Exam (elaborations)
Clin Med IV Wounds Questions & answers latest update 2024/2025 with complete solution
- Course
- Institution
Clin Med IV Wounds Questions & answers latest update 2024/2025 with complete solution
[Show more]
Content preview
STUVIA 2024/2025Clin Med IV: Wounds
Wound edges are brought together w/ sutures - ✔✔Primary intention of wounds.
- Acute inflammatory response in wound
- By 3rd day, granulation tissue bridges dermal defect
- Epithelium proliferates & restores epidermis
- Fibroblasts invade granulation tissue, laying collagen
- Scar is still red, but blood vessels gradually regress
- Becomes pale linear scar within a few months - ✔✔Primary intention characteristics.
- New
- Clean wound
- No FB
- No necrotic tissue - ✔✔Indications for primary intention of wounds.
- Decreased healing time
- Decreased bleeding
- Decreased discomfort seen in open wounds - ✔✔Advantages to primary intention of wounds.
%
Wound allowed to heal on its own - ✔✔Secondary intention of wounds.
- Tissue loss prevents wound edges from coming together
- Healing must bridge defect -> initially filled with clot -> then vascular granulation tissue
- Inflammatory exudate solidifies forming scab
- Fibroblasts invade and lay collagen - ✔✔Characteristics of secondary intention.
- Highly contaminated or infected wounds
- Pts at high risk for infection - ✔✔Secondary intention of wounds are good for what?
- Relatively slow and uncomfortable
- Leaves larger scar than first degree closure - ✔✔Disadvantages of secondary intention of wounds.
Healing by secondary intention followed by primary closure - ✔✔Delayed primary closure (tertiary)
intention of wounds.
- Wound cleaned, packed w/ moist sterile gauze, and covered w/ sterile dressing
- Dressing left undisturbed unless signs of infection
- After 4-5d, dressing removed, wound can be closed if no infection - ✔✔Characteristics of tertiary
intention.
stuvia
, STUVIA 2024/2025
- Grossly contaminated wounds
- Animal bites - ✔✔Tertiary wounds are good for what?
- Fever
- Purulent exudate
- Spreading cellulitis - ✔✔Signs of wound infection that would prevent closing off a tertiary intention
wound.
- Infection
- Poor perfusion
- Contamination
- FB
- Necrotic tissue
- Unsuitable dressing
- Patient interference - ✔✔Etiology of impaired wound healing due to local factors.
- Arterial or venous insufficiency
- Radiation tx - ✔✔Etiology of impaired wound healing due to regional factors.
%
- Malnutrition
- Anemia
- Immunosuppression
- CCS
- Alcoholism
- IVDA
- Renal failure
- Hepatic failure
- Diabetes (especially uncontrolled) - ✔✔Etiology of impaired wound healing due to systemic factors.
Hematoma - ✔✔Results from unrecognized, inadequate hemostasis in wounds.
- Pain
- Pressure
- Swelling within the wound
- May be febrile and have sanguineous or serous drainage - ✔✔Hematoma s/s.
- Remove a few sutures to allow drainage
- Obtain culture - ✔✔Tx for a wound with a hematoma.
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACTUALSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now