Skin, Soft Tissue, and Breast Flashcards
What is the treatment of Bowen’s disease?
Intraepithelial squamous cell carcinoma –> excision and repair of the area, ensuring clear surgical margins
The anticipated infection rate is what for the following wounds?
- clean wound
- contaminated wound
- dirty wound
clean: 1.5-5%
contaminated: 15%
dirty: 40%
If spillage is substantial or infected tissue has entered, the wound is classified as
contaminated
A wound that has been used for drainage of an abscess or debridement of infected tissue is:
dirty
If a burn extends to the subcutaneous fat layer, it is what degree?
third
What are 2 contraindications to split-skin-thickness grafting?
1) presence of bacteria growth >10^5 organisms/cm2
2) growth of B-hemolytic streptococci
In melanomas, what does Clark classification mean? Breslow?
Clark: depth
Bresolow: width
In hidradenitis supperativa, which are usually infected which which organisms?, milder cases may be responsive to hygiene and tetracycline, but more severe cases require wider excision.
staph and strep
What are the layers of epidermis from superficial to dermis?
stratum corneum, stratum granulosum, stratum spinosum (prickle layer), stratum basale
What is Gorlin’s syndrome?
multiple BCCs, skin ribs on palms and soles, epithelial jaw line cysts, rib abnormalities, ectopic calcifications in the dura, and mental retardation. Benign until puberty.
What is Zuska’s disease?
Dilated laciferous ducts, which develop chronic inflammation presenting with periareolar draining sinuses = mammary fistula. Will continue to recur until completely excised (may require removal of the terminal duct into the nipple, leaving the wound open)
What is Mondor’s disease?
superficial thrombophlebitis, usually induced by surgery, infection, or trauma. Process is self-limiting and resolves within 2-10 weeks.
“lateral subcutaneous cord felt just under the skin and causing pain”
How can intraductal papilloma be found?
ductography
Which type of calcifications on mammography are usually benign: coarse or fine?
coarse
T/F: Any history of breast biopsy, even if benign, increases risk of breast cancer.
True