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29 Cards in this Set
- Front
- Back
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Pressure ulcer class system stage I
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defined area of non-blancheable erythema, intact skin, change in skin temperature (thermography), tissue consistency,
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Pressure ulcer class system stage II
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partial thickness wound involving epidermis and dermis, a superficial abrasion or a shallow crater
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Pressure ulcer class system stage III
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full thickness ulcer with necrosis of subcutaneous tissue extending to fascia
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Pressure ulcer class sytem stage IV
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Full thickness wound extending to muscle, bone, tendon, or joint capsule
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Wagner ulcer class system is for what wounds?
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Diabetic ulcers
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How many stages in the Wagner class system?
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Six
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Level 0 Wagner class
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Intact skin
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Level 1
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superficial ulceration
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Level 2
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Deep ulcer to tendon joint and bone
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Level 3
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Deep abscess with osteomyelitis
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Level 4
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Gangrene of toes or forefoot
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Level 5
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Gangrene of foot extending from forefoot to midfoot
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Level 6
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Entire foot gangrenous
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The Wagner system bases its levels on what main criteria?
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Depth
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UT Wound Classification 1A
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Non-infected, non-ischemic Superficial ulceration
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Highest amputation levels occur in what UT stages?
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Grade 2 o 3 stage D
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UT wound classification IB
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Infected nonischemic superficial ulceration
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UT wound classification IC
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Ischemic noninfected superficial ulceration
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UT wound classification ID
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Ischemic infected sperficial ulceration
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UT wound class IIA
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Noninfected nonischemic ulcer that penetrates to capsule or bone
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UT wound class IIB
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Infected nonischemic ulcer that penetrates to capsule or bone
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UT wound class IIC
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Noninfected ischemic ulcer that penetrates to capsule or bone
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UT wound class IID
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Infected ischemic ulcer that penetrates to capsule or bone
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UT wound class IIIA
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Noninfected nonischemic ulcer that penetrates to bone or deep abscess
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UT wound class IIIB
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infected nonischemic ulcer that penetrates to bone or deep abscess
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UT wound class IIID
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Infected ischemic ulcer that penetrates to bone or deep abscess
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Ulcer to capsule of MPTJ, no SOI, no signs of OM on X-ray, Absent pulses. What UT class? What Wagner class?
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IIC UT
Wagner IV |
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Ulcer penetrates to Capsule of MTPJ, extends to flexor tendon, purulent discharge noted. No palpable popliteal or foot pulses- What Stage?
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IID UT
Wagner III |
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Interdigital ulcer penetrates to capsule of IPJ, purulent discharge noted, poor perfusion, no ABI, no arterial pulses palpable - what class?
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IID UT
Wagner III |
