Health Education Assets Library (HEAL)
 
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TitleDescriptionSubjectCollection
126 Ingrown nailSmall 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
127 Ingrown nailI use a curette to scrape back in the cul-de-sac beneath the proximal nail fold to physically remove all of the nail matrix I can.Surgical MethodsKnowledge Weavers Dermatology
128 Ingrown nailThe portion of the nail plate that is to be removed is marked.Knowledge Weavers Dermatology
129 Ingrown nailA broad band tourniquet is applied to the digit.Knowledge Weavers Dermatology
130 Ingrown nailAppearance of ingrown nail. The nail plate is dystrophic, and in this case has induced significant foreign body reaction and secondary infection.Knowledge Weavers Dermatology
131 Ingrown nailAfter cleaning the blood from the toe with hydrogen peroxide and removing the tourniquet, I apply a bulky dressing to absorb the blood, as it may bleed for up to about an hour if the foot is dependent.Knowledge Weavers Dermatology
132 Insect bite reactionThis represents an exaggerated insect bite reaction with her other striking erythema surrounding the papules.Knowledge Weavers Dermatology
133 Insect BitesItchy insect bites can be treated with a topical steroid; I prefer to use an ultra-potent topical steroid, such as Temovate, twice daily to the inflamed lesions.Knowledge Weavers Dermatology
134 Instruments for skin lesion removalThe standard set of instruments that is necessary for removal of skin lesions.Knowledge Weavers Dermatology
135 KeloidBefore injecting the keloid with the corticosteroid, I recommend injecting local anesthetic into the underlying fat, and waiting about five minutes for the anesthetic to take effect. The anesthetic should not be injected into the keloid as this reduces the amount of space into which one can inject t...Knowledge Weavers Dermatology
136 KeloidOnce the keloid is anesthetized, the corticosteroid should be injected directly into the middle of the keloid until the keloid blanches. I find it easiest to advancethe needle to the tip of the keloid, and then as I withdraw the needle I inject into the canal that I have created with the needle. I d...Knowledge Weavers Dermatology
137 KeloidKeloids can be injected with a Depo form of injectable steroid and/or silicone gel sheet. The corticosteroid reduces the production of all components of the keloid, which include ground substance, collagen, and elastin. The silicone gel is thought to act by increasing the temperature of the skin and...Knowledge Weavers Dermatology
138 KeloidKeloid. Keloids tend to form on areas where there is a significant amount of tension on the wound, and also in certain families, and in certain races, particularly those who are more darkly pigmented. A keloid is defined as scar tissue that extends beyond the boundaries of the original injury.(Summa...Knowledge Weavers Dermatology
139 KeloidsKeloids. These are composed of excessive amounts of collagen, elastin, and ground substance. They occur generally on the upper chest and back, and also over areas of stretch such as the elbows and knees.Knowledge Weavers Dermatology
140 KenalogThe solution should be injected directly into the lesion until there is slight blanching, which indicates saturation with the solution. You must warn the patient beforehand that there is some risk of atrophy of the skin and sometimes the underlying fat, and it can take 6 to 12 months for that to fil...Knowledge Weavers Dermatology
141 Lamellar ichthyosisLamellar ichthyosis. The abnormal stratum corneum has produced what appears as very thick scale on the skin, and with an abnormal barrier layer these patients commonly get secondary staphylococcal and yeast infections. Note that there are other associated ectodermal problems such as the teeth, hair,...Knowledge Weavers Dermatology
142 Lamellar ichthyosisLamellar ichthyosis. The abnormal stratum corneum has produced what appears as very thick scale on the skin, and with an abnormal barrier layer these patients commonly get secondary staphylococcal and yeast infections. Note that there are other associated ectodermal problems such as the teeth, hair,...Knowledge Weavers Dermatology
143 Layered closureLarge lesions can be removed using the layered closure. This was a large lipoma on the back of a patient, and I removed this in my office.Knowledge Weavers Dermatology
144 Leg amputation woundThis is a breakdown of the wound in the leg amputation of an elderly woman who is diabetic.Knowledge Weavers Dermatology
145 Leg measurementThis demonstrates measurement of the leg before custom support hose is made.Knowledge Weavers Dermatology
146 Lichen simplex chronicusAfter repeated scratching, the epidermis thickens and darkens as shown here; this is called lichenification.Knowledge Weavers Dermatology
147 Lipoma and layered closureThis shows the lipoma and the results of the layered closure. This was located on the back.Knowledge Weavers Dermatology
148 MelanomaMelanoma in the scalp of a patient approximately 65-years-old.Knowledge Weavers Dermatology
149 Micrograph of the base of hair follicleAn electron micrograph of the base of hair follicle. The epidermal papilla, shown at the bottom center, controls the growth rate of the hair follicle.Knowledge Weavers Dermatology
150 Mild acne vulgarisMild acne vulgaris.Knowledge Weavers Dermatology
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