Skin Procedures

Question 1

can you send a punch biopsy piece to pathology?

Answer 1

no, it burns the sample

Question 2

when would you use a punch biopsy?

Answer 2

large surface area without a dx (can take samples from several areas)
OR unresponsive to txment

Question 3

what could you do a shave biopsy on?

Answer 3

seborrheci keratosis, verrucous, molluscum, BCC, acrochordons (skin tags), pedunculated nevi

Question 4

when would you excise a skin thing?

Answer 4

melanomas, epidermal inclusion cysts, lipomas, larger BCC or SCC, dermal lesions > 1cm

Question 5

how much blood should you get from a shave bx?

Answer 5

not much

Question 6

where do you silver nitrate when doing a shave bx?

Answer 6

only where the bleeders are (otherwise it will create a scar)

Question 7

how do you rotate the punch instrument?

Answer 7

In one direction only

Question 8

what do you have to be concerned about with tape?

Answer 8

old ppl with delicate skin will have skin tears when its removed

Question 9

who should you not put neosporin on?

Answer 9

lower extremities of ppl with DM, smokers or other vascular deficiency

Question 10

where can necrotic wounds be debrided?

Answer 10

at bed side, bc they have lost feeling there

Question 11

what is the wound healing schedule?

Answer 11

coagulation
proliferation
maturation

Question 12

what is the time frame for maturation?

Answer 12

21 dys to what it will look like, 1 yr to get strength back (will be 80% of pre event strength)

Question 13

why do we use sutures?

Answer 13

1. controls bleeding
2. makes healing faster
3. decrease likelihood of infection
4. decrease scar tissue and make it more cosmetically pleasant

Question 14

how many ppl should you use to put in staples?

Answer 14

2

Question 15

when would a staple be preferred?

Answer 15

scalp wounds