Pectus carinatum

A spectrum of protrusion abnormalities of the anterior chest wall Also known as pigeon chest Uncommon deformity of the chest wall, less common than pectus excavatum. Aetiology  Race More frequent in whites Uncommon in blacks and Asians. Sex Males affected 4 times more than females. This deformity may occur either isolated or as part of…

Intramuscular injection of Sterile Water

Emergency Physicians often practice intramuscular injections of sterile water for injection (SWFI) as a placebo effect to questionable psychosomatic or factitious pain disorders, however it is not advisable. Hypotonic solutions such as Sterile water or 5% Dextrose cause substantial swelling of the subcutaneous tissue & block the microcirculation. There is an ongoing practice of intradermal…