This easy and most versatile stitch can cause "railroad track" scarring
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Simple interrupted
Congenital nevi risk
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10cm nevi have a 10% MM risk
Excise at puberty
Lichen simplex vs. planus
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Simplex = neurodermatitis, common, adults, sharply demarcated
Planus = Polyangular, flat topped pink papules w/ wickham's striae
criss/cross white lines
Concerns with epi
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beyond tachycardia and hypertension ... Recall that some patients will have
systemic catecholamine reactions following procedures with epi in the
anesthetic. This is generally self limited and due to eventual peripheral
metabolism of the locally injected epinephrine.
(NB: If absolutely necessary IV Mg+B6 speed COMT epi elimination in the
liver)
Synthetic absorbable sutures
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, polymers, which are hydrolyzed (water gradually penetrates the suture
filaments, causing breakdown of the polymer chain). The different methods
of breakdown cause varying degrees of tissue reaction. In general, the
hydrolyzation reaction results in a lesser degree of tissue reaction than the
enzymatic breakdown
Triamcinolone
Betamethasone
Etc...
Give this one a try later!
Longer acting, MUCH more potent than hydrocortisone
Inflammation, antipruritic, vasoconstictive, antiproliferative
Sfx: Atrophy, pruritus, irriation, similar effects of oral steroids
Inhaled & intranasal version for asthmatics
Nikolsky's Sign
Give this one a try later!
with pressure blister spreads
Hydrocortisone
Give this one a try later!
Chemical identical to that of cortisol
Inflammation, antipruritic, vasoconstictive, antiproliferative
Give this one a try later!
Simple interrupted
Congenital nevi risk
,Give this one a try later!
10cm nevi have a 10% MM risk
Excise at puberty
Lichen simplex vs. planus
Give this one a try later!
Simplex = neurodermatitis, common, adults, sharply demarcated
Planus = Polyangular, flat topped pink papules w/ wickham's striae
criss/cross white lines
Concerns with epi
Give this one a try later!
beyond tachycardia and hypertension ... Recall that some patients will have
systemic catecholamine reactions following procedures with epi in the
anesthetic. This is generally self limited and due to eventual peripheral
metabolism of the locally injected epinephrine.
(NB: If absolutely necessary IV Mg+B6 speed COMT epi elimination in the
liver)
Synthetic absorbable sutures
Give this one a try later!
, polymers, which are hydrolyzed (water gradually penetrates the suture
filaments, causing breakdown of the polymer chain). The different methods
of breakdown cause varying degrees of tissue reaction. In general, the
hydrolyzation reaction results in a lesser degree of tissue reaction than the
enzymatic breakdown
Triamcinolone
Betamethasone
Etc...
Give this one a try later!
Longer acting, MUCH more potent than hydrocortisone
Inflammation, antipruritic, vasoconstictive, antiproliferative
Sfx: Atrophy, pruritus, irriation, similar effects of oral steroids
Inhaled & intranasal version for asthmatics
Nikolsky's Sign
Give this one a try later!
with pressure blister spreads
Hydrocortisone
Give this one a try later!
Chemical identical to that of cortisol
Inflammation, antipruritic, vasoconstictive, antiproliferative
