Medical director. Within emergency medical services a medical director is a physician who provides guidance, leadership, oversight and continuous quality improvement (CQI) for the practice of local EMTs and paramedics within a predefined area.
It may be as tiny as the top of a pin or up to 5 millimeters wide. A larger blister is called a bulla. In many cases, vesicles break easily and release their fluid onto the skin. When this fluid dries, yellow crusts may remain on the skin surface.
Bullous dermatoses can be debilitating and possibly fatal. A selection of autoimmune blistering diseases, including pemphigus vulgaris, paraneoplastic pemphigus, bullous pemphigoid, cicatricial pemphigoid, dermatitis herpetiformis and linear IgA dermatosis are reviewed.