Office Procedures

Jul 1, 2018 Issue
Staples vs. Sutures After Cesarean Delivery [FPIN's Help Desk Answers]

Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.

Jun 1, 2017 Issue
Bare Arm Best for Blood Pressure Measurement [POEMs]

To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?

Oct 15, 2015 Issue
Corticosteroid Injections for Common Musculoskeletal Conditions [Article]

Get the latest evidence on the effectiveness of corticosteroid injections in patients with adhesive capsulitis; subacromial impingement syndrome; lateral and medial epicondylitis; carpal tunnel syndrome; de Quervain tenosynovitis; trigger finger; hand, wrist, hip, and knee osteoarthritis; greater trochanteric bursitis; and Morton neuroma.

Jun 15, 2015 Issue
Sterile Gloves Not Necessary for Minor Skin Surgery [POEMs]

Infection rates in patients undergoing uncomplicated minor skin surgery were not different when sterile gloves, rather than simply clean gloves, were worn. A previous study similarly found no difference in infection rates between sterile and nonsterile gloves in patients undergoing uncomplicated laceration repair in the emergency department.

Jun 15, 2014 Issue
Infiltrative Anesthesia in Office Practice [Article]

Learn about the different anesthetic agents and the techniques commonly performed in the office setting, such as local cutaneous infiltration, field blocks, and nerve blocks.

Dec 15, 2012 Issue
Cutaneous Cryosurgery [Article]

Cutaneous cryosurgery refers to localized application of freezing temperatures to achieve destruction of skin lesions. It can be used to treat a broad range of benign and premalignant skin conditions, and certain malignant skin conditions, with high cure rates. Cellular destruction is accomplished b...

Feb 15, 2009 Issue
Evidence for the Use of Intramuscular Injections in Outpatient Practice [Article]

There are few studies comparing the outcomes of patients who are treated with oral versus intramuscular antibiotics, corticosteroids, nonsteroidal anti-inflammatory drugs, or vitamin B12. This may lead to confusion about when the intramuscular route is indicated. For example, intramuscular ceftriaxo...

Oct 15, 2008 Issue
Musculoskeletal Injections: A Review of the Evidence [Article]

Injections are valuable procedures for managing musculoskeletal conditions commonly encountered by family physicians. Corticosteroid injections into articular, periarticular, or soft tissue structures relieve pain, reduce inflammation, and improve mobility. Injections can provide diagnostic informat...

Oct 15, 2008 Issue
Essentials of Skin Laceration Repair [Article]

Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Alt...

May 15, 2004 Issue
Cryosurgery for Common Skin Conditions [Article]

Cryosurgery is a highly effective treatment for a broad range of benign skin problems. With appropriate instruction and supervised experience, family physicians can master the technique quickly. Cryosurgery is best suited for use in patients with light skin and for treatment of lesions in most non-h...

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