Excision of Acutely Thrombosed External Hemorrhoids
A thrombosed, painful external hemorrhoid that has been symptomatic for less than 72 hours, not improved with conservative measures Decision to excise should also be based on severity of pain…
Manual Testicular Detorsion
Testicular torsion Signs and symptoms include: Acute scrotal pain/swelling or intermittent testicular pain Testicular tenderness High-riding testis with horizontal lie Absent cremasteric reflex on the affected side Negative Prehn sign…
Perianal Abscess: Incision and Drainage
To drain infection of the soft tissue surrounding the rectum, which is caused by obstruction of the anal crypts and ducts CONTRAINDICATIONS Perianal abscesses with fistula-in-ano should be drained in…
Ear Foreign Body Removal
Removal of foreign matter lodged within the external auditory canal (FIGURE 86.1) General Basic Steps Preparation Irrigation Removal TECHNIQUE Patient Preparation Place patient in a supine position Restrain patient and…
Methylene Blue Injection/Open Joint Evaluation
Methylene Blue Injection/Open Joint Evaluation Felipe Teran INDICATIONS When there is clinical suspicion of communication between a traumatic wound and joint space When intra-articular air within the joint space is…
9: Musculoskeletal
Methylene Blue Injection/Open Joint Evaluation Felipe Teran INDICATIONS When there is clinical suspicion of communication between a traumatic wound and joint space When intra-articular air within the joint space is…
Emergency Pericardiocentesis
Pericardial tamponade with hemodynamic decompensation Pulseless electrical activity with clinical suspicion of tamponade or with ultrasonographic evidence of pericardial effusion CONTRAINDICATIONS None for the unstable patient Coagulopathy is a relative…
Reduction of Nursemaid’s Elbow (Radial Head Subluxation)
Radial head subluxation is frequently referred to as “nursemaid’s elbow” The annular ligament of the radius displaces into the radiocapitellar articulation (FIGURE 92.1A) A common injury in children between the…
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…
