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Mike Weinstock, MD and Matthieu DeClerck, MD
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No me gusta!

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Matt M., 6234414 -

Good job as always....for the foreign bodies, if it is radiopaque and visible on the xray, and I am thinking of going after it, but it is not palpable, I use the "paperclip" technique to localize it. I cut a paperclip so I can shape the piece into a triangle appx 1-2 cm on a side, and then tape it to the skin with the puncture wound in the center of the triangle. I then have the xray tech take two more xrays...one with the beam perpendicular to the triangle (this localizes the FB relative to the puncture wound), and the other with the beam tangential to the paperclip (this gives the exact depth). These little metal projectile type FBs can be a bit removed from the puncture wound...this technique has helped me find them numerous times. Matt Mullen, MD

Mike W., MD -

Nice pro tips - thx Matt!!
M

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Hippo Urgent Care RAP July 2020 Written Summary 823 KB - PDF

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