1. Describe the problem as told by a health care professional For this interview project, I chose to interview Dr. Shawn Fagan, MD. He is a burn surgeon and intensivist for the Joseph M. Still Burn Center at Doctors Hospital in Augusta. Dr. Fagan has is board certified in both surgery and surgical critical care by the American Board of Surgery. He has participated in numerous studies in the area of exfoliative and necrotizing diseases of the skin. He is also a contributing author to a number of textbooks in the area of skin disorders and burns. When asked about an example of a common healthcare problem that he sees, Dr. Fagan said “Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis syndrome (TENS) are two of the most common types …show more content…
Signs and Symptoms SJS is characterized by round, red papules that resemble insect bites. Within a short amount of time, these lesions change into varying sizes and patterns. They may become red with white centers that have papules on the center. This gives them a target-like appearance. Although they can be seen on any body surface area, they are usually seen on the face and trunk. (Porth’s, 2014). TENS is the most serious of these diseases. In many cases, the papules and lesions appear to mimic SJS. Within a few days, there is large, widespread denuded areas. Lateral pressure may cause the surrounding skin to separate easily from the dermis. This is called the Nikolsky sign. (Porth’s, 2014). 7. Treatment Treatment of both TENS and SJS can involve surgical management and medical treatment. In both cases, the necrotic dermis is removed and a temporary skin covering is put into place to cover the open areas. This can either be a synthetic covering or donated porcine xenograft. Topically, the patient may have silver sulfadiazine, silver nitrate, chlorhexidine gluconate, or polymyxin-bacitracin ointment applied to the wounds. Medically, the treatment may include corticosteroid therapy, cyclosporin A treatment, intravenous immunoglobulin therapy, or thalidomide treatment. (Herndon,
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Tina, I see you have selected a primary or family care physician to follow up with. Having a family doctor is so important to assure that your wound is healing properly and also for your long-term health care management. Excellent job! Dr. Cade is located at Shadow Health Clinic and his office is in the next building just after the hospital entrance. Your appointment is this Friday at 10:30 a.m.
Mr BW was transferred to gastrosurgical ward for continuous assessment related to his surgical wound. A week after the surgical intervention Mr BW commenced negative pressure wound therapy, where the perineal wound was managed by an application of vacuum dressing. The purpose of NPWT was to enhance wound healing and at the same time to remove purulent fluids from the wound. A continuous negative pressure was set to -125mmHg. At the same time, the negative pressure wound dressing was changed three times a week for the assessment of the wound.
Skin is the biggest organ in human body and can be affected by many disease processes. One of them is shingles, a very contagious disease that is caused by varicella zoster virus (VZV). Shingles is caused by reactivation of a previous infection with this virus that results in a very painful localized skin rash usually with blisters (fluid-filled sacs) on top of reddish skin. After a person recovers from chickenpox, the virus stays dormant (inactive) in the body and reactivates years later, causing shingles (Center for Disease Control and Prevention [CDC], 2015). Before rash appears, the patent experiences tingling, numbness, and itching on affected site.
Hope you had a wonderful New Year. I want to thank you once again for giving the opportunity to interview at St. Joseph’s Family Medicine Residency Program on September 29, 2015. I enjoyed my interview at your program and meeting with the faculty and residents. Also, I appreciate you taking your time to give me a follow-up call last week. I was very impressed how close-knit the program was and how smoothly the faculty and residents interacted.
It is no secret that kids are always getting sick. Due to poor hygiene practices and germ infested toys, kids are constantly in contact with bacteria. If a child comes in contact with certain bacteria, the child can get a rash that is actually a bacterial infection called Impetigo. Every year more than three million cases of Impetigo are seen in the United States of America (FDA Consumer Health). Impetigo is easily spread between and very common in kids, but adults can get it also.
The signs of skin infections usually begins as a flat scaly area on the skin, which may be red and itchy. This patch develops an (a) little raised border that expands outwards forming about a circular ring. It can also be spreaded from doing nasty things such as using others brush, or sitting on nasty
Aside from the above wound dressing applications that were used in Mr BW wound, there are alternative wound products that can be used. Vliwaktiv dressing is ideal wound dressing for a malodorous wound, and it can be used as an antimicrobial absorbent dressing. Other than it filter the wound odour, it has also the capacity to absorb excess discharges from the wound. The other wound product is Allevyn cavity dressing; it is a type of foam dressing that has the ability to absorb mild to moderate discharges. At the same time, this dressing is highly absorbent and permits oxygenation in the wound.
Calling every single future specialist! We have to get the 'All Stars ' dealt with straightaway! Turn into a specialist today, analyze and treat your patients. Each of your patients have particular wounds and need your assistance! Its up to you to find any bloopers and help them show signs of improvement.
It is contracted by personal contact sharing clothes, toys or other items. They can be tiny red sores that can occur anywhere and can burst open and leak fluid and can develop and yellowish/brown crust. If scratched it can spread to other places on the body. What should you do? The Florida Health Department suggests you seek a doctor.
An arm lift (Brachioplasty) is one of the surgical procedures Dr. Thomas S. Guillot performs for his patients in Baton Rouge. An arm lift is a surgical procedure designed to address excess tissue in the upper arm. This tissue is frequently referred to as a 'bat wing.' The Reasons Individuals in Baton Rouge Choose to Have an Arm Lift Aging, weight fluctuations and genetics can contribute to the sagging, drooping appearance of the upper arms.
Needed Materials and Situation(s): • Antibacterial soap • Clean microfiber towel • Biotin oil • Silicon strips • Vitamins (specifically vitamin E) G. Cautions: • There will not be a change overnight, this procedure will need to be performed at least twice a day for several weeks until the scar has significantly began to fade. • Biotin oil and silicon strips are treatments that generally help the average person prevent the formation of hypertrophic scarring. Different forms of treatment such as laser therapy, may be necessary to prevent hypertrophic scarring for more serious cases. • Some people may have allergic reaction to silicon strips. • Although they are similar in appearance, scars that become hypertrophic are not to be confused with skin that keloids.
A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in patients with breast cancer. Ostomy/wound management, 60(6), 38-48. 8. Gibson, S., & Green, J. (2013). Review of Patients' Experiences with Fungating Wounds and Associated Quality Of Life. Journal of Wound Care, 22(5), 265-275. 9.
This is associated with mild contracture of burn wounds. Burn wound contraction is mediated by specialized phenotypically altered fibroblasts found within the granulation tissue. Burn wound contraction seen in burn wounds treated with SSD loaded hydrogel can be due to the enhanced activity of these fibroblasts. Formation of keratinocytes with melanin pigment was observed on 7th day post treatment. Granulation tissue was formed in dermis on 7th day post-treatment.
INTRODUCTION Psoriasis is an ancient and universal inflammatory, autoimmune, polygenic (Shai et al, 2002) and chronic skin disease that is characterised by scaly, sharply demarcated red, dry patches and indurated plaques. Patches most often occur on the elbows, knees and lower back. They may also be seen on the upper pelvic bone area, bottom of the feet, calves and thighs, genital areas and Palms of the hands. Psoriasis can develop at any age, but a bimodal distribution of the age of onset is characteristic.