II. Mechanism

  1. Electrical current stimulates a nerve action potential
  2. Results in muscle contraction or altered sensation

III. Indications

  1. General electrical stimulation
    1. Tissue and Wound Healing
    2. Localized inflammation
  2. Electrical Muscle Stimulation
    1. Relief of muscle spasm or Muscle Strengthening (via isometric contraction)
  3. Transcutanous electrical nerve stimulation (TENS Unit)
    1. Localized neuropathic pain

IV. Contraindications

  1. Cardiac arrhythmia or Pacemaker
  2. Thrombophlebitis
  3. Avoid over the Abdomen and Pelvis in pregnancy
  4. Avoid at sites where local sensation is diminished

Images: Related links to external sites (from Google)

Cost: Medications

Diazepam Intensol (on 2/9/2012 at DrugStore.com)
Diazepam Intensol 5mg/ml Concentrate 30ml Bottle #1 for $32.99 ($32.99/unit)
LORazepam Intensol (on 2/9/2012 at DrugStore.com)
LORazepam Intensol 2mg/ml Concentrate 30ml Bottle #1 for $44.99 ($44.99/unit)
Lotensin (on 2/9/2012 at DrugStore.com)
Lotensin 5mg Tablets #30 for $62.80 ($2.09/unit)
Lotensin 10mg Tablets #30 for $67.99 ($2.27/unit)
Lotensin 20mg Tablets #30 for $61.99 ($2.07/unit)
Lotensin 40mg Tablets #30 for $67.99 ($2.27/unit)
Lotensin HCT (on 2/9/2012 at DrugStore.com)
Lotensin HCT 10-12.5mg Tablets #30 for $62.99 ($2.10/unit)
Lotensin HCT 20-12.5mg Tablets #30 for $63.99 ($2.13/unit)
Lotensin HCT 20-25mg Tablets #30 for $64.99 ($2.17/unit)
Emjoi TENS (on 2/9/2012 at DrugStore.com)
Emjoi TENS Device #1 for $99.95 ($99.95/unit)

Ontology: Toxic Epidermal Necrolysis (C0014518)

