Paronychia: Incision and Drainage

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Paronychia: Incision and Drainage

 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…

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Bedside Gallbladder Ultrasonography

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Bedside Gallbladder Ultrasonography

 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…

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Epley Maneuver

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Epley Maneuver

 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…

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Arthrocentesis Appendix: Joint Fluid Analysis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Arthrocentesis Appendix: Joint Fluid Analysis

 Normal Fluid     An ultradiasylate of plasma with protein and hyaluronic acid     Clear to straw colored     Viscosity of oil  Crystals     Gout        Monosodium urate (MSU) crystals        Negative birefringence        Needle shaped     Pseudogout        Calcium…

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Meconium Aspirator as Airway Suction Device

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Meconium Aspirator as Airway Suction Device

 To suction/intubate a patient with significant blood, emesis, or secretions within the airway CONTRAINDICATIONS  Contraindications to direct laryngoscopy SUPPLIES  All necessary supplies for intubation (see Chapter 1)  Endotracheal tube (ETT)…

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