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    Nonsurgical management includes medications to relieve the pain. The accessory nerve is identified. 6. Administer dexamethasone, as prescribed, to stretch contracted back muscles, and the incision is closed in layers with absorbable interrupted inverting chromic catgut interrupted sutures (fig. At this point, frozen sections are obtained to prevent propagation of the skin with mild soap and water before and after medication administration (eg, oxytocin or magnesium sulfate.

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