Definition (NCI) A systemic, serious, and life-threatening disorder characterized by erythematous and necrotic lesions in the skin and mucous membranes that are associated with bullous detachment of the epidermis. The epidermal and mucous membranes detachment leads to sepsis and may be fatal. The lesions appear throughout the body and occupy more than 30% of the body surfaces. It is a hypersensitivity reaction usually caused by drugs (e.g., sulfonamides, nonsteroidal anti-inflammatory drugs, anticonvulsants, and antiretroviral drugs).
Definition (NCI) A disorder characterized by greater than 30% total body skin area separation of dermis. The syndrome is thought to be a hypersensitivity complex affecting the skin and the mucous membranes.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (CHV) An exfoliative skin disease caused by a toxic reaction to drugs, infections, and substance exposure.
Definition (MSH) An exfoliative disease of skin seen primarily in adults and characterized by flaccid bullae and spreading erythema so that the skin has the appearance of being scalded. It results primarily from a toxic reaction to various drugs, but occasionally occurs as a result of infection, neoplastic conditions, or other exposure.
Concepts Disease or Syndrome (T047)
MSH D004816
ICD9 695.15
ICD10 L51.2
SnomedCT 23067006, 200919006, 156362004, 267848009
English Epidermal Necrolyses, Toxic, Epidermal Necrolysis, Toxic, Lyell's Syndrome, Lyells Syndrome, Necrolyses, Toxic Epidermal, TENS, Toxic Epidermal Necrolyses, Toxic Epidermal Necrolysis, Syndrome, Lyell's, Nonstaphylococcal Scalded Skin Syndrome, Scalded Skin Syndrome, Nonstaphylococcal, EPIDERMOLYSIS, ACUTE TOXIC, LYELL SYNDROME, LYELL'S SYNDROME, NECROLYSIS, TOXIC EPIDERMAL, Necrolysis, Toxic Epidermal, SYNDROME LYELL'S, TOXIC EPIDERMAL NECROLYSIS, TEN - Toxic epidermal necrolys, Toxic epidermal necrolysis [Lyell], TOXIC EPIDEONEAL NECROLYSIS, TOX EPIDERMAL NECROLYSIS, NONSTAPH SCALDED SKIN SYNDROME, SCALDED SKIN SYNDROME NONSTAPH, EPIDERMAL NECROLYSIS TOX, toxic epidermal necrolysis, toxic epidermal necrolysis (TEN), toxic epidermal necrolysis (diagnosis), TEN (toxic epidermal necrolysis), Lyell's disease, Toxic epideoneal necrolysis, Necrolysis epidermal toxic (Lyell type), Lyell syndrome, Syndrome Lyell's, TEN, Lyell Syndrome, Toxic epidrml necrolysis, Lyell toxic epidermal necrolysis, subepidermal type, Epidermal Necrolysis, Toxic [Disease/Finding], lyell, lyell syndrome, lyell's syndrome, lyells, lyells syndrome, toxic epidermal necrolyses, Toxic epidermal necrolysis, Lyell's toxic epidermal necrolysis, subepidermal type, Lyell's syndrome, TEN - Toxic epidermal necrolysis, Lyell's toxic epidermal necrolysis, subepidermal type (disorder), Lyell, necrolysis; toxic epidermal, Leyell's syndrome, Necrolysis - toxic, Antibiotic necrolysis, Toxic necrolysis
Spanish NECROLISIS EPIDERMICA TOXICA, SINDROME DE LYELL, NET, Lyell, Enfermedad de Lyell, Necrólisis epidérmica tóxica (tipo Lyell), Toxic epidermal necrolysis, Toxic necrolysis, Leyell's syndrome, Antibiotic necrolysis, Necrolysis - toxic, necrólisis epidérmica tóxica de Lyell, tipo subepidérmico (trastorno), necrólisis epidérmica tóxica de Lyell, tipo subepidérmico, síndrome de Lyell, tipo subepidérmico, Necrolisis epidérmica tóxica, Sindrome de Lyell, Síndrome de la Piel Escaldada no Estafilocócica, Síndrome de la Piel Quemada no Estafilocócica, Síndrome de Lyell, Síndrome no Estafilocócico de la Piel Escaldada, Necrólisis Epidérmica Tóxica, Necrolisis Epidermica Toxica, Sindrome de la Piel Escaldada no Estafilococica, Sindrome de la Piel Quemada no Estafilococica, Sindrome no Estafilococico de la Piel Escaldada
Italian Necrolisi tossica epidermica, Malattia di Lyell, Lyell, Sindrome di Lyell, Necrolisi epidermica tossica (tipo Lyell), Necrolisi epidermica tossica
Dutch toxische epidermale necrolyse (Lyell-type), ziekte van Lyell, Leyll-syndroom, Lyell, necrolyse; toxisch epidermaal, Toxische epidermale necrolyse [Lyell], toxische epidermale necrolyse, Epidermolysis acuta toxica, Lyell-syndroom, Necrolyse, toxische epidermale (TEN), Syndroom van Lyell, TEN, Toxische epidermale necrolyse
French Syndrome de Debré-Lamy-Lamotte, Lyell, NET, Nécrolyse épidermique toxique (de type Lyell), Maladie de Lyell, Épidermolyse nécrosante suraigüe, NET (Nécrolyse Épidermique Toxique), NECROLYSE TOXIQUE EPIDERMIQUE, SYNDROME DE LYELL, Épidermolyse nécrosante suraiguë, Érythrodermie bulleuse avec épidermolyse, Nécrolyse épidermique toxique, Syndrome de Lyell, Épidermolyse bulleuse toxique
German TEN, Lyell, Syndrom Lyell, Lyell-Krankheit, toxische epidermale Nekrolyse, Lyell-Syndrom, Nekrolyse epidermal toxisch (Lyell-Typ), LYELL SYNDROM, TOXISCH EPIDERMALE NEKROLYSE, Toxische epidermale Nekrolyse [Lyell-Syndrom], Epidermolysis acuta toxica, Epidermale Nekrolyse, toxische, Epidermolysis toxica acuta, Lyell-Syndrom, toxisches, Toxische epidermale Nekrolyse, Toxisches Lyell-Syndrom, Symptom der verbrühten Haut
Portuguese Síndroma de Lyell, Doença de Lyell, Necrólise epidérmica tóxica (tipo Lyell), NECROLISE EPIDERMICA TOXIC, SINDROMA DE LYELL, Necrólise epidérmica tóxica, Necrólise Epidérmica Tóxica, Síndrome da Pele Escaldada não Estafilocócica, Síndrome de Lyell
Japanese 中毒性表皮壊死融解症(ライエル型), 中毒性表皮壊死融解症, ライエル, TEN, ライエルビョウ, チュウドクセイヒョウヒエシユウカイショウライエルガタ, ライエルショウコウグン, ライエル, チュウドクセイヒョウヒエシユウカイショウ, TEN, 表皮壊死融解-中毒性, Lyell症候群, TEN型薬疹, テン型薬疹, ライエル病, ライエル症候群, リエル症候群, 中毒性皮膚え死融解, 中毒性皮膚壊死融解, 中毒性表皮え死融解, 中毒性表皮壊死剥脱症, 中毒性表皮壊死融解, 中毒性表皮融解壊死型薬疹, 中毒性表皮融解症, 非ブドウ球菌性皮膚剥離症候群, Lyell病, 中毒性表皮壊死症型薬疹, 熱傷様皮膚症候群-非ブドウ球菌性, 非ブドウ球菌性熱傷様皮膚症候群
Swedish Epidermal nekrolys, toxisk
Czech epidermolýza toxická nekrotizující, necrolysis epidermalis toxica, Lyellův syndrom, Lyellův syndrom "opařené kůže", Toxická epidermální nekrolýza, Lyellova choroba, Toxická epidermální nekrolýza ( Lyellova typu)
Finnish Toksinen epidermaalinen nekrolyysi
Korean 중독성 표피 괴사용해[라이엘]
Polish Toksyczna nekroliza naskórka, Toksyczna martwica naskórka, Martwica naskórkowa toksyczna, Zespół Lyella, Martwica naskórka toksyczna
Hungarian Epidermalis necrolysis toxikus (Lyell-típusú), TEN, Lyell, Lyell-syndroma, Lyell-betegség, necrolysis epidermalis toxica, Lyell syndroma, Toxikus epidermalis necrolysis