Nail Procedures: Best Practices and Updates
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DERMCASE Test Your Knowledge with Multiple-Choice Cases
DERMCASE Test your knowledge with multiple-choice cases This month—5 cases: Case 1 1. “What’s wrong with my feet?” 2. “Doc...what is this spot?” 3. “My toenail looks funny!” 4. A foot problem 5. “What’s this rash?” “What’s wrong with my feet?” This 60-year-old woman has had a problem with her feet for several years. What can it be? a. Contact dermatitis b. Pustular psoriasis c. Dyshidrotic eczema d. Mycoses fungoides e. Tinea pedis Answer Pustular psoriasis (answer b) frequently involves the palms and soles. While it does The following have also been used with occur in both sexes, it is most common in mid- varying degrees of success: dle-aged women. It is characterized by recur- • oral etretinate, rent sterile pustules on an erythematous base. • tetracycline, As the pustules dry, they form brown spots. • cyclosporin and The cause of pustular psoriasis is unknown • methotrexate. and once it is established, it can last for years. Cigarette smoking has been associated with There is significant morbidity related to chron- this condition and should be discouraged. ic itch, pain and fissuring. Treatment options consists of: • oil soaks, • emollient creams and ointments, • topical steroids and • retinoid gels. Stanley Wine, MD, FRCPC, is a Dermatologist, Toronto, Ontario. The Canadian Journal of CME / June 2006 63 DERMCASE Case 2 “Doc...what is this spot?” A 42-year-old male presents with a well- defined erythematous atrophic patch with a ker- atotic, raised border. What is it? a. Squamous cell carcinoma b. Bowen’s disease c. Porokeratosis of Mibelli d. -
Dermatology DDX Deck, 2Nd Edition 65
63. Herpes simplex (cold sores, fever blisters) PREMALIGNANT AND MALIGNANT NON- 64. Varicella (chicken pox) MELANOMA SKIN TUMORS Dermatology DDX Deck, 2nd Edition 65. Herpes zoster (shingles) 126. Basal cell carcinoma 66. Hand, foot, and mouth disease 127. Actinic keratosis TOPICAL THERAPY 128. Squamous cell carcinoma 1. Basic principles of treatment FUNGAL INFECTIONS 129. Bowen disease 2. Topical corticosteroids 67. Candidiasis (moniliasis) 130. Leukoplakia 68. Candidal balanitis 131. Cutaneous T-cell lymphoma ECZEMA 69. Candidiasis (diaper dermatitis) 132. Paget disease of the breast 3. Acute eczematous inflammation 70. Candidiasis of large skin folds (candidal 133. Extramammary Paget disease 4. Rhus dermatitis (poison ivy, poison oak, intertrigo) 134. Cutaneous metastasis poison sumac) 71. Tinea versicolor 5. Subacute eczematous inflammation 72. Tinea of the nails NEVI AND MALIGNANT MELANOMA 6. Chronic eczematous inflammation 73. Angular cheilitis 135. Nevi, melanocytic nevi, moles 7. Lichen simplex chronicus 74. Cutaneous fungal infections (tinea) 136. Atypical mole syndrome (dysplastic nevus 8. Hand eczema 75. Tinea of the foot syndrome) 9. Asteatotic eczema 76. Tinea of the groin 137. Malignant melanoma, lentigo maligna 10. Chapped, fissured feet 77. Tinea of the body 138. Melanoma mimics 11. Allergic contact dermatitis 78. Tinea of the hand 139. Congenital melanocytic nevi 12. Irritant contact dermatitis 79. Tinea incognito 13. Fingertip eczema 80. Tinea of the scalp VASCULAR TUMORS AND MALFORMATIONS 14. Keratolysis exfoliativa 81. Tinea of the beard 140. Hemangiomas of infancy 15. Nummular eczema 141. Vascular malformations 16. Pompholyx EXANTHEMS AND DRUG REACTIONS 142. Cherry angioma 17. Prurigo nodularis 82. Non-specific viral rash 143. Angiokeratoma 18. Stasis dermatitis 83. -
Research Article
z Available online at http://www.journalcra.com INTERNATIONAL JOURNAL OF CURRENT RESEARCH International Journal of Current Research Vol. 11, Issue, 12, pp.8946-8949, December, 2019 DOI: https://doi.org/10.24941/ijcr.37495.12.2019 ISSN: 0975-833X RESEARCH ARTICLE SKIN: A WINDOW FOR THYROID DISEASE 1Neethu Mary George, 2,*Amruthavalli Potlapati and 3Narendra Gangaiah 1 Resident, Department of Dermatology, Sri Siddhartha Medical College, Karnataka 2Assistant Professor, Department of Dermatology, Sri Siddhartha Medical College, Karnataka 3Professor and HOD, Department of Dermatology, Sri Siddhartha Medical College, Karnataka ARTICLE INFO ABSTRACT Article History: Introduction: Endocrine conditions form a major bulk of those visiting physicians and most of the Received 24th September, 2019 conditions warrant immediate and long term treatment which otherwise can indirectly affect all the Received in revised form organ systems and adversely affect the ‘health’ of a person. Thyroid diseases are one of the most 28th October, 2019 common endocrinological conditions with varying skin and