Management of the Patient After Flap Failure

Nov 3, 2016 by in Dermatology Comments Off on Management of the Patient After Flap Failure

Reversible Irreversible Technical problems Vascular disease Microsurgical techniques Atherosclerosis Reduced blood flow Radiation injury Postoperative management/anticoagulation Malformations Patient positioning Hypercoagulability Delay in diagnosis Systemic disease Delay in salvage  Modified after…

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Exposed Necrotic Tendons

Nov 3, 2016 by in Dermatology Comments Off on Exposed Necrotic Tendons

Fig. 37.1 (a) Partly exposed tendon. (b) Half of the tendon is devascularised, the deep part remains in contact with the depth. Some vascularisation remains. (c) The whole tendon is…

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Pyoderma Gangrenosum

Nov 3, 2016 by in Dermatology Comments Off on Pyoderma Gangrenosum

Fig. 27.1 A right leg ulcer in a 20-year-old male that originated from initial abrasion. He has no systemic disease Fig. 27.2 The ulcer expanded with a purulent and necrotic…

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Neonatal Pressure Ulcer

Nov 3, 2016 by in Dermatology Comments Off on Neonatal Pressure Ulcer

(1) Wound Healing Unit, Department of Surgery, Montpellier University, Montpellier, France   8.1 Introduction 8.2 Risk Assessment Scales 8.3 Principles of Treatment 8.3.1 Topic Treatment 8.3.2 Surgical Treatment 8.4 Main…

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Vasculitis

Nov 3, 2016 by in Dermatology Comments Off on Vasculitis

Fig. 20.1 Approach to the diagnosis of cutaneous vasculitis and its differential diagnosis [1, 6] 20.2 Pitfalls In order to enable the diagnosis of vasculitis, the choice of the “best”…

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Renal Insufficiency and Necrosis

Nov 3, 2016 by in Dermatology Comments Off on Renal Insufficiency and Necrosis

Stage GFR* Description Treatment stage 1 90+ Normal kidney function but urine findings or structural abnormalities or genetic trait point to kidney disease Observation, control of blood pressure. More on…

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Necrosis and Infection

Nov 3, 2016 by in Dermatology Comments Off on Necrosis and Infection

Fig. 31.1 Acinetobacter baumannii colonization and impaired blood flow Fig. 31.2 Acinetobacter baumannii colonization and impaired blood flow Ecthyma gangrenosum (EG) is a well-recognized but rare case of cutaneous infection…

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Skin Necrosis due to Snakebites

Nov 3, 2016 by in Dermatology Comments Off on Skin Necrosis due to Snakebites

Fig. 16.1 (a) The picture shows two fang marks on the left ring finger. Swelling and tissue necrosis are visible around the fang marks. (b) The picture shows that the…

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Arterial Leg Ulcers

Nov 3, 2016 by in Dermatology Comments Off on Arterial Leg Ulcers

Stage I Asymptomatic Stage II Claudicatio intermittens Walking distance:  IIA >200 m, with no disablement  IIB < 200 m with disablement Stage III Resting pain Stage IV Peripheral necrosis/gangrene 35.3…

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Toxic Syndromes

Nov 3, 2016 by in Dermatology Comments Off on Toxic Syndromes

1. Fever ≥38.9 °C 2. Rash-diffuse macular erythroderma 3. Desquamation–1–2 weeks after onset of illness, especially of palms and soles 4. Hypotension–systolic blood pressure ≤90 mmHg for adults 5. Multi-system…

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