Tick Removal/Punch Biopsy/Fish Hook Removal/ Foreign body/Eyes/Skintags

Do not pull out w/fingers, use gloves, identify tick, avoid manipulation, avoid crushing or partial tears, ETOH, nail polish and burning

Avoid mamal such as deer and rodents, wooded area, tight-fitting clothes, inspect clothing. wear repellent citronella or DEET

Near eye, near artery/ 1. Forceps/tweezers, 2. thread technique, 3. punch biopsy

Obtaining diagnostic full-thickness skin specimen of suspicious lesion, rash, wart

Suspicious looking lesion on eyelid, lip or penis refer, infection at site, bleeding disorder

Keep dsg clean & dry x 48 hrs, min. swelling and redness, S/Sx of infection, Cephalexin or duricef, pain medications

Retrograde (back out), Angler's string-yank, Needle cover, Advance & cut

Tetanus (if more than 5 yrs give booster), debris, soak warm saline, leave open apply abx, watch for infection

Cause coagulation of proteins which limit dept of injury, sulfuric acid (battery acid), hydrochloric acid (drain openers), muriatic acid

Causes liquefaction of proteins and can penetrate anterior chamber, need longer period of irrigation, lye (drain opener), lime, ammonia

Assess redness, excessive tearing, dischage, swelling, bleeding, photophobia, visual acuity, normal pH 7.4-7.6

Send to Ophthalmologist f/u 24-48 hrs

Obstruction due to ear canal disease, narrowing, over production, inability to visualize TM

Drainage from the ear yellow, green, bloody exudate, tympanic membrane disrupted

Hearing loss, earache, ear fullness, itchiness, reflex cough, dizziness, tinnitus

Hydrogen peroxide, cerumenex, debrox, mineral oil, liquid colace, water and saline, auralgan

Balloon-tipped catheter, Positive pressure, suction, and glue

Malignancy, high-dose of steroids, severe collagen vascular disease, GN, CMV, E. Barr, syphilis, DM

Placement of tags, s/s irritation, bleeding, infection, surrounding skin