These products help restore the skin's moisture barrier and prevent further irritation. And don’t ignore these signs and symptoms of potential postoperative complications. 9 percent of all fractures The surgery was uneventful. Angioedema can arise with hives or alone. Lack of vitamin K may cause this Mar 25, 2024 · Other outdoor rashes include skin reactions after contact with certain plants like poison ivy, oak, or sumac. Skin patch testing identified the May 1, 2024 · Science Direct Link. They can also occur after you have surgery on a bone. Fast and shallow breathing. Dry, scaly, flaky, or leathery skin. In some cases, a rash may develop around the incision area. 6 days ago · A fever is considered low-grade if your temperature is one or two degrees above the normal reading of 98. Nov 20, 2020 · Surgery of the knee, injury to the infrapatellar branch of the saphenous nerve, traumatic eczematous dermatitis is a neuropathic dermatitis specific to total knee arthroplasty (TKA), occurring around the healed surgical scar area. Removing the adhesive usually resolves the symptoms. Skin Rash after Surgery as well by: Theresa I also had rotator cuff surgery three weeks ago. Top Symptoms: fever, knee pain, knee redness, knee injury, painful knee swelling. Hands ( tinea manuum): Signs of ringworm on your hands Apr 26, 2019 · You may get this bacterial infection from a tick bite. The risk of postherpetic neuralgia rises with age. Rough, sandpaper-like skin where the bumps appear. The rash then spreads to the arms, legs, neck, and face. It’s possible for a rash to also become Mar 1, 2023 · A purpuric rash is made up of spots that measure more than 2 millimeters (mm) — 0. Head shaking (for ear infections). Itching, stinging, numbing, or burning sensation can accompany such findings. Average time to onset was 25. Most of these situations will improve with use of artificial tears (lubricant eye drops) to soothe the eyes. A weakened immune system makes cellulitis more likely, as does advanced age. Jul 16, 2020 · Finish up with moisturizer to offset the drying effect of the pool water (the more you get in and out of the pool, the worse the effect is), and reapply it often. 1%. Hypothyroidism, on the other hand, usually leads to skin symptoms like: Mottling or discoloration. Blistering. Aug 17, 2023 · A rash with fluid-filled blisters can be caused by a virus, underlying health condition, insect bite, or allergic reaction. Ridges on the skin (like the skin of an orange) A rapid increase in breast size and/or breast rash. Common infectious causes include: a bacterial infection, such as from streptococcal or staphylococcal bacteria. Scabies is caused by burrowing mites. my doctor did blood work that came back good but Jan 7, 2021 · Pacemaker allergy is a rare phenomenon that can present with a spectrum of mild local inflammation to severe systemic manifestations. Visible bumps on your legs and feet. Impetigo is a bacterial infection. Surgical complications can include minor problems like sore throat and fatigue, or serious ones like blood clots, infection, and pneumonia . Post-surgery contact dermatitis is generally caused by an allergen or something that irritates your skin. On the first post-operative day, the patient complained of burning sensation on the back. Symptoms of an SSI after May 11, 2023 · Itching. Clinical presentations included macules and papules or scaly, erythematous patches and plaques. It causes a burning pain in nerves and skin. May 2, 2024 · Treatment. Leg hair loss. Flaking, cracked, dry skin that can bleed when scratched. Depending on what kind of rash it is you can apply hydrocortisone to help. Mar 31, 2004 · Cutaneous problems after rhinoplasty are usually early, minor, and transient . Hives can be triggered by many situations and substances, including certain foods and medications. In most cases, these rashes are minor, and you can discuss how best to manage them with your surgical team. It is characterized by intertriginous, oral, or vaginal rash usually associated with Candida albicans. Desquamation can happen when your skin is exposed to hot liquids, surfaces, objects, or direct flame. These substances are frequently used as a dressing Jul 23, 2023 · Hypertrophic scars. Contact dermatitis (CD) that occurs shortly after a surgery is often caused by a direct irritant effect of medical products or, infrequently, a delayed type hypersensitivity. Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. " This is a manageable condition that develops weeks to years following breast reconstruction. The rash began a few days after surgery, and has now spread to the full length of both arms, hands, chest, upper thighs, and of course, not only the shoulder that was operated on but the other one too! The four patients, subsequently, tested positive for chlorhexidine on skin testing. scarlet fever. A neuropathic itch is an itch that results from nervous system damage rather than issues with the skin. Later, new erythematous lesions occurred on the penile foreskin. Examples include: Steroid creams or ointments. In this article, we will explore the causes, identification, immediate steps, long-term management, and prevention of post-surgical rashes. Breasts feeling heavy, burning, or tender. The rash resolved with diphenhydramine. Mar 26, 2024 · A maculopapular rash is a common symptom of eczema, psoriasis, and contact dermatitis (allergic skin reaction). Swimmer’s itch. Lupus is a chronic autoimmune disease that occurs when the immune system attacks healthy tissues and organs. 08 inches (in. If you develop sudden, severe shortness of breath after surgery, seek immediate medical attention Feb 14, 2024 · Apply an ice pack or spend some time in a cooler space like a cold room or cellar to find relief. Roseola usually causes a high fever that lasts about three to five days. Although not detrimental to the final outcome, allergic reaction can negatively impact the postoperative course. You may feel hazy or groggy as you come round from the general anaesthetic. A red or bloodshot eye after surgery is very common. Skin discoloration. They do not go beyond the wound margin. Fluid-filled blisters that break open then scab over. This article explores common side effects of thyroid surgery, what to expect during the recovery process, and warning signs of Apr 15, 2023 · Symptoms of Surgical Site Infections. I also ended up having an allergic reaction after my ovary removal last year due to either the steri strips or surgical glue. If you Doctor recommended something make sure you listen to his care instruction’s. proper September 2010 edited March 2014 #1. 3%, according to a 2019 review of studies. You may have difficulty Jun 29, 2023 · Like UC, PG is thought to be an autoimmune disorder, and up to 5% of UC patients will develop it, found one Journal of Cutaneous Medicine and Surgery study. Fracture blisters occur in about 2. Very few case reports exist in orthopaedic literature regarding this rare skin complication after TKA. We report a series of cases and estimated the incidence of Jun 29, 2021 · Treatment for petechiae varies depending on the cause. He had received Cefazolin a few hours previously. There are many causes of neuropathic itch, including stroke, diabetes, and shingles Feb 27, 2016 · its been 3 weeks since my gallbladder was removed due to a large stone but about 1 week after surgery i started to itch on my hands, feet, head, everywhere. Infection/Sepsis. Lumpectomy Incision was all the way around my areola. Upset stomach. Redness on your skin in the affected area. If these remedies fail to relieve the condition, contact your surgeon. Pain and tenderness: As a part of the Dec 17, 2023 · While we really don’t know how many people will actually experience a rash after surgery, people who have previously had contact dermatitis may have a higher chance of having the same or similar reaction after surgery. Parikh. Chemical burns. chickenpox. The patient denied systemic symptoms or history of metal or Jul 26, 2018 · anaphylaxis, which is a sudden allergic reaction that can cause hives, swelling of your tongue and throat, and shortness of breath. Shortness of breath. This is important because further irritation from your dog can cause it to bleed and scab, a cycle that might end in infection. Skin patch testing identified the Mar 22, 2024 · Symptoms include: Red or dark patches of skin covered with thick, silvery scales. Symptoms that always occur with skin infection of the knee: knee redness, area of skin redness. Oct 10, 2023 · Excoriation: Straight scratches that result in the loss of the top layer of skin. It causes redness and swelling on the surface of your skin. Mar 20, 2019 · Symptoms of mild and moderate allergic reactions include: rash. Aug 7, 2023 · Side effects, such as neck pain and stiffness or sore throat, are common after surgery. Rarity: Uncommon. Impetigo usually has large blisters that may ooze fluid and develop a honey-colored crust. Corticosteroids to reduce swelling in the blood 4 days ago · Fever, along with a rash, may be a sign of an allergic reaction or several types of infection, such as: herpes. In any case it's still there but not as bad and gradually improving. Plaque psoriasis is most common on the elbows, knees, and scalp. Antihistamines: In cases where rashes or hives are present Mar 21, 2018 · Fracture blisters are a rare occurrence after you fracture or break a bone. 90,000 U. We present a patient who developed rash around surgical wounds. This could be due to an allergic reaction to the stitches May 3, 2023 · Bloodshot or red eye after cataract surgery. A fever of 99 F is very common, especially in the first week while your incision is Oct 27, 2023 · Hives — also known as urticaria (ur-tih-KAR-e-uh) — is a skin reaction that causes itchy welts that range in size from small spots to large blotches. Open sores and ulcers that won’t heal. 8 Sources. Medications like topical steroids and oral antihistamines may be prescribed to bring the reaction under control. Jul 15, 2020 · After the surgery, the rash presented all over the body, starting on the chest, spreading to the face, buttocks, trunk, and upper limbs. 