CHAPTER 45: Soft Tissue Foreign Bodies

Question 1

Most common complication of retained foreign bodies

Answer 1

Infection

Question 2

TRUE or FALSE

Infections associated with retained soft tissue foreign bodies are resistant to pharmacologic therapy.

Answer 2

TRUE
Infections associated with retained soft tissue foreign bodies are characteristically resistant to pharmacologic therapy.

Question 3

Resulted when objects with a diameter >4.5 mm may push a plug of skin deep into a wound

Answer 3

Epidermal inclusion cyst

Question 4

US frequencies that can detect larger objects at greater depth but may miss smaller objects and may not be able to discriminate multiple objects

Answer 4

Low frequencies

Question 5

US frequencies that can detect smaller and multiple objects, but only at shallower depths, and may miss deeper objects

Answer 5

High frequencies

Question 6

Potential for later infection
Toxicity
Injury
Functional problems

Answer 6

General indications for foreign body removal

Question 7

May result when subungual splinters are not removed

Answer 7

Distal phalanx Osteomyelitis

Question 8

Retrograde technique
Advance-and-cut technique
Incision technique
Needle-cover technique

Answer 8

Techniques in removing embedded fishooks from skin

Question 9

TRUE or FALSE?

Graphite from pencil lead should be excised in cosmetic areas.

Answer 9

TRUE
The graphite from pencil lead can produce a pigmentation that may never dissolve; therefore, graphite should be excised in cosmetic areas.