Skin & Subcutaneous Flashcards
Wound where skin microflora is the potential contaminant
Clean
Wounds that occurs in early traumatic injury of less that 6 hours
Contaminated
Type of wound: occurs in operations involving hollow viscous organ
Clean contaminated
Type of skin injury: skin necrosis, non viable, perforated diverticulitis and human bites
Dirty
Wound closure where the surgeon decides when to close the wound. There should be presence of granulation tissue
Tertiary wound closure
What kind of suture should be used in subdermal facial area?
Absorbable suture
How many days does suture in the head and neck removed?
4-5 days
How many days does suture in mist of the body parts removed?
10-14 days
How many plain LR do we give in burn patients at day 1?
4 cc/kg TBSA
Cells that are precursor of paget’s disease
Toker cells
Acids causes what necrosis?
Coagulation necrosis
Alkali causes what necrosis?
Liquefactive
What are the 3 zones in hyperthermic injuries?
Zone of coagulation: center, necrosis
Zone of stasis: most important! Amenable for salvage, with minimal perfusion
Zone of hyperemia: has their own blood supply hence heal on their own
Treshold of pressure injury
60 mmHg
Sacral pressure when lying
150 mmHg
Ischial pressure when sitting
300 mmHg
Type of UV radiation with low energy, abundant and involved in aging
UVA (400-315 nm)
UV invloved in acute and chonic skin effects
UVB (315-290 nm)
Most common sites of complicates soft tissue infection
External genitalia
Perinium
Abdominal wall
Histologic analysis shows (+) sulfur granules
Actinomycosis
Most common site of dermoid cyst?
Eyebrow
Sudden multiple eruptions associated with internal malignancy
Lesser-Trelat sign (Seborrheic Keratosis)
Premalignant lesion of SCC
Seborrheic and solar (actinic) keratoses
Occur in swimming trunk distribution
Giant hairy nevi
Tx: serial excision
Stages that split thickness graft have to go
Serum imbibation
Inoculation
Angiogenesis
Benign neoplasm of neuromyoarterial apparatus commonly in the hand
Glomus tumor (glomus bodies)
Presenta with subungual discoloration, severe pain, point tenderness and cold sensitivity
Glomus tumor
Other name for skin tag
Acrocordon
(+) rossettes
Neurilemomma
Most common type of skin cancer
BCC
MC type of basal cell carcinoma
Nodulocystic/ nodulocerative
Waxy cream colored with rolled pearly borders surroung a central ulcer
Basal cell carcinoma
3 types of Basal cell carcinoma
Nodulocystic
Morpheaform
Basosquamous
Aggressive types of BCC (cheek, nose, lips) are managed by:
Moh’s surgery
-excision with 6 mm margin
In situ SCC
Bowen’s disease (anal area)
In situ SCC specific to penis
Erythroplasia of queyrat
Signs of high risk SCC
Early metastasis
>2cm
Extension to SQ
In situ SCC from burn areas
Marjolin’s ulcer
Most common type of malignant melanoma
Superficial spreading
- occurs anywhere except hands and feet
- prolong RADIAL growth phase
Type of malignant melanoma with best prognosis
Lentigi maligna
(+) hutchinson’s sign
Acral lentiginious
3 types of Basal cell carcinoma
Nodulocystic
Morpheaform
Basosquamous
Aggressive types of BCC (cheek, nose, lips) are managed by:
Moh’s surgery
-excision with 6 mm margin
In situ SCC
Bowen’s disease (anal area)
In situ SCC specific to penis
Erythroplasia of queyrat
Signs of high risk SCC
Early metastasis
>2cm
Extension to SQ
In situ SCC from burn areas
Marjolin’s ulcer
Most common type of malignant melanoma
Superficial spreading
- occurs anywhere except hands and feet
- prolong RADIAL growth phase
Type of malignant melanoma with best prognosis
Lentigi maligna
(+) hutchinson’s sign
Acral lentiginious