Plastics Tutorial

Question 1

fluctuance tests for what?

Answer 1

cystic vs. solid

Question 2

always test what for glands?

Answer 2

regional lymph nodes

Question 3

sieve for plastics?

Answer 3

congenital
trauma, implantation: foreign body
inflammatory (TB abscess?)
neoplastic
malignant: prim and secondary
vessels: art, veins, cap, lymph
metabolic: DM2

Question 4

where is a common secondary site for melanoma or bowel cancer?

Answer 4

skulll

Question 5

any nerve lesion you get?

Answer 5

motor
sensory
sympathetic

Question 6

motor nerve lesion, look for?

Answer 6

wasting and deformity

Question 7

ulnar claw, why?

Answer 7

lumbricals, flexes MP joins, straightens IP joints

lateral side, lumbricals can support

Question 8

median nerve supplies which muscles in forearm?

Answer 8

palmaris longus
FCU
medial 2 tendons of FDP

Question 9

sympathetics supply what in hand?

Answer 9

arterioles

sweat glands

Question 10

how to test for sweat glands in hand?

Answer 10

pen drag across tips of finger, should have some friction

Question 11

recovery rate of peripheral nerve?

Answer 11

1mm/day

Question 12

testing for high median nerve?

Answer 12

test for FDS

Question 13

how to test for ulnar

Answer 13

extension of finger, wrist, elbow

Question 14

how to test for ulnar motor finger extension?

Answer 14

extend wrist then extend the fingers

Question 15

what imaging for a plastics?

Answer 15

x-rays

take a picture for consultant, wide angle, and closeup

Question 16

role of tourniquet in surgery?

Answer 16

safety net in case it’s bleeding

Question 17

DDDs of infection?

Answer 17

Dirt, debris
dead tissue
dead space

Question 18

how to tell if muscle is still viable in surgery?

Answer 18

contracts, and bleeds, trim till it bleeds

Question 19

3 ways close

Answer 19

1. immediately: primary closure
2. delayed primary: with vac-dressing, leave for 48hrs. (make sure dead tissue it all gone, and infection)
3. secondary closure: closing of granulating

Question 20

3 ways to close wound

Answer 20

primary closure
graft
flap

Question 21

3 kinds of skin graft

Answer 21

partial thickness, split dermis

full thickness

cartilage and fat

Question 22

what two structures in skin have the healing epithelial and stem cells?

Answer 22

hair

sweat glands

Question 23

3 ways to control bone in a fracture

Answer 23

external fixation
traction
internal fixation

Question 24

lesion description

Answer 24

Site, size, shape
surface, edge, base, pigmented
discharge biopsy
pulsatile, fluctuance