Surgery Flashcards
What skin diseases can result from amoxycillin?
Morbiliform (measles like eruption) Urticaria Angiodema Fixed drug eruptions Generalised pustulosis
Name potential treatments of common precancers
Cryotherapy Solaraze 5FU PDT Imiquimod Resurfacing
What preoperative information do you need to plan surgery?
- nature of procedure
- medical Hx
- drug Hx
- Bleeding disorder?
- Allergies?
- other - pacemaker, valve defect, epilepsy, diabetes etc.
How do you treat melanoma?
initially surgery
further surgery, radio therapy or chemotherapy may be needed
What needs to be taken into account when operating?
Anatomy - tiger country, eyelids, hairline, vermillion, scalp, skin tension lines
What are the 5 layers of the scalp?
- Skin
- Connective tissue
- Aponeurosis
- Loose connective tissue
- Periosterum
What nerve is involved in mastication?
Trigeminal nerve(CN V3 mandibular division)
What muscle is involved in facial expression?
facial nerve (CN VII)
What is the spinchter of the mouth called?
Orbicularis oris
What is the sphincter around the eye called?
Orbicularis oculi
Describe Lignocaine (Lidocaine)
amide, excretion is reduced in liver, renal, cardiac failure.
Max dose is 50ml 1% lignocaine with adrenaline
What parts of the body should you avoid injecting adrenaline?
Fingers and toes
Erbs point is assoc. with what nerve?
Spinal Accessory
Patients with what diseases should you avoid administering adrenaline?
Cardiac disease amnd those on psychotropic drugs
Name complications that can occur with a skin biopsy
Bleeding, wound dehiscence, infection, scarring, motor or sensory nerve damage, loss of function
