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20 Cards in this Set
- Front
- Back
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hard, knot-like structure under skin
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suture knot
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small, sore red area draining small amt of pus & seals over
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stitch abscess
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complete wound remodeling & maturation time frame
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6 months
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hypertrophic, raised scar, w/in limits of incision
next step? |
1.observe (until scar stable)
2.consider revision 3.steroid injections & local pressure dressings |
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hypertrophic scar, outside incision limits
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keloid
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wound infection suspected
next step? |
1.drain infection
2.debridement NO ABX!!! |
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most wound infections do/don't require abx
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DO NOT
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wound infections - abx indicated when...?
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cellulitis spreading despite drainage
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after draining purulent material fr/wound w/viable edges...
next step? |
apply daily moist gauze
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secondary healing
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healing by leaving wound open
(bacteria removed instead of collecting) |
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factors delaying wound healing
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1.poor nutrition
2.infection 3.poor physiological condition |
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important process for gaining wound strength
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collagen production
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collagen production - 1st detected...
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w/in 10 hrs of wounding
(peaks 5-7 days) |
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2ndary intention healing - myofibroblasts cause...
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wound contraction
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healing GFs
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1.PDGF
2.TGF-B 3.FGF 4.EGF |
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wound classification
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1.clean
2.clean-contaminated 3.contaminated |
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ventral hernia repair + mesh
abx? |
yes! perioperative abx
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prophylactic abx adminstration schedule
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1 dose 1 hr pre-op,
1 dose post-op |
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dog bite in face
next step? |
close wound (rich blood supply)
would leave open if not rich blood supply area |
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split-thickness graft
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layer of epidermis + part of dermis
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