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Thread: Phim/Slide về Da liễu

  1. #1
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    Default Phim/Slide về Da liễu

    Tôi lập ra topic này để các thành viên post các đoạn phim, slideshow, các thủ thuật, cập nhật thông tin... về chuyên khoa da liễu

    Các thủ thuật chẩn đoán trong da liễu

    Last edited by Trần Thế Viện; 19-08-13 at 14:17.
    Dermatology is my life.
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    Default Những thủ thuật lâm sàng trong da liễu

    Dermatology is my life.
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    Default Laser CO2 fractional trong điều trị sẹo mụn trứng cá

    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

  4. #4
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    Default Cách tiếp cận bệnh nhân bị mụn trứng cá



    Approach to acne patient: (bài đọc của video này)
    Acne affects patients at a most vulnerable time of their life. They are unhappy or depressed about their appearance. Enduring comments and ridicule is miserable. Young patients may be seen alone or with their parents. They are embarrassed and even have trouble explaining why they are at the doctors. The response to the doctors initial inquiry of what can I do for you is often simply “my skin”.
    Ask about present and past medications. Determine the degree of irritation from previous topical treatment. Inquiring about many details tells the patient that this is an important and complicated problem. It also conveys the message that you are willing to spend the time to ensure that it will be managed properly.
    Design a treatment plan. Explain that compliance is very important but sometimes difficult because the response may not be as rapid as desired. Medications give gratifying results in most cases if treatment is uninterrupted. Remove large comedones with a comedone extractor. This immediately improves the appearance.
    Scarring is a major concern. Patient who demonstrate the ability to scar must be treated aggressively. Those who fail a program of oral antibiotics and topical medication should be considered for treatment with isotretinoin. Delaying reliably effect treatment can be tragic.
    Many patients do not seek help until significant scarring has occurred. Patients are very concerned about the appearance and may inquire about procedures to correct scars. Explain that scars undergo a long process of healing. Redness will fade or disappear but this may take at least a year to occur. All scars atrophy and improve with time. Patients who are unhappy with their appearance after a healing period of over a year may be referred to plastic or dermatologic surgeons.
    Schedule follow up visits. Young people are very concerned and desperate to look better. They are reassured when you demonstrate that you are committed to follow them. Acne cysts can improve or resolve in 24 to 48 hours after an intralesional injection of triamcinolone 2.5-5 mg/cc. Allow patients to call on an emergency basis for injections. The procedure just takes a moment and is very effective. Patients are gratified to know that a very unsightly lesion can disappear quickly. They are grateful that you care enough to allow immediate access to your care.
    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

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    Default Phân loại mụn trứng cá



    Acne Classification (voice)
    Acne lesions
    Acne lesions are divided into inflammatory and noninflammatory lesions. Noninflammatory lesions consist of open and closed comedones. Open and closed comedones are the first lesions to appear. Closed comedones or white heads appear as white microcysts. The follicular opening is barely perceptible. Open comedones or black heads have a dilated follicular orifice that contains a plug with a dark surface. The opening may be small or very large. Inflammatory acne lesions are characterized by the presence of papules, pustules, and nodules (cysts). Papules are less than 5 mm in diameter. Pustules have a visible central core of purulent material. Nodules are greater than 5 mm in diameter. Nodules may become suppurative or hemorrhagic. Suppurative nodular lesions have been referred to as cysts because of their resemblance to inflamed epidermal cysts. Recurring rupture and reepithelialization of cysts leads to epithelial-lined sinus tracks, often accompanied by disfiguring scars.
    Classification
    Inflammatory acne lesions are classified as papulopustular and/or nodular. A severity grade based on a lesion count approximation is assigned as mild, moderate, or severe. Mild cases have few to several lesions. They do not have cysts. Moderate cases have several to many papules and few to several cysts. Patients with severe acne have numerous or extensive papulopustular lesions and many cysts. Other factors in assessing severity include ongoing scarring, persistent purulent and/or serosanguineous drainage from lesions, and the presence of sinus tracks. Degree of severity is also determined by occupational disability, psychosocial impact, and the failure of response to previous treatment.
    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

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    Default Hướng dẫn tiêm botox vùng trán

    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

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    Default Sinh lý bệnh mụn trứng cá



    Pathophysiology of Acne Introduction (voice)

    The cause of acne is not completely understood.
    Acne is a disease of the pilosebaceous unit or sebaceous follicles. These specialized follicles are found in greatest numbers on the face, chest, upper back, and upper arms.
    There are four events that contribute to the development of acne. These are follicular duct hyperkeratinization, increased sebum production, P. acnes colonization and proliferation, and inflammation.
    Acne develops when a mixture of sebum and desquamated cells obstructs sebaceous follicles. Excessive amounts of sebum combine with excessive numbers of desquamated epithelial cells. This material accumulates and distends the follicle forming a microcomedo. The microcomedo expands in size to form an open or closed comedo. P. acnes colonize and proliferate in this mixture and releases inflammatory cytokines and chemotactic factors. Inflammation weakens the follicular wall. The wall ruptures, the keratin-sebum mixture leaks into the dermis and an intense foreign body like reaction begins and leads to the development of inflammatory lesions (papules, pustules, nodules, cysts).
    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

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    Default Trứng cá đỏ (định nghĩa)



    Rosacea introduction (voice)
    Rosacea is a chronic disorder involving the central face including the cheeks, chin, nose, and central forehead. There are various combinations of flushing, erythema, telangiectasia, edema, papules, pustules, ocular lesions, and deep inflammation of the nose.

    These signs may be transient and each may occur independently. One or more of the features may be present. There are remissions and exacerbations. The etiology and pathogenesis are unknown and there are no histologic or serologic markers.

    Rosacea is common with a prevalence as high as 10% in some populations. It appears to be more common in people with fair skin, but it is also found in Asians and African Americans. Rosacea may occur at any age but most patients are over 30.

    Rosacea has been classified into 4 subtypes. Evolution from one subtype to another may occur. It is important to treat rosacea to prevent progression of disease.
    Dermatology is my life.
    Chỉ thích VODKA với CAFÉ nóng

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    Default Phẫu thuật Mohs

    Dermatology is my life.
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