Some types of chest pain should send you to the emergency room immediately. Advertising Policy. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach â along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness â for at least five minutes, call 9-1-1.
Anatomic considerations. Preoperative Assessment. The skin of the volar forearm provides relatively thin and reliable coverage for a wide variety of defects. Because the radial aspect of the arm is hair bearing, the amount and quality of the hair is a consideration in using this flap for resurfacing.
The visor flap is a bipedicled dorsal finger skin flap that can be used to cover fingertip wounds after digital amputations proximal to the nail bed.Blood supply through this flap is provided through dorsal branches of the volar digital arteries and this is more reliable distal to the proximal phalanx.