12/23/2020. We describe a case of severe erythroderma that Here, we present an interesting case of rash due to nutritional deficiency after gastric bypass surgery. now have developed a rash around belly button and on stomach causes?: See the surgeon: First concern is infection or reaction to materials o. Take antihistamines: Post-surgery, the inflammation causes your body to produce histamines, which can worsen itchiness. If there is a more serious cause, you may need: Antibiotics to treat a bacterial infection. 5 weeks after surgery and thereafter developed an itchy rash around the areola. Just as the fever breaks, a rash usually forms on the trunk. Red testicles can have associated symptoms of pain, itchiness, swelling, or dryness of the skin. If your skin comes into direct contact with certain chemicals, it will Jul 26, 2012 · Getting a rash after surgery does happen to patient’s that have very sensitive skin. Chemotherapy, radiation, immunotherapy or bone marrow transplant to treat leukemia. 1. Skin dryness, scaliness, or crusting. Here are some visual clues to help you recognize common types of underarm rashes: Redness, discoloration, or signs of inflammation. Other vasculitis skin findings include lumps, open sores, blisters, and blotchy, lacelike discoloration. a fungal infection of the skin. Itching, burning, or pain sensations. A cluster of pinprick red dots that are flat against the skin and do not itch can be a condition known as petechiae . May 31, 2022 · Infections. Raised rash in a small area of your skin. It's common to feel sick or vomit after you've May 17, 2024 · Symptoms of a chlorine rash include: Skin redness and swelling. Fissure: Straight breaks in the skin that go deeper than the top layer of skin into the second layer of skin. swelling, especially around your eyes, lips, or entire face ( angioedema) mild reduction in your blood pressure May 25, 2022 · This contagious, often painful rash can be caused by staph bacteria. Flaky skin, dander, or oily skin. Another report described six patients who had anaphylactic reactions attributed to chlorhexidine during surgery. The examination of the back revealed complete erythema of the back extending from the subscapular region to the buttocks corresponding to the area painted by 10% povidone iodine solution as an antiseptic for administration of Mar 22, 2021 · Scratching an itchy wound could cause it to break open and delay healing. i thought i had poison ivy but never developed the typical rash. The most severe and deadly form of anesthesia allergy is called anaphylaxis. These are applied to the skin to help soothe the rash. The pain lasts long after the rash and blisters of shingles go away. Scaling or flaking. Some people get blisters. Thin, soft, and sometimes shiny skin. When this happens, you may also have symptoms like muscle pain and a low-grade fever. measles. Feb 2, 2022 · Stomach upset. Some other symptoms include fever, chills, headaches, muscle aches, and confusion. Its symptoms—itching, knee pain, skin rashes, joint stiffness, and swelling—can also have other causes, which makes this difficult to diagnose. Drug Reactions. Further studies are also needed to determine the exact Mar 8, 2024 · Identifying an underarm rash can be crucial for effective management and treatment. Skin rash or patch-like lesions. I had worsening contact dermatitis after every skin surgery (I’ve had 23 following a melanoma diagnosis) and it took years for us to figure out I’m allergic to Vaseline/petrolatum products. Itching, burning, and/or soreness. Learn more about types of post-surgical infections and symptoms, such as pain, redness, warmth and swelling at wound infections after surgery. If narcotic (opioid) medications are used during or after your operation, you may be itchy. The treatment is discontinuing the broad-spectrum antibiotic and changing to Rashes are one of the more common reactions you may notice after surgery. These spots are flat and can appear anywhere on your skin, including inside your May 17, 2024 · Lung Problems. A reaction to a knee replacement can appear months or even years after the initial surgery. Apr 5, 2024 · Rash After Fever in Roseola. I'm experiencing SEVERE skin rash and hives forming in areas