Skin

This image shows a dislocated shoulder with a fracture through the surgical neck of humerus. The patient is at high risk of axillary nerve injury. The axillary nerve supplies deltoids but this is difficult to test in these conditions - luckily it also supplies an area of skin over the shoulder known as the regimental badge - this must be tested before and after any procedure involving the shoulder.  

Tularemia is caused by the bacterium, Francisella tularensis. Symptoms vary depending on how the person was exposed to the disease, and as is shown here, can include skin ulcers.  

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 76-year-old woman who underwent a mastectomy for a 6-cm, ER/PR-positive, HER2-positive, T4b IDC with skin ulceration and extensive dermal involvement. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  

www.MeetTheProfessors.com – Case from the practice of Philip Glynn, MD; 76-year-old widow in otherwise good health presented with back pain and a large breast mass causing skin contracture and erosion presented to Drs Cobleigh, Holmes  

Every facility providing maternity services and care for newborn infants should: Help mothers initiate breastfeeding within a half-hour of birth. Mothers in the maternity ward who have had normal vaginal deliveries should confirm that within a half-hour of birth they were given their babies to hold with skin contact, for at least 30 minutes, and offered help by a staff member to initiate breastfeeding...At least 50% of mothers who have had caesarean deliveries should confirm that within a half-hour of being able to respond, they were given their babies to hold with skin contact. It is now well established that mothers who are supported to initiate breastfeeding soon after the baby is born are more likely to have a successful breastfeeding experience. So the fourth step is to initiate breastfeeding within a half--hour of birth. More inf http://tensteps.org/step-4-successful-breastfeeding.shtml Initiation of Breastfeeding by Breast Craw http://breastcrawl.org --.-- Ten Steps to Successful Breastfeeding - Video Series Babies who are breastfed are generally healthier and achieve optimal growth and development compared to those who are fed formula milk. If the vast majority of babies were exclusively fed breastmilk in their first six months of life -- meaning only breastmilk and no other liquids or solids, not even water -- it is estimated that the lives of at least 1.2 million children would be saved every year. If children continue to be breastfed up to two years and beyond, the health and development of millions of children would be greatly improved. This video series aims to raise awareness, encourage early adoption, promote training of health care staff, and build capacity for, and to stimulate dialogue about, breastfeeding and its impact on the public, in a range of community and public contexts in low- and middle-income countries. Our goal is to have these ten steps in every facility providing maternal services and care for newborn infants. Videos, presentations, research, evidence, papers, training and counselling materials, tools, and many other related and supporting resources are available. Visit us on-line a http://tensteps.org .  

Summary of anatomy of skin including the dermis and epidermis  

A comprehensive summary of how skin wounds and fractures heal, broken down into manageable stages.  

for medical students: what you need to know, from skin basics to treatment in psoriasis and melanoma, managing uncertainty  

a power point presentation about the embryological development of the skin  

Side-effects of radiotherapy Common acute side-effects  Reddening and soreness of the skin  Discomfort and swelling of breast or chest area  Fatigue Common …  

Scientists at King's have demonstrated the ability to deliver a dried live vaccine to the skin without a traditional needle, and shown for the first time that this technique is powerful enough to enable specialised immune cells in the skin to kick-start the immunising properties of the vaccine. Dr Linda Klavinskis from the Peter Gorer Department of Immunobiology at King's explains the research behind the new technique and its wider potential. Read more about this technique on the King's College London website: http://www.kcl.ac.uk/newsevents/news/newsrecords/2013/02-Feb/Injection-free-vaccination-technique.aspx.  

Shotgun Histology Thin Skin  

Shotgun Histology Thick Skin  

The VeinViewer uses near-infrared light to detect vessels and blood up to 10mm beneath the surface, and projects a picture onto the skin to reveal vessel structure and blood flow in real time.  

Psoriasis is an autoimmune condition which affects the skin and joints. It is sometimes referred to as one of the spondyloarthritides (inflammatory arthritis that is seronegative for rheumatoid factor (and/or does not fit the criteria for diagnosis as RA)).   Definitions  

This is a vasculitis that most commonly occurs in children. It tends to only affect the small vessels, and typically presents with: Palpable purpura – red/purple discolorations in the skin, often on the extensor surfaces of the feet, legs, arms, or sometimes on the buttocks. The rash may initially resemble urtricaria, but later becomes palpable. GI disturbance – may include colicky abdominal pain, abdominal tenderness, melena – occurs in 50% of patients  

Pathology Keratinocyte hyperproliferation: differentiation, or ‘skin cell going from basal layer to horny layer’, reduced from 4 weeks to 4 days [approximately!] Histopathological features: Parakeratosis: retained nuclei Acanthosis: thick epidermis Absent granular layer Lengthened rete ridges Thin dermal papillae  

Skin cancer is the most common malignancy – and the incidence is increasing rapidly In the last 10 years, the incidence in the UK has doubled Responsible for 2% of cancer deaths each year 80% of these are melanoma   General Risk Factors Age Sun bed use Fair skin Hx of sunburn Hx of living overseas FH Occupations – outdoors – e.g. bricklayer