Table of Contents
•Part One Anesthesia .
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Bier Block .
Conscious Sedation .
Epidurals.
Local Anesthesia .
Local and Topical Anesthetics Complications .
Nitrous Oxide Sedation .
Pediatric Sedation .
Peripheral Nerve Blocks and Field Blocks .
Site Specific and Facial Anesthesia .
Technique of Trigger Point Injection .
Topical Anesthesia .
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Part Two Dermatology .
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Acne Therapy .
Approach to Various Skin Lesions .
Burn Treatment .
Cryosurgery.
Dermoscopy.
Fishhook Removal .
Flaps and Plasties .
Foreign Body Removal from Skin and Soft Tissue .
Fungal Cultures .
Incision and Drainage of an Abscess .
Incisions: Planning the Direction of the Cut .
Laceration and Incision Repair .
Laceration and Incision Repair: Needle Selection .
Laceration and Incision Repair: Suture Selection .
Laceration and Incision Repair: Suture Tying .
Laser Therapy .
Mucocoele Removal .
Nail Bed Repair .
Nail Plate and Nail Bed Biopsy .
Radiofrequency Surgery .
Ring Removal from an Edematous Finger .
Skin Biopsy .
Skin Grafting .
Skin Stapling .
Subungual Hematoma Evacuation .
Tick Removal .
Tissue Glues .
Hypertrophic Scars and Keloids .
Ingrown Toenails .
Trichiasis.
Topical Hemostatic Agents .
Unna Paste Boot .
Wart (verruca) Treatment .
Wood's Light Examination .
Wound Dressing .
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Part Three Aesthetics .
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Body Piercing .
Botox (Botulinum A Exotoxin .
Collagen Injections .
Dermasanding (Manual Dermabrasion) .
Hair Removal .
Microdermabrasion.
Skin Peels (Chemical, Laser) .
Tattoo Removal .
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Part Four Eyes, Ears, Nose and Throat .
Section One: Eyes .
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Chalazion and Hordeolum .
Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies .
Slit Lamp Exam .
Tonometry.
Visual Function Evaluation .
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Section Two: Ears, Nose and Throat .
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Audiometry.
Auricular Hematoma Evacuation .
Bifid Earlobe Repair .
Cerumen Impaction Removal .
Ear Piercing .
Myringotomy and Tympanocentesis .
Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises) .
Tympanometry.
Removal of Foreign Bodies from the Ear and Nose .
Flexible Fiberoptic Rhinolaryngoscopy .
Management of Epistaxis .
Nasal Turbinate Reduction .
Emergency Cricothyroidotomy and Tracheostomy .
Indirect Mirror Laryngoscopy .
Peritonsillar Abscess Drainage .
Reimplantation of an Avulsed Tooth .
Tongue-Tie Snipping (Frenotomy) for Ankyloglossia .
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Part Five Cardiovascular and Respiratory .
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Ambulatory Blood Pressure Monitoring .
Ambulatory Phlebectomy .
Arterial Puncture .
Carioversion.
Central Venous Catheter Insertion .
Chest Tube Insertion and Removal .
Endotracheal Intubation .
Holter Monitoring .
Noninvasive Venous and Arterial Studies of the Lower Extremities .
Office Electrocardiograms .
Percutaneous Arterial Line Placement .
Pericardiocentesis.
Pulmonary Function Testing .
Sclerotherapy: Injection .
Sclerotherapy: Radiofrequency .
Stress (Exercise) Testing .
Swan-Ganz Catheterization .
Temporary Pacing .
Thoracentesis.
Venous Cutdown .
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Part Six Gastrointestinal .
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Abdominal Paracentesis .
Anal Fissure/Lateral Sphincterotomy .
Anorectal Anatomy and Examination .
Anoscopy.
Colonoscopy.
Esophagogastroduodenoscopy (EGD) .
Fecal Impaction Removal .
Flexible Sigmoidoscopy .
Gastric Lavage .
Inguinal Hernia Reduction .
Nasogastric Tube and Salem Sump Insertion .
Office Treatment of Hemorrhoids .
Perianal Abscess Incision and Drainage Fistulas .
Perianal Skin Tags (External Hemorrhoidal Skin Tags) .
Pilonidal Cyst/Abscess Incision and Drainage .
Peritoneal Lavage:Diagnostic .
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Part Seven Urinary .
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Bladder Catheterization .
Diagnostic Cystourethroscopy .
Suprapubic Catheter Insertion/Change .
Suprapubic Taps or Aspirations .
Bedside Urodynamic Studies for Urinary Incontinence .
Urodynamics.
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Part Eight Male Reproductive System .
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Adult Circumcision .
Androscopy.
Dorsal Slit for Phimosis .
Prostate Biopsy .
Prostate Massage .
Prostate and Seminal Vesicles Ultrasonography .
