Bunnell Technique - Fig
    • Extensor Tendon Repair
  • 70. Carpal Tunnel Syndrome Injection
    • 70-1. Tinel's Sign and Phalen's Sign - Fig
    • 70-2. Injecting the Solution into the Second Wrist Crease - Fig
    • 70-3. Two Recommended Insertion Techniques - Fig
    • Carpal Tunnel Syndrome Injection
  • 71. Aspiration and Injection of Olecranon Bursitis
    • 71-1. Elbow is Flexed to 90 Degrees for Aspiration - Fig
    • Aspiration and Injection of Olecranon Bursitis
  • 72. Aspiration and Injection of Wrist Ganglia
    • 72-1. Aspiration and Injection of a Ganglion - Fig
    • Aspiration and Injection of Wrist Ganglia
• Appendices
  • A. Instruments and Materials in the Office Surgery Tray
  • B. Instruments and Materials in a Standard Gynecologic Tray
  • C. Recommended Suture Removal Times
  • D. Suggested Tray for Soft Tissue Aspiration and Injection Procedures
  • E. Recommendations for Endoscope Disinfection
  • F. Guidelines for Monitoring the Patient Receiving Conscious Sedation for Gastrointestinal Endoscopy
  • G. Suggested Anesthesia Tray for Administration of Local Anesthesia, Nerve Blocks, Field Blocks, or Digital Blocks
  • H. Skin Preparation Recommendations
  • I. Bacterial Endocarditis Prevention Recommendations
    • Bacterial Endocarditis Prevention Recommendations
    • I-1. Cardiac Conditions Associated with Risk for Bacterial Endocarditis - Table
    • I-2. Bacteremia-Producing Procedures and American Heart Association Recommendations for Bacterial Endocarditis Prophylaxis - Table
    • I-3. Recommended Prophylactic Antibiotic Regimens - Table
    • J. Informed Consent
• Abbreviations
  • Abbreviations