Clinical Skills and Approaches
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Finger test for Necrotizing Fascitis
Synonyms: Finger sweep test Finger test can be performed under Local anesthesia or General anesthesia in: Emergency department Bedside in wards Operation theaters Procedure: Area is infiltrated with local anesthetic A 2 cm test incision down to fascia is made in the suspected area The tissues are visually examined for:…
Clinical Skills and Approaches
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Pulsus Paradoxus – Clinical Examination
Synonyms: Paradoxical pulse, Paradoxic pulse, Reversed Bernheim sign Definition of Pulsus Paradoxus There is normal physiological fall in Blood pressure upto 10 mmHg during inspiration. Pulsus paradoxus is the exaggeration of this normal decline in blood pressure more than 10 mmHg during inspiration. The “paradox” refers to the fact that…
Clinical Skills and Approaches
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Ten Diagnostic Dilemmas in Neonatal Meningitis
Incidence the global incidence of neonatal sepsis at 5–6 per 1000 live births and that of meningitis at 0.7–1 (2.4–16 in South and South-East Asia, 6–21 in sub-Saharan Africa, and 1.8–12 in the Middle East and North Africa) Causative Agents : Group B streptococci Escherichia coli Klebsiella pneumoniae Streptococcus pneumoniae …
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