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TitleDescriptionSubjectCollection
201 Puncture woundsAs 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
202 Puncture woundsThe wound should be opened so it can be visualized and explored, and blind probing such as shown here is discouraged.Knowledge Weavers Dermatology
203 Puncture woundsPuncture wounds often have to be enlarged in order to be explored.Knowledge Weavers Dermatology
204 Puncture woundsPuncture wounds, such as the one shown here in the hand should be anesthetized with lidocaine or lidocaine and bupivacaine without epinephrine. Epinephrine will further decrease oxygenation of the tissue and potentially facilitate the growth of anaerobic bacteria.Knowledge Weavers Dermatology
205 Puncture woundsVisualization of the base of the wound and debridement is crucial.Knowledge Weavers Dermatology
206 Puncture wounds of the footPuncture wounds of the foot need to be explored because they often contain fragments of shoe, stocking, or other foreign material. It is best to expore the wound by extending the opening sufficiently to be able to clearly see to the base of the wound to insure complete debridement/cleansing. The w...Knowledge Weavers Dermatology
207 PurpuraPurpura. This patient had vomited very vigorously, and the increased pressure within the capillaries caused some of them to rupture and red blood cells extravasated into the surrounding skin. Because there are red blood cells outside the vessels, compression does not cause this to blanch.Knowledge Weavers Dermatology
208 Pustules in scalpPustules in scalp. There is a type of folliculitis or, some say, a form of acne vulgaris that presents as red papules and pustules in the scalp. Regardless, this generally responds to tetracycline, 500 mg twice daily, or minocycline, 100 mg twice daily.Knowledge Weavers Dermatology
209 Radiation therapy for acne vulgarisThis patient had radiation therapy for her acne vulgaris, and has a scar demonstrating previous thyroidectomy for thyroid cancer presumably induced by the radiation, and has developed a basal cell carcinoma on her left cheek.Knowledge Weavers Dermatology
210 Recessive epidermolysis bullosaSame child with recessive epidermolysis bullosa. The slightest abrasion on the skin would tear the epidermis from the underlying dermis, and this was true of the mucosa as well. The child had broad areas of dermis that were exposed, and the child was treated as a burn victim with Silvadene cream and...Knowledge Weavers Dermatology
211 Recessive epidermolysis bullosaThis child has recessive epidermolysis bullosa.Knowledge Weavers Dermatology
212 Recessive epidermolysis bullosaA baby with recessive epidermolysis bullosa. This patient links adequate numbers of anchoring fibrils (collagen type 7) to attach epidermis to the underlying dermis.Knowledge Weavers Dermatology
213 Recessive epidermolysis bullosaAn adult with recessive epidermolysis bullosa showing ulcers in the mouth and multiple dental caries secondary to inability to maintain proper dental hygiene.Knowledge Weavers Dermatology
214 Red papules and pustulesWhen 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 AgentsKnowledge Weavers Dermatology
215 Removal of dead epidermis and dermisThis shows the removal of the dead epidermis and dermis with the exposure of the yellow fat.Knowledge Weavers Dermatology
216 Retin-ADuring the first several weeks of use of Retin-A, some people experience a diffuse redness and scaling where it is applied, and acne lesions can become inflamed or more inflamed during that period of time. Simply reassure the patient that he/she should continue with the therapy and the inflammation ...Retin-A; Drug EffectsKnowledge Weavers Dermatology
217 RosaceaThe typical appearance of a patient with rosacea. The patient usually has underlying erythema on the nose and cheeks, and generally has superimposed red papules and pustules on these areas. The first stage of rosacea consists of only erythema, and the second stage consists of the superimposed red pa...Knowledge Weavers Dermatology
218 RosaceaPatient with moderate Stage 2 rosacea.Knowledge Weavers Dermatology
219 RosaceaPatients with rosacea often have eye involvement, which can consist of styes as shown here. Dr. Randy Olson at the University of Utah recommends treating these with intralesional injection of Kenalog 40 mg/cc. He points out it requires only 1 to 2 drops of this intralesionally, and the inflammatory ...Knowledge Weavers Dermatology
220 ScabiesA nursing home patient who was infested with scabies. Shows the typical pruritic red papules in the axilla.Knowledge Weavers Dermatology
221 Scabies miteScabies miteKnowledge Weavers Dermatology
222 Scabies mite magnificationThe scraping is viewed under the microscope at low magnification. The scabies mite measures about .1 to .3 mm in diameter, and is not visible with the naked eye, but very slight magnification will make it visible.Knowledge Weavers Dermatology
223 Scabies with flexural wrist involvementSame patient with flexural wrist involvement. In this scenario, not only should the patient be treated, but all family members who have had skin-to-skin contact with the patient, as well as nursing personnel and housekeeping personnel who have had contact with the patient.Knowledge Weavers Dermatology
224 Scabies with inflamed lesions in a paraumbilical distributionSame nursing home patient with scabies with inflamed lesions in a paraumbilical distribution.Knowledge Weavers Dermatology
225 Scabies, diagnosisThis demonstrates the application of mineral oil to suspected scabies lesions prior to scraping.Knowledge Weavers Dermatology
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