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Lint: wrist-clenched-fist-view-1

Emphasis
warning

"orientation "

Line 26:33 · Italics should be used only in exceptional circumstances: '<em> </em>'
Acronyms
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"SID"

Line 41:12 · 'SID' has no definition. Spell it out if it's unfamiliar to the audience.
Strong
warning

"After explaining the why and how, ensure everything is set up before asking them to make a tight fist, this will ensure the minimum time the patient needs to undergo any discomfort."

Line 58:95 · Generally, don't use bold in text: '<strong>tight</strong>'