where I was swapped with Chloraprep - something used before surgery to clean the surrounding areas. Mar 26, 2024 · DermNet NZ. Mar 19, 2022 · A small wound such as an insect bite, a hangnail, or even a skinned knee can be enough to allow the infection to set in. Anaphylactic shock is the most severe form of anaphylaxis and is Dec 30, 2023 · Symptoms include an itchy rash, swelling, blisters, skin dryness and flaking, and skin discoloration. Oct 30, 2023 · Summary. Mar 21, 2023 · Soothe the Rash. Luckily, the average person can easily fight off infection, and cellulitis is not a very common surgical complication. Most common being contact dermatitis, appearing as rashes or pustules with or without allergic reactions from the tape which might have been used with tincture of benzoin or a preparation containing gum mastic [2,3]. The rash Jul 15, 2020 · Here, we report 4 cases of patients showing a peculiar skin rash 2-4 weeks following sleeve gastrectomy. S. A nurse may give you oxygen (through tubes in your nose or a mask) to help you feel better. An oral antihistamine like Benadryl or Zyrtec could help. bruising Apr 13, 2023 · Knee replacement failure due to metal allergy or sensitivity is very rare but possible. Apr 15, 2022 · This is frictional lichenoid dermatitis. These are scars caused by excess collagen production during healing. Eczema, psoriasis, allergies and fungal infections cause similar symptoms. Contact dermatitis is a condition that makes skin red or inflamed after contact with an allergen or an irritant. An unpredictable illness, lupus can many body areas, including the skin, the joints, the kidneys, blood cells, the heart, and the lungs. Nov 30, 2022 · IBC is a rare, aggressive cancer typically affecting women with dense breast tissue. Cold hands and feet. It works by killing or preventing the growth of bacteria on the skin. The fever can reach temperatures as high as 103 to 105 degrees. Complications like hematoma and nerve injury are rare but can be serious and even potentially life-threatening if they do occur. Jul 10, 2024 · While rashes after surgery can be frustrating and uncomfortable, there are steps you can take to manage and alleviate them. A chlorine rash is not contagious. It's been day 9 post-op and this stubborn red rash is not going away. Skin that is warm to the touch. I had my dressings taken off approx 2. I had breast reduction surgery 4 weeks ago. A history of minor symptoms like rashes in relation with previous invasive procedures or surgeries was present in all of these patients. Warning signs of an infection after surgery include fever and surgical site infection symptoms. antihistamines like Benadryl. Itching. However, certain breast cancers produce a breast rash. This can create a scary-looking red spot on the eye, but it is usually harmless and heals on its own. Problems with mood swings, memory, behavior, and other psychological effects, such as confusion or delirium. In the case of surgery, this can be a medication or surgical dressing that the body perceives as a threat. Early after surgery, while the incisions are still healing, you should use a new bottle of artificial tears or purchase Oct 21, 2022 · Jock itch: Tinea cruris, or jock itch, causes a red, itchy rash in your groin, upper thighs or rectum. If left untreated, the bald spots can grow bigger and become permanent. It is normally caused by inflammation and/or a broken blood vessel, also known as a subconjunctival hemorrhage. You can wash the area well with Ivory soap, and apply an over the counter steroid cream for relief, though it is important to check with your surgeon before you do so. Sores or areas of oozing discharge may develop, too. After surgery, you'll be moved back to the ward or a recovery room, where you'll be told how the operation went. Keloid scars. Other types of psoriasis are: Pustular psoriasis: Pus-filled lesions. fifth disease, which is a viral infection in children. Apr 1, 2024 · The most common vasculitis rash affects the lower legs and appears as palpable red, purple, or brown spots, depending on skin tone. Contact a healthcare provider if you’re unsure what type of breast rash you have. Rashes occur in lupus when the immune system targets skin cells. Inflammation causes blood vessels to swell and fluids to leak into surrounding tissues, causing swelling, warmth, and redness. I developed a red, warm-to-touch, smooth rash on the Abstract. 7 months after expander placement or TRAM flap reconstruction. All SSIs are characterized by the following symptoms: Redness, swelling, and warmth: Inflammation is the body's natural response to infection. 