Integumentary 6 Flashcards
do not ___ infected wounds
suture; leave open for >24 hours
absolute contraindication to wound closure is presence of
cellulitis or abscess - redness, warmth, swelling, pain with or without pus
sometimes ___ is used to view foreign bodies that do not show up on x rays
US
do not suture what wounds
7
puncture wounds
human bites
animal bites
heavily contaminated wounds
lacerations > 12 hours old
infected wounds
wound open > 24 hours
suture removal time frame - face, beck
5 days
suture removal time frame - scalp
7-10 days
suture removal time frame - trunk and upper extremities
7 days
suture removal time frame - lower extremities
8-10 days
suture removal time frame - digits, palm, and sole
10-14 days
patients with INR of what should not be biopsied
INR >2.5
koebner phenomenon
the appearance of new skin lesions on previously unaffected skin secondary to trauma
can you get Shingrix vaccine if you’ve had organ transplant
yes - for solid organ transplant recipients, adminster the vaccine at least 6-12 months after transplantation when there is evidence of stable graft function and the patient is on maintenance immunosuppresion
can you give Shingrix with other adult vaccines at same time
yes - at different anatomic sites
hidradenitis suppurativa - stage that involves abscess formation without sinus tracts or scarring
stage I
hidradenitis suppurativa - stage that involves recurrent abscesses with skin tunnels and scarring
stage II
hidradenitis suppurativa - stage that involves multiple interconnected tracts, abscesses, and scarring, with diffuse involvement across an entire area
stage III
hidradenitis suppurativa - stage I treatment
topical clindamycin
hidradenitis suppurativa - failed stage I treatment of topical clindamycin, next step is
oral tetracycline (e.g. doxy)
wound healing - fibroblast accumulate and build upon fibrin matrix to produce wound contraction and scar formation, produces collagen
remodeling
wound healing - constriction of local blood vessels, plt aggregation, fibrin/clot formation
wound healing - macrophages and lymphocytes proliferate, inflammatory mediators are present
wound healing - proliferation of basal and epithelial cells
proliferation
sunburn initial treatment
cooling with room temp water, mild soap, or ice packs to provide some pain relief, direct application of ice should be avoided as this can increase pain and burn depth
topical antimicrobial agents are required for what burns
partial or full thickness burns
daily application of zinc oxide may be desirable for what burns
partial thickness burns
RMSF - reportable?
yes
verruca vulgaris aka
common wart
basal cell carcinoma appears as
pearly edges
telangiecstasia
papule
central ulceration
pearly edges, telangiectasia, papule, or central ulceration - think
BCC
molluscum contagiosum - caused by and spread how
caused by poxvirus; highly contagious and spreads by autoinoculation, skin to skin contact such as wrestling, sexual contact, and sharing towels
trephination
procedure in which a small hole is drilled on top of the nail so that blood can drain
some methods to treat psoriasis
3
topical corticosteroids
vitamin D analogs (calcipotriene ointment)
UV light therapy
looks like soft warts pasted on skin, most often on back
seborrheic keratosis