Self-Injection Therapy for the Treatment of Erectile Dysfunction .
Sperm Banking .
Implantable Hormone Pellets for Testosterone Deficiency .
Vacuum Devices for Erectile Dysfunction .
Vesectomy.
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Part Nine Gynecology and Female Reproductive System .
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Abortion: Medical .
Abortion: Surgical .
Barrier Contraceptives: Cervical Cap, Vaginal Condom, and Diaphragm Fitting .
Bartholin's Cyst/Abscess: Word Catheter Insertion Marsupialization .
Breast Biopsy .
Cervical Cerclage .
Cervical Conization .
Cervical Polyps .
Cervical Stenosis/Cervical Dilation .
Cervicography.
The Colposcopic Examination .
Contraceptive Implants (Norplant) Insertion and Removal .
Cryocone of the Cervix .
Culdocentesis (Colpocentesis) .
Diagnostic Hysteroscopy .
Dilation and Curettage .
DNA Sampling: Cervix and Other .
Endometrial Biopsy .
Hysterosalpingography.
IUD Insertion .
IUD Removal .
Loop Electrosurgical Excision Procedure (LEEP) for Treating CIN .
Pap Smear and Related Techniques for Cervical CA Screening .
Permanent Female Sterilization (Tubal Ligation .
Pessaries.
Postcoital Examination Test or Sims-Huhner Test .
Speculoscopy.
Treatment of Noncervical Condyloma Acuminata .
Endometrial Ablation .
Vaginal Exam of the Female for Rape .
Vaginal Exam of the Young Female for Possible Sexual Abuse .
Vulvar Biopsy .
Wet smear and KOH Preparation .
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Part Ten Obstetrics .
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Amniocentesis.
Caesarean Section .
Cervical Ripening/Vaginal Prostaglandins .
Contraction Stress Test, Nonstress Test, and Spontaneous Fetal Movement Counting .
Episiotomy.
External Cephalic Version .
Fetal Scalp Electrode Application .
Forceps and Vacuum Extraction (Assisted Vaginal Delivery) .
Intrathecal Analgesia .
Intrauterine Pressure Catheter (IUPC) Insertion .
Obstetric Ultrasound .
Paracervical Block .
Pudental Anesthesia .
Saddleblocks.
Transcervical Amnioinfusion .
Vaginal Delivery .
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Part Eleven Pediatrics .
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DeLee Suctioning .
Dorsal Penile Nerve Block .
Intraosseous Venous Access (IOVA) .
Neonatal Resuscitation .
Newborn Circumcision .
Pediatric Arterial Puncture and Venous Cutdown .
Suprapubic Bladder Aspiration .
Umbilical Artery Catheterization .
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Part Twelve Orthopedics .
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Ankle Splinting, Taping, and Casting .
Cast Immobilization .
Compartment Syndrome Evaluation .
Diagnostic Needle Arthroscopic Lavage and Biopsy .
Extensor Tendon Repair .
Fracture Care .
Ganglion Treatment .
Joint and Soft Tissue Aspiration and Injection .
Knee Braces .
Nursemaid's Elbow: Subluxation of the Radial Head .
Orthoses, Plantar Warts, Corns, and Calluses .
Osteoporosis Screening .
Shoulder Dislocations .
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Part Thirteen Osteopathic .
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Osteopathic Manipulative Medicine .
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Part Fourteen Alternative Medicine .
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Acupuncture.
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Part Fifteen Miscellaneous .
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Allergy Testing and Immunotherapy .
Anaphylaxis.
Antibiotic Prophylaxis for Bacterial Endocarditis .
Biofeedback.
Body Fat Analysis .
Bone Marrow Aspiration and Biopsy .
Drawing Blood for Bone Culture .
Emergency Department and Office Ultrasound .
Fine-Needle Aspiration Cytology and Biopsy .
Heimlich Maneuver .
Hypnosis.
Lumbar Puncture .
Muscle Biopsy .
TENS Unit, Phonophoresis, Iontophoresis .
Venous Methylene Blue Intravenous Therapy .
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Appendices .
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Commonly Used Instruments .
Informed Consent .
Latex Allergy Guidelines .
Pearls of Practice .
Resources for Learning Procedures .
Supplier Information .
Universal Precautions
Dr. Pfenninger, one of the lead author's on this book, is the recent recepient of the 2005 Teaching Excellence Award from the Society of Teachers of Family Medicine and the 2005 Thomas W. Johnson Award for Career Contributions to Family Medicine Education. His book, Primary Care Procedures 2E, is comprehensive, "how-to" resource offers step-by-step strategies for nearly every outpatient procedure that can be performed in an office, hospital or emergency care facility. Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide readers through each procedure. The new edition of this best-selling book features more than 80 new procedures on hot topics relevant to primary care practice.
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