Is an intrauterine pregnancy (IUP) (defined as yolk sac or fetal pole) present? Abdominal or pelvic pain Suspected ectopic pregnancy or risk factors for ectopic pregnancy Vaginal bleeding Unexplained syncope,…
Direct arterial blood sampling Continuous arterial blood pressure monitoring CONTRAINDICATIONS Absolute: None Relative Contraindications Coagulopathy or recent thrombolysis Overlying infection, burn, or skin damage Severe peripheral atherosclerosis RISKS/CONSENT ISSUES Thrombosis…
A rectal prolapse is when one or all layers of the rectal mucosa protrude out through the anal opening (FIGURE 32.1). Complete prolapse occurs when all layers of the rectum…
Clinical suspicion of patellar dislocation The knee is held in 20 to 30 degrees of flexion An obvious deformity is typically seen Dislocated patella on x-ray (anteroposterior [AP] or sunrise…
A strategy of time separation between the administration of a dissociative induction agent and the neuromuscular blocker to allow preintubation optimization. INTRODUCTION Delayed sequence intubation (DSI) differs from rapid sequence…
Used to confirm the diagnosis of benign paroxysmal positional vertigo (BPPV) of the posterior semicircular canal CONTRAINDICATIONS Unstable heart disease Ongoing cerebrovascular ischemia Severe cervical degenerative arthritis High-grade carotid stenosis…
Clinical suspicion of abdominal aortic aneurysm (AAA) Unexplained abdominal, back, or flank pain, particularly in the older patient Unexplained hypotension Syncope in the setting of abdominal pain Palpable and/or pulsatile…
A localized infection at the nail fold and/or around the nail plate INDICATIONS Failed spontaneous drainage or improvement despite warm soaks CONTRAINDICATIONS Herpetic whitlow Coagulopathy General Basic Steps Analgesia Incision…
Clinical suspicion of cholecystitis or biliary colic: Abdominal pain, particularly right upper quadrant (RUQ), epigastric Right flank pain Right shoulder pain Nausea/vomiting Sepsis without source CONTRAINDICATIONS None: No contrast or…
Used to treat posterior canal benign paroxysmal positional vertigo (BPPV) that has been confirmed through a positive Hallpike test (upbeat, ipsilateral, and torsional nystagmus in the head-hanging position) This is…
