Sesap Soft Tissues

Front 1

erythema multiforme

Back 1

self limited mild dermal-epidermal separation
target lesions in extremities
a/w sulfonamides, penicillin, dilantin
MC nondrug cause - herpes simplex infxn

Front 2

steven johnson syndrome

Back 2

blistering
mucous membrane erosions
<10% BSA
fever, malaise

Front 3

toxic epidermal necrosis

Back 3

>30% BSA
MCC (sulfa, aminopenicillins, anticonvulsants, NSAIDS, allopurinol)
prodrome - high fever, sore throat, malaise
INFLAMMATION OF THE MOUTH
mortality 25-45%

Front 4

Clostridium septicum should have what workup

Back 4

colonoscopy

Front 5

associated with sulfur granules w/n infected tissue

Back 5

actinomycosis

Front 6

actinomycetes vs nocardiae

Back 6

anaerobic culture

Front 7

drug of choice for ancimycosis

Back 7

pencillin G (10-20 million units IV x 2-4 weeks) followed by oral penicillin

Front 8

Mucormycosis

Back 8

acute fungal disease in facial, orbital, paranasal sinus, or cerebral
high mortality rate

Front 9

Eikenella corrodens

Back 9

G-, facultative anaerobic, rod
subgingival plaque
human/animal bites

Front 10

ubiquitous soil dwelling G+ bascteria

Back 10

introduction through resp. tract
primary cutanenous infxn in soil contact or postop infxns

Front 11

brown recluse spider

Back 11

no antivenom
rare systemic symptoms
usually self-limited
supportive care
no trials proving dapsone
conservative debridement

Front 12

partial-thickness burn

Back 12

damage to dermis

Front 13

suPerficial partial thickness

Back 13

Papillary dermis
viable skin appendances
intact hair follicles
blisters
moist pink wounds
extremely painful
blanch easily
reepitheliaze w/n 2 weeks

Front 14

deep partial thickness

Back 14

reticular dermis

Front 15

deep partial thickness burns

Back 15

disrupted hair follicles
mottled, dry

Front 16

what is eschar?

Back 16

coagulated proteins from injured skin
slow cap refill
hypertrophic scar without surgery
re-epithelialization after 3 weeks

Front 17

full thickness burns

Back 17

no dermal appendages for re-epithelialization
eschar - thick, leathery, dry, white or charred
no blanching
insensate
excision and skin graft necessary

Front 18

type of necrosis in acid burns

Back 18

coagulation

Front 19

type of necrosis in alkali burns

Back 19

liquefaction

Front 20

initial treatment of chemical burns

Back 20

remove clothing
copious irrigation for 30 minutes
NO neutralizing agents

Front 21

hydrofluoric acid burns

Back 21

give intraarterial calcium

Front 22

most important staging and prognostic tool in melanoma

Back 22

SLNB
4% complication rate
performed >1mm

Front 23

Independent predictors of mortality in nec fas

Back 23

WBC>30000
Cr >2
heart disease

Front 24

Independent predictors of limb loss in nec fas

Back 24

heart disease and shock

Front 25

clostridial nec fas

Back 25

prior injury, IVDU

Front 26

painful, rapidly developing ulceration with serpiginous , bluish, undermined borders from a pustule

Back 26

pyoderma gangrenosum

Front 27

pathergy

Back 27

ulcer expansion with minimal trauma (pyoderma gangrenosum)

Front 28

venous stasis ulcers

Back 28

80-90% of all leg ulcers
medial gaitor region 70%
irregular edges

Front 29

stigmata of chronic venous insufficiency

Back 29

hyperpigmentation 2/2 hemosiderin
dermal fibrosis
varicose veins

Front 30

arterial insufficiency ulcers location and appearance and symptoms

Back 30

below malleoli
punched out appearance

Front 31

calciphylaxis

Back 31

soft tissue calcification
rapid onset large painful violaceous plaques
seen in ESRD
hyperPTH, low Ca, hyper P, hypoMg, hypertrig

Front 32

Management of sarcomas

Back 32

resection (2-3cm margins) + pre or post XRT

Front 33

role of chemo in sarcomas

Back 33

only in ewing's and rhabdo
increased wound complications if given preop

Front 34

grade = size in staging?

Back 34

true