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Title | Description | Subject | Collection |
876 |
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Severe acne vulgaris | Severe acne vulgaris involving the chest. | | Knowledge Weavers Dermatology |
877 |
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Comedo extraction | The third step in the Bezzant method is to push at the base of the comedo with the comedo extractor to expel the contents. | Comedo | Knowledge Weavers Dermatology |
878 |
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Lipoma and layered closure | This shows the lipoma and the results of the layered closure. This was located on the back. | | Knowledge Weavers Dermatology |
879 |
|
Cleocin-T lotion and Retin-A | This patient with more than 10 red papules and pustules is using one of the two topical programs shown: 1) Program on the left is Cleocin-T lotion applied twice daily, and Retin-A 0.025% cream applied at night. 2) Program on the right is application of benzoyl peroxide 2.5% gel each morning, and Ret... | | Knowledge Weavers Dermatology |
880 |
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Children with scabies | Same child with scabies showing the lesions in the web spaces, around nipples, umbilicus, and suspected lesions should be scraped with a curette or a #15 scalpel blade, and mineral oil is applied first to ensure that the scale tends to adhere to the scraping instrument and is retrievable. At least 2... | | Knowledge Weavers Dermatology |
881 |
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Anaphylaxis and epinephrine | If the patient is on beta-blockers, generally epinephrine will not work in anaphylaxis. Glucagon can be administered in its place, and 1 mm of glucagon can be given subcutaneously irrespective of body size. Nausea is the major side effect. | | Knowledge Weavers Dermatology |
882 |
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Occlusion of the apocrine sweat glands | Cysts on the vulvae that are produced by occlusion of the apocrine sweat glands. | | Knowledge Weavers Dermatology |
883 |
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Punch biopsy | I stabilize the skin with my non-dominant (left) hand by stretching or pinching the skin, and then holding the punch at the top and spinning it very rapidly while applying moderate pressure I very quickly obtain full thickness skin biopsy. | | Knowledge Weavers Dermatology |
884 |
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Stasis dermatitis | The area should then be wrapped with the gauze that is impregnated with zinc oxide ointment. The wrap should be started just above the toes, and continue to just below the knee. | | Knowledge Weavers Dermatology |
885 |
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Excision: vertical mattress suture | This demonstrates placement of the vertical mattress suture that is used to close the upper layer of the dermis and the epidermis.The first pass the needle enters the right side of the wound about 2 mm from the wound, penetrates the full thickness of the dermis and exits 2 mm from the wound edge on... | | Knowledge Weavers Dermatology |
886 |
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Leg amputation wound | This is a breakdown of the wound in the leg amputation of an elderly woman who is diabetic. | | Knowledge Weavers Dermatology |
887 |
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Nummular dermatitis | Lesions of nummular dermatitis that are starting to coalesce. | | Knowledge Weavers Dermatology |
888 |
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Thickness biopsy | One of the typical lesions is anesthetized, and then a 4 mm diameter punch of the full thickness skin is done. The skin in most areas is 2 mm in depth, and 4 mm on the back. The wound is then closed with 4-0 monofilament suture using a vertical mattress closure, and one or two sutures are placed. | | Knowledge Weavers Dermatology |
889 |
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Papulopustular eruption | Close-up view of the papulopustular eruption on this pregnant patient. | | Knowledge Weavers Dermatology |
890 |
|
Seborrheic dermatitis | Seborrheic dermatitis involving the scalp. | | Knowledge Weavers Dermatology |
891 |
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Eversion of a wound | This shows a top view of the same wound, and the marked eversion. The reason eversion is achieved is that the forces acting on the wound are downward (as the scar contracts), and laterally from the natural tension created by the surrounding skin. If one anticipates those forces by everting the wound... | | Knowledge Weavers Dermatology |
892 |
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Chigger mite bites | This is the back of the patient who was infested with chiggers. Treatment consists of any of the following:1) topical steroids applied twice daily.2) oral antihistamines.3) on prednisone, 1 mg/kg per day until the itching resolves. | Chiggers | Knowledge Weavers Dermatology |
893 |
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Anaphylaxis | If anaphylaxis or severe urticaria develops, one can use epinephrine 1:1,000, and the dose should be 0.01 cc's per kg injected into the subcutaneous fat, and that should be repeated every 10 to 15 minutes as necessary until the eruption is under control. | | Knowledge Weavers Dermatology |
894 |
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Stasis dermatitis | An elastic wrap is then applied on top of the gauze. The elastic wrap should be applied as tightly as the patient can stand around the foot and ankle, and the pressure is gradually reduced as the wrap is continued up to below the knee. | | Knowledge Weavers Dermatology |
895 |
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Ingrown nail | Small cotton-tip swabs saturated with pheno are used to destroy the nail matrix. Times of application range from 10 seconds to 3 minutes, depending on the author. | | Knowledge Weavers Dermatology |
896 |
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Severe nodulocystic acne | This patient has severe nodulocystic acne. Not only does he have acne, but the inflammatory damage to the dermis has induced elevated scars called keloids. These are permanent. This type of acne rarely responds to creams and oral antibiotics, but does respond well to oral Accutane. | Accutane | Knowledge Weavers Dermatology |
897 |
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Severe acne vulgaris | Severe acne vulgaris involving the back, and associated keloidal scarring. | | Knowledge Weavers Dermatology |
898 |
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Comedo extraction | The second step in the Bezzant method is to poke a hole in the top of the comedo or papulopustule with a small gauge needle, such as a 30 gauge. This provides an exit for the material so that it will eject from the skin and not be extruded into surrounding skin when pressure is applied at the sides. | Comedo | Knowledge Weavers Dermatology |
899 |
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Opening comedos | The second step in opening comedos with a comedo extractor is to push downward with the instrument. | Comedo | Knowledge Weavers Dermatology |
900 |
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Treatment for rosacea | The alternative to tetracycline is minocycline, 100 mg twice daily, and it has the advantage that it can be taken with food, including dairy products, and rarely causes photosensitization. The disadvantage is that it is much more expensive than tetracycline, and it currently costs about $1.00 to $3.... | | Knowledge Weavers Dermatology |