Retrograde Urethrography
Retrograde urethrography (RUG) is generally and commonly done in male patients as they have a longer and more complex urethral pathway The genitourinary system is divided into the upper urinary…
Hernia Reduction
Incarcerated hernias should have attempted manual reduction Techniques for reduction are applicable to both the adult and pediatric patient CONTRAINDICATIONS Strangulated Hernia Recognize signs and symptoms, including extreme tenderness, skin…
Felon: Incision and Drainage
An infection or abscess of the fingertip pulp INDICATIONS Fluctuance of the distal pulp with pain worsened by pressure Failure of resolution of infection after conservative therapy CONTRAINDICATIONS Herpetic whitlow…
Bedside Obstetric/Gynecologic Ultrasonography
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,…
Radial Arterial Cannulation
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…
Rectal Prolapse Reduction
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…
Patellar Dislocation and Reduction
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…
Delayed Sequence Intubation
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…
Hallpike Test (Dix-Hallpike, Nylan-Barany)
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…
Bedside Aorta Ultrasonography
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…
