Biopsis and Skin Grafts Flashcards

1
Q

When is excisional biopsy used?

A

With suspicious melanoma (with deep or superficial lesions)

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2
Q

When is incisional biopsy used?

A

With squamous and basal cell carcinoma (with deep seated lesions)

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3
Q

When is punch biopsy used?

A

With venous ulcer suspected for malignancy and pager disease of breast (With superficial lesions)

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4
Q

When is true cut or core biopsy used?

A

With deep seated lesions as great masses

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5
Q

When is shaving biopsy used?

A

With seborrheic warts.

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6
Q

When is FNAB used?

A

Best for thyroid lesions

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7
Q

What are the types of grafts?

A

-Auto graft (from the same person)
-Isograft (from identical twin)
-Allograft (from another person)
-Xenograft (from animals)

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8
Q

Give example on isograft.

A

Kidney transplantation

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9
Q

Give example on autograft.

A

Skin grafting

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10
Q

What are the types of wound closure?

A

-Primary closure
-Delayed primary closure
-Secondary closure

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11
Q

When is primary closure encouraged?

A

With direct apposition of wound edges and clean wounds

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12
Q

When is delayed primary closure encouraged?

A

When the wound has to be left open for a period of time for the fear of infection in diabetic patients or patients on steroids.

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13
Q

When does secondary intention take place in a wound?

A

When the wound is left to heal with wound contracture as after drainage of abscess especially perinatal abscess

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14
Q

What is skin grafting?

A

The process of transferring a piece of skin with blood supply from one site to another and this requires a vascular used recipient site free from infection and malignancy

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15
Q

What are the types of skin grafting?

A

-Split thickness graft
-Full thickness graft

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16
Q

What are the uses of slain grafting?

A

-Split thickness graft is used mainly in burns because it can be meshed and covers a large area because the sonar site heals with re epithelization
-Full thickness graft is taken mainly from the post auricular skin and groin and covers small area because the donor site requires closure.

17
Q

What is a flap?

A

It is a vascularized unit of tissue that is transferred from one site to another

18
Q

What is the type of closure and flap in a dirty scalp laceration?

A

Primary closure with rotational flap

19
Q

What is the type of closure and flap in a dog bit of a nose?

A

After immediate debridement, it heals with secondary intention and pedicle or local flap

20
Q

What is the management plans for a pretibial laceration?

A

Without bone exposure: debridement and delayed spit thickness graft
With bone exposure: flap

21
Q

What is the management plan for a heel/ bed pressure ulcer/sore?

A

-Debridement
-Healing with secondary intention
-definitive repair: flap