Plastics Tutorial Flashcards
fluctuance tests for what?
cystic vs. solid
always test what for glands?
regional lymph nodes
sieve for plastics?
congenital trauma, implantation: foreign body inflammatory (TB abscess?) neoplastic malignant: prim and secondary vessels: art, veins, cap, lymph metabolic: DM2
where is a common secondary site for melanoma or bowel cancer?
skulll
any nerve lesion you get?
motor
sensory
sympathetic
motor nerve lesion, look for?
wasting and deformity
ulnar claw, why?
lumbricals, flexes MP joins, straightens IP joints
lateral side, lumbricals can support
median nerve supplies which muscles in forearm?
palmaris longus
FCU
medial 2 tendons of FDP
sympathetics supply what in hand?
arterioles
sweat glands
how to test for sweat glands in hand?
pen drag across tips of finger, should have some friction
recovery rate of peripheral nerve?
1mm/day
testing for high median nerve?
test for FDS
how to test for ulnar
extension of finger, wrist, elbow
how to test for ulnar motor finger extension?
extend wrist then extend the fingers
what imaging for a plastics?
x-rays
take a picture for consultant, wide angle, and closeup
role of tourniquet in surgery?
safety net in case it’s bleeding
DDDs of infection?
Dirt, debris
dead tissue
dead space
how to tell if muscle is still viable in surgery?
contracts, and bleeds, trim till it bleeds
3 ways close
- immediately: primary closure
- delayed primary: with vac-dressing, leave for 48hrs. (make sure dead tissue it all gone, and infection)
- secondary closure: closing of granulating
3 ways to close wound
primary closure
graft
flap
3 kinds of skin graft
partial thickness, split dermis
full thickness
cartilage and fat
what two structures in skin have the healing epithelial and stem cells?
hair
sweat glands
3 ways to control bone in a fracture
external fixation
traction
internal fixation
lesion description
Site, size, shape
surface, edge, base, pigmented
discharge biopsy
pulsatile, fluctuance
