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20 Cards in this Set

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hard, knot-like structure under skin
suture knot
small, sore red area draining small amt of pus & seals over
stitch abscess
complete wound remodeling & maturation time frame
6 months
hypertrophic, raised scar, w/in limits of incision

next step?
1.observe (until scar stable)
2.consider revision
3.steroid injections & local pressure dressings
hypertrophic scar, outside incision limits
keloid
wound infection suspected

next step?
1.drain infection
2.debridement

NO ABX!!!
most wound infections do/don't require abx
DO NOT
wound infections - abx indicated when...?
cellulitis spreading despite drainage
after draining purulent material fr/wound w/viable edges...
next step?
apply daily moist gauze
secondary healing
healing by leaving wound open
(bacteria removed instead of collecting)
factors delaying wound healing
1.poor nutrition
2.infection
3.poor physiological condition
important process for gaining wound strength
collagen production
collagen production - 1st detected...
w/in 10 hrs of wounding
(peaks 5-7 days)
2ndary intention healing - myofibroblasts cause...
wound contraction
healing GFs
1.PDGF
2.TGF-B
3.FGF
4.EGF
wound classification
1.clean
2.clean-contaminated
3.contaminated
ventral hernia repair + mesh

abx?
yes! perioperative abx
prophylactic abx adminstration schedule
1 dose 1 hr pre-op,
1 dose post-op
dog bite in face

next step?
close wound (rich blood supply)

would leave open if not rich blood supply area
split-thickness graft
layer of epidermis + part of dermis