Epidermal Necrolysis (SJS/TEN)

Chapter 29 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

20 viva questions in this chapter

1. She has TEN and has not been burned. Why are you taking her?
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2. Define SJS and TEN.
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3. What causes it?
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4. What is happening in the skin?
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5. How do you know this is TEN?
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6. What else could this be?
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7. The referring hospital says 60% involvement. How do you assess her?
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8. Tell me about SCORTEN.
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9. What guideline are you working to?
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10. What is the single most important thing you do?
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11. Would you debride her?
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12. How would you resuscitate her?
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13. What else does she need?
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14. What about her eyes?
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15. What would you give her? Steroids? IVIG?
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16. She survives. What happens to her?
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17. What do you do before she goes home?
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18. What else comes to your unit that is not a burn?
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19. Her husband asks whether the tablets caused this.
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20. Her SCORTEN is 5. The intensivist wants to discuss a ceiling of care.
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