Flashcards in Skin Procedures Deck (15):
1
can you send a punch biopsy piece to pathology?
no, it burns the sample
2
when would you use a punch biopsy?
large surface area without a dx (can take samples from several areas)
OR unresponsive to txment
3
what could you do a shave biopsy on?
seborrheci keratosis, verrucous, molluscum, BCC, acrochordons (skin tags), pedunculated nevi
4
when would you excise a skin thing?
melanomas, epidermal inclusion cysts, lipomas, larger BCC or SCC, dermal lesions > 1cm
5
how much blood should you get from a shave bx?
not much
6
where do you silver nitrate when doing a shave bx?
only where the bleeders are (otherwise it will create a scar)
7
how do you rotate the punch instrument?
In one direction only
8
what do you have to be concerned about with tape?
old ppl with delicate skin will have skin tears when its removed
9
who should you not put neosporin on?
lower extremities of ppl with DM, smokers or other vascular deficiency
10
where can necrotic wounds be debrided?
at bed side, bc they have lost feeling there
11
what is the wound healing schedule?
coagulation
proliferation
maturation
12
what is the time frame for maturation?
21 dys to what it will look like, 1 yr to get strength back (will be 80% of pre event strength)
13
why do we use sutures?
1. controls bleeding
2. makes healing faster
3. decrease likelihood of infection
4. decrease scar tissue and make it more cosmetically pleasant
14
how many ppl should you use to put in staples?
2
15