SWISSRADIOLOGY.COM

SWISSRADIOLOGY.COM

PORTAIL SUISSE DE RADIOLOGIE

IRM ouverte
Résonance magnétique

Scanner
Scanner

Radiographie
Radiologie conventionnelle

Mammographie
Mammographie

Densitométrie
Densitométrie

Echographie
Echographie / Radiologie interventionnelle

Indication des examensi
Indications des examens
radiologiques

Caducee@
Adresses e-mail
des médecins de Suisse Romande

Astuces
Les astuces

Liens
Liens Internet

Histoire de la radiologie

Serment d'Hippocrate

Plan d'accès à l'Institut

Prépararation aux examens

Plan du site

Home

Site miroir

English website

TROUVAILLES ET ASTUCES


Index général


III. TRAITEMENT DES LESIONS DE LA PEAU - SKIN LESION TREATMENT

  1. Comment enlever un fragment de verre de la plante du pied?
  2. Comment éviter la formation d'un ongle incarné?
  3. Rinçage d'une plaie - Wound Irrigation Alternative
  4. Hémostase buccale - Stanching Bleeding in the Mouth
  5. Minimiser une cicatrise de biopsie - Smaller Biopsy Scars
  6. Traitement des phlyctènes - Defeating Blisters
  7. Traitement des furoncles - Pediatric Furuncle Alternative
  8. Traitement du pityriasis versicolor - Treating Tinea Versicolor
  9. Huile de castor contre les verrues - Castor Oil Dissolves Plantar Warts
  10. Sève de chélidoine contre les verrues - Chelidonium majus sap against warts
  11. Saving Hair - Suturer sans raser
  12. Freezing Skin Lesions - Cryothérapie très précise
  13. Piqûre sans enflure - Sting without swelling
  14. Protection contre les métaux allergisants - Protection against metal allergy


3.1 Comment enlever un fragment de verre de la plante du pied?

"Poser un pansement discoïde troué en son milieu, et d'une épaisseur de 2 mm. Au besoin, en coller deux l'un sur l'autre, bien centrés sur la plaie, puis faire marcher le patient. Comme avec un tire-comédon, on répartit les forces de pression de manière uniforme et le corps étranger aura tendance à ressortir après quelques heures."

Dr P-P. Martin, Tribune Médicale No38, 18.9.98

top

3.2 Comment éviter la formation d'un ongle incarné?

Dire au patient de toujours couper l'ongle de son gros orteil à angles droits sur les bords, et non en les arrondissant. Pour cela, utiliser le côté convexe du coupe-ongles.

3.3 Rinçage d'une plaie - Wound Irrigation Alternative

An effective wound irrigation system can be made using a 250-cc plastic bottle of normal saline. Remove the protective outer cover to reveal the sterile screw-cap underneath (do not unscrew). Using an 18-gauge syringe needle, carefully punch a hole in the top of the plastic screw-cap. The bottle can then be squeezed to produce a jet of sterile saline for wound irrigation. This technique is more convenient than using a syringe and intravenous catheter as it provides 250 cc of saline without needing to reload.

Ronald A. Berry, RN, MS, FNP, Lander, Wyo

3.4 Hémostase buccale - Stanching Bleeding in the Mouth

To stanch the bleeding from the site of a dental extraction, have the patient apply a tea bag to the site and have the patient bite down on it for 15-20 minutes. The tannic acid serves as an effective hemostatic agent.

Wesley Smith, MD, Anderson, SC

3.5 Minimiser une cicatrise de biopsie - Smaller Biopsy Scars

When performing a punch biopsy, stretch the skin above and below the site, after making sure to stretch the skin perpendicular to the normal skin crease. Take the biopsy sample, then release the skin. When the skin retracts it will draw the opening into a more closed position, resulting in a smaller scar or less need for a suture.

