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clinical diagnosis fingernails physicalexam signs abnormal atlas beaus biliary cannulation cardiology difficult diseases ecg ekg electrocardiogram ercp finger floss gastroenterology
ECG of a 32-year-old lady with chest pain. Cath showed 100% proximal LAD Occlusion.
twitter.com/EM_RESUS #ProximalLAD
Stuck Ring Removal Method TECHNIQUE: 1. Gather floss, fishing line, umbilical silk, even IV tubing/TQ. 2. Distally--> wrap circumferential
Proximally--> feed ... material is tunneled proximally
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 Quitter's Nail Nicotine stained distally, but not proximally with clear line of demarcation. May also appear when
distally, but not proximally
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
thickening extends proximally
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
portion, more proximally
Nail Pathologies - Findings in or Near Nails Paronychia A superficial infection of the proximal and lateral
and progresses proximally
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