First irrigate, irrigate, irrigate. Mark your white roll an | Figure 1

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Plastic Surgery Resident

First irrigate, irrigate, irrigate. Mark your white roll and Vermillion BEFORE injecting. Then clean up the frankly necrotic tissue and the edges with scalpel or littler scissors. Approximate your orbicularis oris with Vicryl or Monocryl, line up white roll and vermillion with Monocryl deep dermals. Skin closure with Plain Gut, mucosa grows back quick so +/- depending on the patient/situation.

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follow up xrays. Pt had foreign object extracted with irrigation and suturing. Sent home after tetanus and with antibiotics.

skill saw to thigh, was irrigated and washed, wound was successfully closed. Patient given antibiotics and discharged with instructions to follow up with primary provider.

this is the update from that facial lac I did. Sutures were removed and the only problem area was in the middle laceration as I suspects. My biggest concern was that the small flap would scab up and not heal right. However I am very please with how vermillion border is lined up! I think she will be very happy once it all heals.

Irrigation with antibiotic-containing solutions is used #prophylactically to prevent operative #wound #infections. MD's #irrigation preference for a circumferential body lift: 1 liter normal saline with 100,000 units #Bacitracin, 2 grams #Ancef, and 160mg #Gentamicin (3 batches pictured). MDs and ORRNs: what irrigations with antibiotic-containing solutions is your preference and/or that are commonly used at your facility?


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A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?