Ali Khorrami

Dermatologic Emergencies

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SJS syndrome and TEN in one page Why is this important and why should you care? Stevens-Johnson Syndrome (SJS) is rare (2-7/million) but has very high morbidity and mortality especially if involved body surface area (BSA) is large where it would be called Toxic Epidermal Necrolysis (TEN). Let’s start with the definition of SJS / TEN: This is a severe mucocutaneous reaction (involving the skin and mucous surfaces) to a medication or infection that involves extensive necrosis and detachment of…

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Splints and Casts

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Splints and Casts -External immobilization is key for fracture healing and consists of splinting and casting. Materials Technique Upper Extremity Type of splint Common Indication Application Image Coaptation Humeral shaft # -elbow flexed at 90 Sugar tongue Distal radius/ulna # -elbow 90-Wrist 20 extension Posterior long arm  Distal humerus, radial head, olecranon #. -elbow 90-wrist 20 extension or neutral Volar splint Carpal bone # -wrist extended 20 Thumb spica 1st metacarpal #, scaphoid #. Skier’s thumb (UCL tear) -wrist 20…

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