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Atlas of Primary Care Procedures
Technique to Use the Punch Biopsy Instrument
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
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