appandageal manifestations. Skin is an Accepted 15th November, 2019 organ that is visible to naked eyes and can at times show certain manifestations which point to an Published online 31st December, 2019 underlying disease. Unless the clinician has high index of suspicion, such conditions can go undetected. Hence it becomes imperative for clinicians and Dermatologists to have an idea about the Key Words: cutaneous manifestations of endocrinological conditions and hence the study assess the skin Hyperthyroid, Hypothyroid, Cutaneous manifestations in recently detected hyper and hypothyroid patients. Objectives: To evaluate the cutaneous, hair and nail findings and associated conditions in acquired thyroid disorders. Manifestations, Pincer Nail. -
C.O.E. Continuing Education Curriculum Coordinator
CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or C.O.E. professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 1 of 199 Click Here To Take Test Now (Complete the Reading Material first then click on the Take Test Now Button to start the test. Test is at the bottom of this page) 5 hr. Nail Structure and Growth & TCSG Health and Safety Outline Why Study Nail Structure and Growth? • The Natural Nail • Nail Anatomy • Nail Growth • Know Your Nails Objectives After completing this section, you should be able to: C.O.E.• Describe CONTINUING the structure and composition of nails. EDUCATION • Discuss how nails grow. • Identify diseases and disorders of the nail All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. 1 CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. -
General Dermatology an Atlas of Diagnosis and Management 2007
An Atlas of Diagnosis and Management GENERAL DERMATOLOGY John SC English, FRCP Department of Dermatology Queen's Medical Centre Nottingham University Hospitals NHS Trust Nottingham, UK CLINICAL PUBLISHING OXFORD Clinical Publishing An imprint of Atlas Medical Publishing Ltd Oxford Centre for Innovation Mill Street, Oxford OX2 0JX, UK tel: +44 1865 811116 fax: +44 1865 251550 email: [email protected] web: www.clinicalpublishing.co.uk Distributed in USA and Canada by: Clinical Publishing 30 Amberwood Parkway Ashland OH 44805 USA tel: 800-247-6553 (toll free within US and Canada) fax: 419-281-6883 email: [email protected] Distributed in UK and Rest of World by: Marston Book Services Ltd PO Box 269 Abingdon Oxon OX14 4YN UK tel: +44 1235 465500 fax: +44 1235 465555 email: [email protected] © Atlas Medical Publishing Ltd 2007 First published 2007 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Clinical Publishing or Atlas Medical Publishing Ltd. Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention. A catalogue record of this book is available from the British Library ISBN-13 978 1 904392 76 7 Electronic ISBN 978 1 84692 568 9 The publisher makes no representation, express or implied, that the dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. -
Rethinking the Evolution of the Human Foot: Insights from Experimental Research Nicholas B
© 2018. Published by The Company of Biologists Ltd | Journal of Experimental Biology (2018) 221, jeb174425. doi:10.1242/jeb.174425 REVIEW Rethinking the evolution of the human foot: insights from experimental research Nicholas B. Holowka* and Daniel E. Lieberman* ABSTRACT presumably owing to their lack of arches and mobile midfoot joints Adaptive explanations for modern human foot anatomy have long for enhanced prehensility in arboreal locomotion (see Glossary; fascinated evolutionary biologists because of the dramatic differences Fig. 1B) (DeSilva, 2010; Elftman and Manter, 1935a). Other studies between our feet and those of our closest living relatives, the great have documented how great apes use their long toes, opposable apes. Morphological features, including hallucal opposability, toe halluces and mobile ankles for grasping arboreal supports (DeSilva, length and the longitudinal arch, have traditionally been used to 2009; Holowka et al., 2017a; Morton, 1924). These observations dichotomize human and great ape feet as being adapted for bipedal underlie what has become a consensus model of human foot walking and arboreal locomotion, respectively. However, recent evolution: that selection for bipedal walking came at the expense of biomechanical models of human foot function and experimental arboreal locomotor capabilities, resulting in a dichotomy between investigations of great ape locomotion have undermined this simple human and great ape foot anatomy and function. According to this dichotomy. Here, we review this research, focusing on the way of thinking, anatomical features of the foot characteristic of biomechanics of foot strike, push-off and elastic energy storage in great apes are assumed to represent adaptations for arboreal the foot, and show that humans and great apes share some behavior, and those unique to humans are assumed to be related underappreciated, surprising similarities in foot function, such as to bipedal walking. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Most Americans Suffer from Foot Pain
