Plastic Surgery
Activity
Large Group Session
Large Group Session
Stages and phases of wound healing. The acute wound healing cascade. Burns. Benign and malignant skin conditions.
Curriculum Block
Clerkship / Surgery Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- Discuss the relationship of size and thickness to prognosis. (melanoma)
- Discuss the assessment and need for escharotomy.
- Discuss the basic principles of wound coverage, skin grafting, and timing.
- Discuss inhalation injury, CO poisoning and triage of patients to burn centers.
- Discuss options for topical antimicrobial therapy.
- Discuss estimation of total body surface burn and burn depth.
- Describe the early management of a major burn.
- Discuss wound infection, seroma, hematoma, wound dehisance.
- Describe the pathophysiology involved for each of the diagnostic possibilities (for non-healing wounds). Consider: pressure; ischemia; infection; malignancy; foreign body.
- Discuss a differential diagnosis, evaluation, and treatment of a patient with: non-healing lower extremity wound; non-healing wound of the torso; body area other than the lower extremity.
- Define "non-healing" wounds.
- Describe the differential diagnosis, location, appearance and symptoms of leg ulcers due to: Arterial disease; Venous stasis disease; Neuropathy; Infection; Malignancy.
- Discuss the usual treatment for cutaneous melanoma including margins, depth and lymph node management including sentinel node mapping.
- Describe the commonly used local anesthetics.
- Discuss the various types of melanoma and prognosis for each type.
- What are the lesions which have high potential for malignant transformation?
- Discuss risk factors for melanoma.
- Discuss the relationship of melanoma to benign nevi and characteristics which help differentiate them.
- Describe the characteristics, typical locations, etiology and incidence of malignant melanoma.
- Discuss the characteristics of malignant skin lesions which distinguish them from benign lesions.
- Discuss the relationship (of benign and malignant skin lesions) to solar irradiation, ethnicity, previous tissue injury, and immunosuppression.
- Describe the characteristics, typical location, etiology and incidence of basal cell and squamous skin cancers.
- Describe the common benign skin lesions and their treatment (papillomas, skin tags, subcutaneous cysts, lipomas).
- Discuss safe dosage ranges of the common anesthetics and the potential toxicities of these drugs.
- Discuss special precautions needed on the digits.
- Discuss the advantages and disadvantages of epinephrine in the local anesthetic.
Tags
Curriculum Block
Clerkship
Surgery Rotation
Discipline
Surgery
MCC Presentations
Burns
Skin and Integument Conditions
Skin Wounds
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
MeSH
Burns [C26.200]
Carcinoma [C04.557.470.200]
Melanoma [C04.557.465.625.650.510]
Wound Healing [G16.100.856.891]
Wound Infection [C01.947]
Wounds and Injuries [C26]
