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13 Cards in this Set
- Front
- Back
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What are some causes of wound dehiscence?
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Faulty closure of layers
Poor incision planning Poor sterile technique Undermining of skin Over-zealous retraction |
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What are some other causes of wound dehiscence?
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Dehyrdation of wound
Bone burning Excessive electrocautery Poor suture technique Dead space Hematoma Seroma Infection Edema |
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What is a hematoma & what are some possible causes of it?
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A hematoma is a collection of blood
(generally occurs secondary to a dead space left post-op w/o a drain) Occurs due to: trauma inadequate hemostasis failure to obliterate a dead space poor litigation during a surgery |
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How do you diagnose a hematoma?
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PAIN
occurs secondary to a localized swelling over the incision site -increased localized temp over the incision |
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If you see a pulsating hematoma post-up, what does that mean?
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It means you cut a large vessel, and you have to bring them back and repair it.
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What are some of the complications arising from hematoma?
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Delay in normal wound healing time
Skin slough Infection Pain Calcification |
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In the early phase management of a hematoma, one would do what?
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Extravasation of the hematoma either by compression (side to side) or aspiration
Re-opening of wound sterilely Antibiotics to prevent infection |
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What is a seroma and how does it manifest?
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A seroma is a collection of clear liquid that occurs when you damage the lymphatics and/or excess tissue damage.
It can also occur as a result of a reaction to a foreign body, such as sutures, implants, bone wax, gel foam. |
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Post-op edema, which is very common, can be prevented by:
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Atraumatic sx technique
Compressive post-op dressing RICE NSAIDS Immoblization PT Ultrasound |
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Lymphadenitis is?
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Swelling of the lymph nodes
Usually caused by any infecting organism |
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Lymphangitis is?
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Erythematous straking overlying major veins
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Lymphangitis is caused by?
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B- hemolytic strep
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TX of lymphanginitis occurs?
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As a result of IV antibiotics
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