KOH Preparation
Indications Print Section Listen • Suspected fungal or candidal infection. Equipment Print Section Listen • Glass microscope slide and coverslip. • 10–20% potassium hydroxide (KOH). • Microscope. • #15 scalpel…
PEDIATRICS
Paraphimosis Reduction
Indications Print Section Listen • Reduction of retracted, constricting foreskin. Contraindications Print Section Listen Relative • Recent penile surgery. Equipment Print Section Listen • Nonsterile gloves. • Ice packs. •…
Ingrown Toenail Treatment
Indications Print Section Listen • Pain relief. • Management of infection. • Prevention of recurrence. Specific Indications for Surgical Treatment • Stage I. • Description: Focal pain, erythema, and swelling…
Rectal Prolapse Reduction
Indications Print Section Listen • Most cases of rectal prolapse reduce spontaneously. • Rarely, a surgical procedure may be necessary to correct a full-thickness prolapse. • Rectal prolapse should be…
Straight Urethral Catheterization
Indications Print Section Listen • Diagnostic evaluation. • Temporary relief of urinary retention. Contraindications Print Section Listen Absolute • Suspected urethral injury (eg, blood at meatus, laceration). • Unable to…
Nail Trephination
Indications Print Section Listen • Subungual hematoma with pain. • Some experts suggest that nail removal and repair should be prompted by the percentage of nailbed involved (eg, greater than…
Suprapubic Catheterization
Indications Print Section Listen • Diagnostic evaluation of urine in an infant. Contraindications Print Section Listen Absolute • Neutropenia. • Thrombocytopenia and bleeding disorders. • Cellulitis and infection at puncture…
Paracentesis/Peritoneal Lavage
Indications Print Section Listen • Diagnostic sampling of ascitic fluid (eg, internal bleeding following blunt abdominal trauma, chylous ascites after surgery, rule out malignancy, identification of infectious organism in spontaneous…
Gastrostomy Tube Replacement
Indications Print Section Listen • First change should be performed 6–8 weeks after initial gastrostomy tube placement. • Dislodged gastrostomy tube or gastrostomy button. • Replacing a gastrostomy button. •…
Nasogastric Tube Insertion
Indications Print Section Listen • Decompression of the upper gastrointestinal tract (eg, pancreatitis, intestinal obstruction). • Gastric lavage. • Enteral feeding. Contraindications Print Section Listen Absolute • Unstable airway. •…