6 degrees F. Tiny red dots on the skin can be caused by simple problems like heat rash , contact dermatitis, or scraping your skin against a rough surface. High blood pressure. ) — across. If home care steps don't ease your signs and symptoms, your health care provider may prescribe medications. Swelling of the face, tongue, or lips. Worsening of the bumps when the air is drier, like in the winter months. We describe 21 patients who developed a rash on the skin overlying a breast reconstruction. Blood Clots. It is used to clean the skin after an injury, before surgery, or before an injection. Excessive sweating on the palms of your hands and/or the soles of your feet. Topical corticosteroids and antibiotics result in restoration of skin barrier After surgery. The symptoms won't get worse after the first day as long as you stay out of the pool. This immune response can cause a range of symptoms, including itching, redness, swelling, and in severe cases, anaphylaxis. Five patients had cultures of the rash, which were all Nov 9, 2018 · Symptoms of infection after surgery. The rash usually appears as pink or red spots on light skin. You might apply prescription topical steroids, such as clobetasol 0. Cellulitis. Sep 8, 2023 · Contact dermatitis is when a dry, red, scaly rash that can also look like fluid-filled blisters or poison ivy appears from coming in contact with an irritant or allergen, says Dr. " This is a disease caused by long-term, massive, and broad-spectrum antibiotics, usually cephalosporins. While it might not be a serious fever, it’s still best to let your healthcare provider know if you have a low-grade fever after surgery. This is a common side effect of this class of drugs. I've tried hydrocortisone 1% cream but it's not helping much. Nov 30, 2022 · A rash describes discoloration, irritation and changes to the texture of your skin. For straining or a skin injury, you may not need any treatment. Prurigo Pigmentosa After Bariatric Surgery. Poison ivy rash can also appear as streaks or spots. Various agents have been reported to cause CD including topical medications, surgical instruments, and surgical glue. Mar 18, 2023 · After breast augmentation, the primary causes of this rash are a too-tight bra, chest strap, shirt, lack of hygiene, and hot, humid room conditions. Redness on the palms of your hands. Many treatment modalities for the allergy have been described in the literature, with a majority resulting in removal or substitution of the offending allergen. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. I would like to prove that he is not allergic to Cefazolin as he will be having another surgical procedure. Cellulitis is an infection of the deeper layers of skin. Dec 9, 2022 · Side effects depend on the dose of medication you receive and may include: A buildup of fluid, causing swelling in your lower legs. Bumps, pustules (pus-filled bumps, similar to pimples), scabs, crusts, or wounds of the skin. Perioperative urticarial rash. itchy skin. Most patients experience one or more minor complications that resolve quickly. CONCLUSIONS There is a need for further epidemiological studies to determine the prevalence of this rash. Prurigo pigmentosa (PP) is a rare idiopathic inflammatory dermatosis that typically presents as pruritic erythematous papulovesicles in a reticular pattern predominantly on the trunk of young women. Skin tenderness and/or itchiness. The main thing is to soothe it and prevent the dog from further irritating the skin by rubbing, scratching, or licking. You can relieve goosebumps-like rash by applying a cold compress, wearing a breathable sports bra, and loose clothing. Some ways to relieve stitch itch include: applying an ice pack or cold compress. Mar 25, 2021 · If you think you may have a medical emergency, immediately call your doctor or dial 911. Chlorhexidine belongs to a group of medicines called antiseptic antibacterial agents. Jun 21, 2018 · Later after surgery, the area of the incisions can still cause surface irritation, sometimes for several months. These can help maintain the skin's natural moisture barrier and reduce itching and irritation. It causes swelling in the deeper layers of skin Results. Nov 23, 2021 · Burns. Other signs and symptoms that appear a few days after the early symptoms include: An itching, tingling or burning feeling in an area of your skin. Make it a habit to take short walks or perform leg exercises throughout the day to enhance blood circulation. i have started to get welps that itch like crazy. Feb 10, 2023 · Postherpetic neuralgia (post-hur-PET-ik noo-RAL-juh) is the most common complication of shingles. Poison ivy rashes can vary in appearance from typical red, itchy bumps to black spot poison ivy dermatitis, which looks like its name suggests. Pain or swelling of the legs and feet. During anaphylaxis, the immune system reacts to the anesthesia by releasing chemicals that cause symptoms, such as: Light-headedness or faintness. This