Flashcards in Surgery Deck (15):
Treatment for malignant melanoma?
further surgery, radiotherapy or chemotherapy may be needed
The 5 layers of the scalp? (HINT S-C-A-L-P)
Loose connective tissue
Sphincter of the mouth
Sphincter of the eye
How to test CNVII
Close eyes tightly
Puff out cheeks
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
Maximum safe dose of lidocaine
max safe dose 50 ml 1% lignocaine with adrenaline
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
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
Uses of electrosurgery?
treatment of minor skin lesions eg skin tags
Curetage and cautery pros and cons?
-Pathology specimen does not accurately record the margins of the tumour
Punch biopsies pros and cons?
produces good wound edges but
difficult to judge depth
round holes do not always heal well
pathology sample may be too small
Tips for elliptical excision?
Cut at 90 degrees with scalpel (cut base with scissors)
Fishtailing should be avoided
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