Hidradenitis suppurativa is a painful inflammatory skin condition characterized by tender skin nodules that enlarge, coalesce, and drain, leaving fibrotic sinus tracts. It is commonly seen in intratiginous regions – the axilla, perineum, inframammary folds, and inguinal folds (areas with…
Anatomy Cholelithiasis Cholelithiasis is the presence of gallstones in the gallbladder. Asymptomatic cholelithias is discovered incidentally on imaging performed for other reasons. Prophylactic cholecystectomy is NOT recommended. The exception is in a calcified “porcelain” gallbladder, which in itself is an…
Overview Appendicitis is inflammation of the vermiform appendix. It is commonly caused by obstruction of the appendiceal lumen by a fecalith. Appendicitis is one of the most common surgical emergencies and should be on your differential in any patient presenting…
Anatomy Boundaries of the breast Boundary Structure Superior Second or third rib Inferior Inframammary fold at the sixth or seventh rib Medial Lateral border of the sternum Lateral Anterior axillary line, axillary tail of spence extends laterally across the anterior…
Classification Classification of SSI Surgical Site Infection Description Signs and Symptoms Onset Superficial Involves the skin and SC tissue. A form of cellulitis brought onto the incision site. Purulent discharge from incision, Fever, Tenderness, Erythema, Warmth, Swelling Within 30 days…
Wound dehiscence Wound dehiscence is separation of wound along incision line. Fascial dehiscence is the separation of a fascial closure following abdominal surgery. ****Risk can be reduced by good surgical technique and avoidance of heavy lifting for 4-6 weeks after…
Overview The goal of managing chronic wound is to identify and address the conditions that impair wound healing. By correcting these condition, the wound behaves like an acute wound and can be managed as such through closure, skin graft, or…
Overview The goals of wound care include: The steps in management of wound usually involve assessment → preparation → repair → follow-up Wound preparation Types of injuries and considerations Type of injury Nota bene Animal bite Cat bites are deep…
TIME mneomnic for assessment of wounds Tissue: presence of granulation or hypergranulation tissue, devitalized or necrotic tissue, and surrounding tissue Inflammation or infection: areas within or surrounding the wound site that may indicate the presence of infection or inflammation Moisture:…
Tidy vs Untidy wound Type of wound Characteristic Examples Healing Tidy wound Incised, Clean, no tissue loss Surgical incision, Stab, Cuts Primary intention Untidy wounds Irregular, tissue loss, devitalized tissue, contaminated Crush, Avulsion/Degloving, Burn Secondary intention Open wounds The skin…