Jason Kruse, PA, Wichita, KS

top

3.6 Traitement des phlyctènes - Defeating Blisters

Blisters on part of the skin are easily conquerable without puncturing the skin or removing the skin over the plasma/extracellular fluid secretion. Depending on the size of the affected area, mix 2oz to 10oz of beta iodine and table sugar into a consistent and thick paste. Gently administer the paste to the affected area(s) and place 1cc to 5cc of iodine solution to the paste. The sugar serves to open the skin on a cellular level so that a form of diffusion may take place; sugar simply opens the door for the extracellular fluid, and plasma may be aborbed absorbed by the sugar itself. The iodine serves to sterilize the area until the epidermis re-acclimates to the dermal layer. The duration of treatment is different for almost everyone, but eventually it will work. This simple procedure promotes patient comfort, and protection against sepsis, and is an effective way to alleviate some of the suffering associated with sunburn, second-degree burns and blisters from outdoor activities and sports. For blisters occurring from home accidents, examine the patient thoroughly for deep tissue injury first.

Richard Lea, Shreveport, LA

3.7 Traitement des furoncles - Pediatric Furuncle Alternative

To expedite the healing of a furuncle nonsurgically, cover the lesion with Tegaderm(TM) film for a day. The lesion's purulence can then be easily expressed with minimal pain.

Susan Schmalzle, NP, Miami, FL

3.8 Traitement du pityriasis versicolor - Treating Tinea Versicolor

In an individual with tinea versicolor, ketoconazole is excreted in large amounts through perspiration. Instruct the patient to take 400-mg ketoconazole orally once daily then, about 2 hours later, to exercise vigorously. Perspiration will treat the infection. Repeat if necessary in 1 month.

Scott Osborne, PA-C, Longview, TX

3.9 Huile de castor contre les verrues - Castor Oil Dissolves Plantar Warts

For fearful patients or those who have not had success with keratolytics, lasers, or cryotherapy for plantar warts, try castor oil. Have patients apply the oil to the warts twice daily using an adhesive bandage as an occlusive dressing. With persistence and patience, this method will work on the most stubborn plantar warts. Unlike other techniques, it is painless.

Meg Hogenauer, PA, Libertyville, Ill

top

3.10 Sève de chélidoine contre les verrues - Chelidonium majus sap against warts

Une verrue frottée plusieurs matin de suite avec le latex tout frais de cette plante se dessèche rapidement et disparaît. Cet usage est dénué de danger.

Vincent Tandart

3.11 Saving Hair - Suturer sans raser

Prior to suturing a scalp wound, use K-Y Jellyreg. to "gel" the patient's hair away from the laceration. This eliminates the need to shave the area around the wound. [Clinician Reviews 6(9):24, 1996. © 1996 Clinicians Publishing Group and Williams & Wilkins.]

Madeline Negretti, PA-C
Wolcott, Conn

3.12 Freezing Skin Lesions - Cryothérapie très précise

When freezing small skin lesions with a liquid nitrogen "cryo-gun," clinicians often overspray and ultimately damage healthy tissue. To avoid inflicting collateral skin damage, use an otoscope speculum like a funnel to pinpoint the blast of liquid nitrogen.

Michael B. Smith, PA, Kari K. Smith, PA
Cheyenne, Wyo

3.13 Piqûre sans enflure - Sting without swelling

Pour contrer l'enflure et la réaction allergique à une piqûre d'insecte, il suffit, à l'aide d'un crayon, d'un stylo, ou même d'un ongle, de tracer un cercle autour du point de ponction; cela aura pour effet d'écraser les vaisseaux lymphatiques. Le résultat est spectaculaire, même chez les personnes très allergiques: l'odedème et les démangeaisons seront minimes et ne dépasseront pas ce cercle.
To prevent swelling and allergic reaction after insect biting, just trace a circle around the sting with a pencil, pen or with your nail; it will squeeze the lymphatic vessels and inflammation will not develop beyond this circle.

Dresse C. Lehmann, Genève
Tribune Médicale No1/2, 10.1.2003

3.14 Protection contre les métaux allergisants - Protection against metal allergy

Le nickel est une cause fréquente d'allergie de contact, notamment en relation avec les boutons métalliques des jeans. Une des solutions consiste à enduire le bouton en cause avec du vernis à ongles incolore.
Nickel is a common cause of allergic contact dermatitis and is associated with metal buttons and snaps on blue jeans. One solution is to coat the button with clear nail polish.

top