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Dermatology > Surgery > Flashcards

Flashcards in Surgery Deck (15):
1

Treatment for malignant melanoma?

initially surgery
further surgery, radiotherapy or chemotherapy may be needed

2

The 5 layers of the scalp? (HINT S-C-A-L-P)

Skin
Connective tissue
Aponeurosis
Loose connective tissue
Parietal bone

3

Orbicularis oris

Sphincter of the mouth

4

Orbicularis oculi

Sphincter of the eye

5

How to test CNVII

Frown
Close eyes tightly
Smile
Puff out cheeks

6

Lidocaine can be used as an anasthetic, when is its excretion reduced?

Excretion of lidocaine is reduced in renal, liver and cardiac failure
Also in the young and elderly

7

Maximum safe dose of lidocaine

max safe dose 50 ml 1% lignocaine with adrenaline

8

Why do people like to use adrenaline with lidocaine?

prolongs anaesthesia and reduces bleeding
avoid in fingers and toes
avoid in patients with cardiac disease, and those on psychotropic drugs

9

Which patients should you avoid using adrenaline in?

Patients with cardiac disease and on psychotropic drugs
Remember not to use in fingers and toes lol

10

Uses of electrosurgery?

haemostasis
treatment of minor skin lesions eg skin tags

11

Curetage and cautery pros and cons?

-Minimally invasive
-Pathology specimen does not accurately record the margins of the tumour

12

Punch biopsies pros and cons?

ick
produces good wound edges but
difficult to judge depth
round holes do not always heal well
pathology sample may be too small

13

Tips for elliptical excision?

Cut at 90 degrees with scalpel (cut base with scissors)
Fishtailing should be avoided

14

Standard method of removal of most small skin lesions?

a well planned, well executed elliptical biopsy is the standard method of removal of most small skin lesions, and produces excellent results

15

Sentinel node biopsy?

Sentinel node biopsy carried out to see if your cancer is in your lymphatic system