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Title | Description | Subject | Collection |
851 |
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Basal cell carcinoma: excision removal | The two ellipses were joined into a long ellipse, and layered closure was done. 4-0 absorbable suture (Vicryl) was used for the deep dermals, and 4-0 monofilament (Prolene) was used for the superficial running suture. Note the eversion of the wound. | Surgical Methods | Knowledge Weavers Dermatology |
852 |
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Shave technique | The blade is held between the thumb and third finger using the index finger for curvature. Of course, gloves should always be used. The lesion should be shaved flush with the surrounding skin. | Shave Biopsy | Knowledge Weavers Dermatology |
853 |
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Instruments for skin lesion removal | The standard set of instruments that is necessary for removal of skin lesions. | | Knowledge Weavers Dermatology |
854 |
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Children with scabies | In children, they can have pruritic red papules distributed over most of the body. | | Knowledge Weavers Dermatology |
855 |
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Puncture wounds | As part of the debridement, the puncture wound should be flushed with generous amounts of sterile saline, and then a bulk dressing should be applied to absorb any drainage. | | Knowledge Weavers Dermatology |
856 |
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Urticaria wheal | The appearance of typical urticaria wheal. | | Knowledge Weavers Dermatology |
857 |
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Severe nodulocystic acne | Severe nodulocystic acne virtually always requires Accutane to bring and keep it under control. Theoretically, the previously shown regimen of using an oral antibiotic, a topical antibacterial, and a comedolytic (Retin-A) should be used first, but rarely is this successful. I trained in the pre-Accu... | Accutane | Knowledge Weavers Dermatology |
858 |
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Shave biopsy | If the skin eruption is vesicular, the shave or punch biopsy should be done of apparently normal skin that is next to the edge of the blister. The 4 mm diameter specimen can be cut in half, and half submitted for standard stains, and half submitted for immunofluorescent staining. | Shave Biopsy | Knowledge Weavers Dermatology |
859 |
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Undermining with scalpel | This demonstrates undermining with a scalpel just beneath the dermis. | Surgical Methods | Knowledge Weavers Dermatology |
860 |
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Comedo extraction | Using the Bezzant method of comedo extraction (picking), I recommend pinching the skin to stabilize it. | Comedo | Knowledge Weavers Dermatology |
861 |
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Children with scabies | A child with scabies showing pruritic red papules around the nipples and in the axillae. | | Knowledge Weavers Dermatology |
862 |
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Removal of dead epidermis and dermis | This shows the removal of the dead epidermis and dermis with the exposure of the yellow fat. | | Knowledge Weavers Dermatology |
863 |
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Fibrous septae | Fibrous septae connect the dermis to the underlying fascia, and these fibrous septaeoften have to be cut during surgery to free the wound edges in order to be able to pull the wound together and close it with suture. | Surgical Methods | Knowledge Weavers Dermatology |
864 |
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Comedonal acne | Comedonal acne: open and closed comedos can be seen on this patient's skin. | | Knowledge Weavers Dermatology |
865 |
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Exaggerated insect bite reaction | Exaggerated insect bite reaction | | Knowledge Weavers Dermatology |
866 |
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Treatment of comedonal acne | Retin-A 0.025% cream. It is recommended that a person wait 20 to 30 minutes after washing the face before applying Retin-A, but I find that it is very difficult for people to remember to do that, and it markedly reduces the compliance. I recommend that they simply apply the medication immediately af... | Retin-A | Knowledge Weavers Dermatology |
867 |
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Shave biopsy | Diagnosis of basal or squamous cell carcinoma can be achieved usually by using a shave biopsy. The double-edged blade is held between the thumb and third finger to ensure stability. | Shave Biopsy | Knowledge Weavers Dermatology |
868 |
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Inflamed bulbar conjunctivae secondary to rosacea | Inflamed bulbar conjunctivae secondary to rosacea. | | Knowledge Weavers Dermatology |
869 |
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Sebaceous hyperplasia | Sebaceous hyperplasia. The lesions are flesh-colored or slightly white or yellow, are round, and often have a central indentation. They can be destroyed with electrocautery or laser. | | Knowledge Weavers Dermatology |
870 |
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Puncture wounds | The wound should be opened so it can be visualized and explored, and blind probing such as shown here is discouraged. | | Knowledge Weavers Dermatology |
871 |
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Red papules and pustules | When there are more than about 10 red papules and pustules, then an oral antibiotic should be added to the topical comedolytic and antibacterial creams. | Anti-Bacterial Agents | Knowledge Weavers Dermatology |
872 |
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Basal cell carcinoma | Close-up of basal cell carcinoma on the left cheek presumably induced by radiation and/or sunlight. | | Knowledge Weavers Dermatology |
873 |
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Thermal burn | This patient received a thermal burn to the buttocks, and there was complete destruction of the skin and some of the underlying fat. This shows the exposed fat after I debrided the necrotic skin. Normal fat appears yellow. | | Knowledge Weavers Dermatology |
874 |
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Opening acne lesions | People who pick deeply with their fingernails damage the dermis significantly and can create scarring that clinically looks like depressed areas, such as in this patient, or can be elevated areas. | | Knowledge Weavers Dermatology |
875 |
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Treatment for rosacea | . . . to take 500 mg of tetracycline at night. | | Knowledge Weavers Dermatology |