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TitleDescriptionSubjectCollection
176 Occlusion of blood flow to the skinOcclusion of blood flow to the skin, either from internal vessel damage or from external pressure, an ulcer can be created.Skin blood supplyKnowledge Weavers Dermatology
177 Occlusion of the apocrine sweat glandsCysts on the vulvae that are produced by occlusion of the apocrine sweat glands.Knowledge Weavers Dermatology
178 Opening acne lesionsThis summarizes the Bezzant method of picking. My experience with trying to tell people not to pick is that it doesn't work. I, therefore, teach them this method of opening acne lesions as it seems to cause much less trauma and has less potential for scarring than picking with fingernails or with ho...Knowledge Weavers Dermatology
179 Opening acne lesionsPeople 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
180 Opening comedosThe second step in opening comedos with a comedo extractor is to push downward with the instrument.ComedoKnowledge Weavers Dermatology
181 Opening comedosThe third step in opening comedos with a comedo extractor is to pull to the side while pushing and this generally forces out the comedo.ComedoKnowledge Weavers Dermatology
182 Oral antibioticIf a patient has more than 15 red papules and pustules in association with the comedos, then usually an oral antibiotic is required in addition to the previously shown therapy (see Slide 37), and I generally use tetracycline, 500 mg tid, or minocycline, 100 mg bid as the oral antibiotic choice.Knowledge Weavers Dermatology
183 Papular acneWhen the closed comedos rupture, they can induce inflammation seen as red papules and pustules. When these inflammatory lesions form, an antibacterial needs to be used.Anti-bacterial AgentsKnowledge Weavers Dermatology
184 Papulopustular eruptionClose-up view of the papulopustular eruption on this pregnant patient.Knowledge Weavers Dermatology
185 Papulopustular eruptionClose-up view of the papulopustular eruption on this pregnant patient.Knowledge Weavers Dermatology
186 Papulopustular flare of acne vulgarisClose-up of the papulopustular flare of acne vulgaris in this patient.Knowledge Weavers Dermatology
187 Paraorificial dermatitisperiorificial dermatitis induced by the application of Vaseline to facial skin; it has been treated for one month with 1 gram of tetracycline per day.Knowledge Weavers Dermatology
188 PemphigusThis patient has pemphigus. In this disease, there are antibodies produced against components of the materials that hold the epidermal cells together, and the epidermis breaks apart within the mid-epidermal level.Knowledge Weavers Dermatology
189 Pemphigus vulgaris on the trunkPemphigus vulgaris on the trunk.Knowledge Weavers Dermatology
190 Periorificial dermatitisPeriorificial dermatitis. This eruption consists of erythema or sometimes discreet red papules with or without scale located on the eyelids, in a paranasal and paraoral distribution. In my experience, it most commonly occurs around the nose and mouth. The cause of this remains unknown, though it can...Knowledge Weavers Dermatology
191 Phototoxic eruption in a patient using tetracyclinePhototoxic eruption in a patient using tetracycline.PhototoxicKnowledge Weavers Dermatology
192 Pitted scarring secondary to small inflammatory acne lesionsPitted scarring secondary to small inflammatory acne lesions.Knowledge Weavers Dermatology
193 Pregnant patient with papulopustular flare of acne vulgarisPregnant patient with papulopustular flare of acne vulgaris. To our knowledge, oral erythromycin or ampicillin or amoxicillin can be used safely, and topical erythromycin, clindamycin, or benzoyl peroxide also appear to be safe.Knowledge Weavers Dermatology
194 Pubic licePubic lice. They are 1-2 mm diameter and are visible with the naked eye.Knowledge Weavers Dermatology
195 Pubic liceThe patient often experiences itching throughout the groin area, and there are often numerous nits in the pubic hair. The lice can range from about the knees up to the eyelashes. It is important to examine the body hair to ensure that all areas that are infested are treated adequately.Knowledge Weavers Dermatology
196 Punch biopsyPunch biopsy is excellent for sampling a skin disease that has multiple essentially identical lesions, or sampling a lesion within the skin. It is designed for full thickness skin biopsy, and is not an effective tool for biopsying the fat. When using it, it should be held as shown, should be spun ve...Knowledge Weavers Dermatology
197 Punch biopsyI gently lift the punch without pinching it and thereby creating damage to the specimen, and then snip the fatty strand that connects the skin to the underlying fat and muscle.Knowledge Weavers Dermatology
198 Punch biopsyThis demonstrates anesthetizing the skin before doing a punch biopsy. The target is the epidermis and dermis, and the upper portion of the fat, and all those areas should be injected with local anesthetic.Knowledge Weavers Dermatology
199 Punch biopsyThe plug should be gently lifted with forceps, and the fatty strand at the base should be snipped.Knowledge Weavers Dermatology
200 Punch biopsyI 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
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