case presentation paints the classic picture of allergic reaction after breast surgery, likely due to skin glue. Breast reduction surgery is one of the most common procedures done by plastic surgeons. Case Description: A 46-year-old female presented to the clinic for the third time in two months with worsening diffuse rash involving her extremities. We also discuss some of the mechanisms that may underlie this correlation. Vitamin K deficiency. Symptoms may include: A rash appearing swollen and red. Your healthcare team will monitor you in the hours or days after surgery to help Oct 13, 2023 · Excessive hair loss, dull fur, or bald patches. Descriptions. Emollients: To prevent your skin from becoming excessively dry and exacerbating the rash, consider using emollients or moisturizers. had umbilical hernia surgery with mesh 1 month ago. Dec 4, 2023 · Complication rates for ACDF surgery are in the range of 13. Hives. hives. my skin is so sensitive. Keep in mind that most sunscreens are moisturizing — another good reason to reapply sunscreen after swimming. I have a 43 year-old male who recently developed a generalized, erythematous, pruritic rash after surgery. Jul 28, 2022 · In addition, keep the skin as dry as possible and consider tucking a square of a clean cotton T-shirt around the entry point for your drains for further comfort and to help avoid irritation Apr 15, 2024 · It is most commonly caused by Group A strep and typically enters the body through a break in the skin. mononucleosis. The rash initially appeared on his upper extremities and chest wall around his surgical incisions (Fig 1A). In most cases, a rash on your breast is related to an allergic reaction, infection or common skin condition like eczema. Other conditions can sometimes cause these symptoms, such as itchy, dry skin. Sep 11, 2019 · A 15-year-old boy presented with a new-onset pruritic, papulovesicular rash 3 weeks after a minimally invasive pectus excavatum repair using a metal bar. A maculopapular rash that develops four to 12 days after starting a new medication may be a drug reaction. 1 - 3 The lesions then resolve with residual hyperpigmentation. The treatment options for skin problems after gallbladder removal may include: Moisturizers and Emollients: Using moisturizers and emollients can help alleviate itching and dryness of the skin. Infections can cause a rash on the legs. 2–19. Chickenpox, shingles, genital herpes, and cold sores are viral rashes. Some people use a three-in-one antibiotic ointment (Neosporin). Pink, reddish-purple, or bruised skin. An SSI is classified as an infection that begins at the site of a surgical wound fewer than 30 days after the incision is made. Saw my surgeon who advised it was some kind of skin reaction to the dressings most likely. Allergic eczema is an itchy skin rash that develops when you come into contact with an allergen. folliculitis, which is an infection or inflammation of a hair follicle. She had failed therapy with clotrimazole and hydrocortisone in the last two months. Chlorhexidine is also used to clean the hands before a procedure. Bladder problems. Lichenification: A rough thickening of the top layer of skin. May 10, 2024 · Serious Causes. Apr 7, 2014 · Answer: Itchy rash around incision Sensitivity to adhesive is the most common cause of a bumpy and itchy rash around an incision right after surgery. In addition, skin conditions like eczema and scabies can cause a red scrotum. Petechiae happens when tiny blood vessels under the surface of this . Production of excess collagen also causes this type Nov 8, 2022 · Flushing of the face. Hot spots, or moist, inflamed skin wounds caused by a dog repeatedly licking, chewing, or scratching the area. Oct 11, 2023 · Skin allergies are the result of the immune system's response to a foreign substance. Now we have another—"The Second Week Postoperative Rash. The rash had 2 distinguishable morphologies – the lesion on the face was clinically typical of a folliculitis rash ( Figure 1B ), but the remaining lesions, including the abdomen and the back (where the Aug 19, 2020 · Be sure to follow your surgeon’s discharge instructions to reduce your risk of complications as you recover from surgery at home. Bumps or pimples. Intensely itchy skin. Visible signs of varicose veins. Unlike erythema nodosum, it can strike May 9, 2022 · Skin rash. Conclusion: Our findings suggest that tension and post-surgical factors play a causal role in this hitherto undescribed entity: "post-reconstruction dermatitis of the breast. 3. Scalp ringworm ( tinea capitis): This causes scaly, red, itchy bald spots on your scalp. They can be painful and can be caused by excessive dryness. 05% or triamcinolone 0. Some of the most common complications include: difficulty swallowing. mg od zo lk wk eb mc ot lv dy