Assuntos
Pérnio/patologia , Retalhos de Tecido Biológico/efeitos adversos , Mãos/cirurgia , Transplante de Pele/efeitos adversos , Adulto , Idoso de 80 Anos ou mais , Pérnio/diagnóstico , Pérnio/etiologia , Pérnio/prevenção & controle , Clima Frio/efeitos adversos , Feminino , Retalhos de Tecido Biológico/transplante , Humanos , Microcirculação/fisiologiaRESUMO
This article summarizes recommendations reached following a systematic literature review and expert consensus on the diagnosis and management of cutaneous squamous cell carcinomas in people with epidermolysis bullosa. The guidelines are intended to help inform decision making by clinicians dealing with this complex complication of a devastating disease.
Assuntos
Carcinoma de Células Escamosas/terapia , Epidermólise Bolhosa/complicações , Neoplasias Cutâneas/terapia , Amputação Cirúrgica/métodos , Membros Artificiais , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/prevenção & controle , Consenso , Humanos , Metástase Linfática , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Metástase Neoplásica , Estadiamento de Neoplasias , Dor/prevenção & controle , Guias de Prática Clínica como Assunto , Psicoterapia/métodos , Retinoides/uso terapêutico , Biópsia de Linfonodo Sentinela/métodos , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/prevenção & controle , Assistência Terminal/métodos , Técnicas de Fechamento de FerimentosRESUMO
A new classification of fingertip injuries is presented. The PNB classification separates the injury into its effect on the three components of the fingertip: pulp, nail and bone. This provides a three digit number that accurately describes the injury. This new classification can be used to record and document injuries, without having to resort to lengthy description. It could also be used to provide detailed instructions for treatment and indications for referral. Examples of the application of the classification are given.
Assuntos
Traumatismos dos Dedos/classificação , Amputação Traumática/classificação , Humanos , Unhas/lesõesRESUMO
Absence of the right superior caval vein has been shown by postmortem studies of infants and children to be associated with histological abnormalities of the sinus node. We report the case of a 32-yr-old man who presented with syncope due to disease of the sinus node and was found to have absence of the right superior caval vein. He was successfully managed with implantation of an epicardial atrioventricular sequential pacemaker.