An 8-year-old girl presents with a growing, pale pink mole on her face. Dermoscopic examination shows a symmetric pattern with rounded structures, suggesting a classic Spitz nevus. Management includes regular monitoring and possible excision if changes are observed.
Spitz nevus is a rare, benign melanocytic neoplasm in children, accounting for ~1% of childhood nevi. Characterized by larger melanocytes and Kamino bodies, it appears as dome-shaped papules with uniform pigmentation. Management varies by age and lesion changes, from monitoring to excision biopsy.
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Electrical Burns can be high voltage, low voltage, direct, or alternating current. They cause skin and deep tissue injury. This article details their causes, management, and complications.
Neck dissections are described as radical, extended, modified, and selective. This article details the indications, anatomy, and complications of neck dissections.
Tumours of the oral cavity are most commonly squamous cell carcinoma. This article details anatomy, staging, surgical, and reconstructive options.
The most common chemical burns are acids and alkalis. This article details their mechanisms, clinical features, and management.
Burns result in local and systemic complications. This article details these complications and management in burn patients.
A 37-year-old construction worker suffers a ring avulsion injury to his middle finger, classified and managed using Urbaniak's system.
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A 5-year-old presenting with nail avulsion in the middle finger likely has a Seymour fracture. This clinical case focuses on clinical assessment, investigations, treatment and complications
Thumb MCPJ UCL injuries range is typically diagnosed with stress tests and imaging. Conservative treatment for partial tears to surgical repair for complete tears and avulsions.
Seymour fractures are open, displaced distal phalangeal fractures in children, often caused by crushing injuries and associated with nail bed damage. Treatment includes irrigation, debridement, reduction, fixation, and antibiotics.
Ring avulsion injuries range from lacerations to amputation, typically caused by a ring catching on an object. Proper assessment and treatment depend on the severity, involving everything from suturing to amputation.
A 33-year-old skier presents with thumb pain after a fall causing radial deviation. Suspected acute UCL injury prompts differential diagnosis, valgus stress tests, and imaging.
Salivary gland tumours involve the parotid, submandibular, sublingual, and minor glands. This article details the anatomy, classifications and treatment options.
The facial nerve has intracranial, intratemporal and extracranial anatomical sections. This article details the origin, course, branches and variations of the facial nerve.
Mandibular defects are classified and reconstructed based on their location and size. This article details the anatomy, classifications, and reconstructive algorithms.
The lip is a composite soft tissue structure of the skin, muscle and mucosa. This article details lip innervation, blood supply, muscles and function.
The radial artery forearm flap is a fasciocutaneous flap. This article details the flap's anatomy, elevation, and dissection.
An ectropion is an eversion of the lower eyelid. This article details the causes, classification, assessment, and treatment of an ectropion.
Congenital Melanocytic Naevi are pigmented lesions present at birth. This article details clinical features, management and risk of malignancy.
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The goal of this surgery is to restore strength against valgus force whilst preserving soft tissue structures identified during dissection.