NewsWorthy Analysis Page 1 of 8 NewsWorthy Analysis Foot Ailments Survey January 2009 Down At Their Heels Heel Pain Tops America’s List Of Persistent Foot Ailments The American Podiatric Medical Association recently conducted a national study which investigated how frequently Americans suffer from foot ailments, specifically heel pain. There were 1,082 survey respondents, a nationally representative sample of the U.S. population. Of these respondents, 818 had experienced at least one foot ailment within the last year, with 429 Americans reporting heel pain. This study was conducted at a 95% confidence interval with 3% margin of error. From standing for several hours each day to wearing ill-fitting shoes, exertion and discomfort take a serious toll on American feet. For many, the pain is serious enough to inhibit daily activities. Yet when problems arise, getting proper foot care is not the first thing on most American minds. A new survey by the American Podiatric Medical Association shows that this combination of bad habits and a reliance on quick fixes may be contributing to the nation’s foot woes. With heel pain as the most common complaint among those who suffer foot ailments, few people who have experienced it have taken the time to get their condition diagnosed. Furthermore, heel pain sufferers tend to consult sources other than podiatrists, instead of seeking appropriate professional care. 1) FOOTSORE NATION With a range of widespread and sometimes self-inflicted conditions, Americans’ foot problems can get in the way of their daily lives – heel pain in particular can exact such a toll. -
Evaluation and Treatment of Subungual Hematoma
20 EMN I October 2010 Evaluation and Treatment of InFocus Subungual Hematoma By James R. Roberts, MD Author Credentials Finan- cial Disclosure: James R. Roberts, MD, is the Chair- man of the Department of Emergency Medicine and the Director of the Divi- sion of Toxicology at Mercy Catholic Medical Center, and a Professor of Emergency Medicine and Toxicology at the Drexel University College of Medicine, both in Philadelphia. Dr. Roberts has disclosed that he is a member of the Speakers Bureau for Merck Pharmaceuticals. He and all other faculty and staff in a position to 12 control the content of this CME activity have disclosed that they and their spouses/life partners (if any) have no fi- nancial relationships with, or financial interests in, any commercial companies pertaining to this educational activity. Learning Objectives: After participat- ing in this activity, the physician should be better able to: 1. Formulate a plan to identify subun- gual hematomas that require simple nail trephination vs. nail removal. 2. Select the correct method of provid- ing nail trephination. 3. Predict the need for prophylactic an- tibiotics after hematoma evacuation. 5 mergency physicians frequently deal with patients who have suf- Efered trauma to the digits. This month’s column begins a series of discus- sions on a rational approach to fingertip problems by reviewing the ubiquitous subungual hematoma (SUH). SUHs are rather common, and cause incapacitating and throbbing pain, prompting the hardiest of souls to seek relief. Even narcotics may fail to relieve the pain produced by an ex- panding subungual hematoma as it compresses the sensitive nailbed so some method to release the pressure is usually required, and is usually imme- 6 7 diately curative. -
Finger Injuries in Primary Care
FINGER INJURIES IN PRIMARY CARE www.orthoedu.com © 2020 ORTHOPAEDIC EDUCATIONAL SERVICES, INC. ALL RIGHTS RESERVED Faculty Disclosures • Orthopaedic Educational Services, Inc. Financial Intellectual Property No off-label product discussions American Academy of Physician Assistants Financial Splinting/Casting Workshop Director, Guide to the MSK Galaxy Course • JBJS- JOPA Journal of Orthopaedics for Physician Assistants- Associate Editor • Americian Academy of Surgical Physician Assistants – Editorial Review Board • © 2020 ORTHOPAEDIC EDUCATIONAL SERVICES, INC ALL RIGHTS RESERVED LEARNING OBJECTIVES Attendees will be able to…………… • Recognize and treat Mallet finger injuries • Recognize and treat adult Trigger finger • Recognize and treat Subungual Hematoma & Nail bed injuries • Recognize and treat Superficial Finger infections • Paronychia • Felon • Abscess • Recognize and treat Herpetic Whitlow © 2020 ORTHOPAEDIC EDUCATIONAL SERVICES, INC ALL RIGHTS RESERVED MALLET FINGER DEFORMITY © 2020 ORTHOPAEDIC EDUCATIONAL SERVICES, INC ALL RIGHTS RESERVED Epidemiology MALLET FINGER • “Baseball Finger” • 2 types injury: Soft tissue tendinous vs. Bone avulsion fracture • Pathophysiology • Occurs 2nd to disruption of terminal extensor tendon @ insertion into distal phalanx • Traumatic blow tip of finger causing eccentric flexion @ DIP jt. • Laceration dorsal finger over area to EDC insertion into distal phalanx • All injury mechanisms result in droop at DIP jt. Wieschhoff GG, Sheehan Se, Wortman JR, Et Al, Traumatic Finger Injuries: What the Orthopaedic Surgeon Wants to Know, RadioGraphics, 2016; 36(4):1106-1128 Wang QC, Johnson BA, Fingertip Injuries, Am Fam Physician 2001;63(10): 1961-6 © 2020 ORTHOPAEDIC EDUCATIONAL SERVICES, INC ALL RIGHTS RESERVED MALLET FINGER DEFORMITY Presentation: • obvious droop deformity DIP jt. • Swelling & tenderness dorsal Pictures courtesy T Gocke, PA-C DIP jt. region • Inability to actively extend finger @ DIP jt. -
NAIL CHANGES in RECENT and OLD LEPROSY PATIENTS José M
NAIL CHANGES IN RECENT AND OLD LEPROSY PATIENTS José M. Ramos,1 Francisco Reyes,2 Isabel Belinchón3 1. Department of Internal Medicine, Hospital General Universitario de Alicante, Alicante, Spain; Associate Professor, Department of Medicine, Miguel Hernández University, Spain; Medical-coordinator, Gambo General Rural Hospital, Ethiopia 2. Medical Director, Gambo General Rural Hospital, Ethiopia 3. Department of Dermatology, Hospital General Universitario de Alicante, Alicante, Spain; Associate Professor, Department of Medicine, Miguel Hernández University, Spain Disclosure: No potential conflict of interest. Received: 27.09.13 Accepted: 21.10.13 Citation: EMJ Dermatol. 2013;1:44-52. ABSTRACT Nails are elements of skin that can often be omitted from the dermatological assessment of leprosy. However, there are common nail conditions that require special management. This article considers nail presentations in leprosy patients. General and specific conditions will be discussed. It also considers the common nail conditions seen in leprosy patients and provides a guide to diagnosis and management. Keywords: Leprosy, nails, neuropathy, multibacillary leprosy, paucibacillary leprosy, acro-osteolysis, bone atrophy, type 2 lepra reaction, anonychia, clofazimine, dapsone. INTRODUCTION Leprosy can cause damage to the nails, generally indirectly. There are few reviews about the Leprosy is a chronic granulomatous infection affectation of the nails due to leprosy. Nails are caused by Mycobacterium leprae, known keratin-based elements of the skin structure that since ancient times and with great historical are often omitted from the dermatological connotations.1 This infection is not fatal but affects assessment of leprosy. However, there are the skin and peripheral nerves. The disease causes common nail conditions that require diagnosis cutaneous lesions, skin lesions, and neuropathy, and management. -
Hair and Nail Disorders
Hair and Nail Disorders E.J. Mayeaux, Jr., M.D., FAAFP Professor of Family Medicine Professor of Obstetrics/Gynecology Louisiana State University Health Sciences Center Shreveport, LA Hair Classification • Terminal (large) hairs – Found on the head and beard – Larger diameters and roots that extend into sub q fat LSUCourtesy Health of SciencesDr. E.J. Mayeaux, Center Jr., – M.D.USA Hair Classification • Vellus hairs are smaller in length and diameter and have less pigment • Intermediate hairs have mixed characteristics CourtesyLSU Health of E.J. Sciences Mayeaux, Jr.,Center M.D. – USA Life cycle of a hair • Hair grows at 0.35 mm/day • Cycle is typically as follows: – Anagen phase (active growth) - 3 years – Catagen (transitional) - 2-3 weeks – Telogen (preshedding or rest) about 3 Mon. • > 85% of hairs of the scalp are in Anagen – Lose 75 – 100 hairs a day • Each hair follicle’s cycle is usually asynchronous with others around it LSU Health Sciences Center – USA Alopecia Definition • Defined as partial or complete loss of hair from where it would normally grow • Can be total, diffuse, patchy, or localized Courtesy of E.J. Mayeaux, Jr., M.D. CourtesyLSU of Healththe Color Sciences Atlas of Family Center Medicine – USA Classification of Alopecia Scarring Nonscarring Neoplastic Medications Nevoid Congenital Injury such as burns Infectious Systemic illnesses Genetic (male pattern) (LE) Toxic (arsenic) Congenital Nutritional Traumatic Endocrine Immunologic PhysiologicLSU Health Sciences Center – USA General Evaluation of Hair Loss • Hx is