2. Wounds

Question 1

Felon ?

Answer 1

• Phlegmon of the fingertip pulp
• Caused by penetrating injury (Staphylococcus
aureus)
• S&S: Throbbing pain and other classical signs of
an abscess.
• T: Antibiotics and elevation -> surgical incision
and drainage.

Question 2

Ludwig’s angina ?

Answer 2

• Abscess of the floor of the mouth
• S&S classical + may concern the airway
• T: incision and drainag + intubation and tracheostomy

Question 3

Types of drains ?

Answer 3

• Jackson-Pratt drain.
• Penrose drain.
• Wound Vac System.
• Redivac drain.
• Pigtail drain.
• Davol.
• Wound manager.
• Chest tube.

Question 4

T-tube drains ?

Answer 4

After bile duct surgery a T-tube is inserted in the bile duct, which allows bile to drain while the sphincter of Oddi is in spasm . Once this relaxes the bile can drain normally down the common bile duct into the duodenum. T-tubes are made of a variety of materials and surgeons van in the design they prefer.

Question 5

Absolute Indications of Intercostal Chest Drains?

Answer 5

• Pneumothorax (tension, open or simple)
• Haemothorax.
• Traumatic Arrest (bilateral).

Question 6

Relative Indications of Intercostal Chest Drains?

Answer 6

• Rib fractures & Positive pressure ventilation.
• Profound hypoxia / hypotension & penetrating chest injury
• Profound hypoxia / hypotension and unilateral signs to a hemithorax.

Question 7

Foley catheter ?

Answer 7

• A self-retaining tube placed through the urethra into the bladder for continuous urine drainage.
• It is the most common
  catheter used after prostate