Week 5 Flashcards
What are the primary and secondary cause of ingrown toenails?
Pressure of tight shoes or cutting the nail too short
When would you use Operative Tx for an acute ingrown toenail case?
Infxn persisting with heaping up of granulation tissue
How many 30-second applications of 88% liquefied Phenol would you use for attempting to permanently kill a portion of the nail bed?
3
What is the typical causative organism in chronic paronychia?
Candida albicans + bacteria
Acute = staph aureus
T/F: You may need to remove the nail in difficult cases of chronic paronychia
TRUE
In a felon the unyielding skin of the fingertip, contains the infxn and creates tension resulting in….
Microvascular compromise Necrosis Abscess formation Septic arthritis Osteomyelitis Tenosynovitis
What is the most common cutaneous cyst?
Epiermal inclusion cyst
What are the three possible causes of epidermal inclusion cysts?
Traumatic implantation of epidermis into dermis
Spontaneously from hair follicle
Giant comedones
How does an epidermal inclusion cyst often feel?
Slightly malleable
An epidermal inclusion cyst in the most common type of cyst located on the ____
SKIN
What is it important to remove the complete wall of an epidermal inclusion cyst?
In order to prevent recurrence
What exam finding indicates that an epidermal inclusion cyst is ripe and ready to drain?
Flatulence
How many weeks should you wait before attempting excision after inflammation and infection has resolved?
4-6 weeks
How may a lipoma feel?
Rubbery
Usually not malleable
Epidermal inclusion cysts and tricholemmal (pilar) csyts are very common and usually called ____ cysts in error
sebaceous
