CPC Chapter 7- Facts & Terms

Question 1

A lack in blood supply, devitalized tissue, purulent drainage, foreign material, or debris

Answer 1

Avascular

Question 2

Wound is free of devitalized tissue, purulent drainage, foreign material, or debris

Answer 2

Clean Wound

Question 3

Edges of top layers of epidermis have rolled down to cover lower edge of epidermis, so epithelial cells cannot migrate from wound edges, also described as epibole. Presents clinically as sealed edge of mature epithelium; may be hard/thickened; may be discolored (for example, yellowish, gray, white).

Answer 3

Closed Wound Edges

Question 4

To split apart or open along natural or sutured lines

Answer 4

Dehisced/Dehiscence

Question 5

Outermost layer of skin

Answer 5

Epidermis

Question 6

Regeneration of epidermis across a wound surface

Answer 6

Epithelization

Question 7

Black or brown necrotic, devitalized tissue; tissue can be loose or firmly adherent, hard, soft, or soggy.

Answer 7

Eschar

Question 8

Tissue damage involving total loss of epidermis and dermis and extending into the subcutaneous tissue and possibly into muscle or bone.

Answer 8

Full-thickness

Question 9

The pink/red, moist tissue comprised of new blood vessels, connective tissue, fibroblasts, and inflammatory cells, that fills an open wound when it starts to heal; it typically appears deep pink or red with an irregular, berry-like surface.

Answer 9

Granulation Tissue

Question 10

Palpatory finding is indicative of new collagen synthesis. Palpation (feeling or touching) reveals induration (hardening) beneath the skin extending to about one centimeter on each side of the wound. Becomes evident between five and nine days after wounding; typically persists until about 15 days after the wound occurs. This is an expected positive sign.

Answer 10

Healing Ridge

Question 11

The presence of bacteria or other microorganisms is in sufficient quantity to damage tissue or impair healing. Wounds can be classified as infected when the wound tissue contains 105 or more microorganisms per gram of tissue. Typical signs and symptoms of infection include purulent exudates, odor, erythema, warmth, tenderness, edema, pain, fever, and elevated white cell count; however, clinical signs of infection may not be present, especially in the immuno-compromised patient or the patient with poor perfusion (circulation of blood through the vascular bed of tissue).

Answer 11

Infection

Question 12

Absence of granulation tissue, wound surface appears smooth as opposed to granular. For example, when a wound is clean but nongranulating, this indicates the wound surface appears smooth and red as opposed to berry-like.

Answer 12

Nongranulating

Question 13

Damage does not penetrate below the dermis and may be limited to the epidermal layers only.

Answer 13

Partial-thickness

Question 14

Course of tissue destruction. It occurs in any direction from the surface or edge of the wound; and, it results in dead space with potential for abscess formation. It’s also called tunneling. (It can be distinguished from undermining by the sinus tract involving a small portion of the wound edge; whereas undermining involves a significant portion of wound edge.)

Answer 14

Sinus Tract

Question 15

Soft, moist avascular (devitalized) tissue may be white, yellow, tan, or green; may be loose or firmly adherent.

Answer 15

Slough

Question 16

Is the first location of the cancer (carcinoma)

Answer 16

Primary Malignancy

Question 17

Is where the cancer spreads or metastasizes to. Use as the first-listed code when it is the cancer receiving treatment

Answer 17

Secondary Malignancy

Question 18

Occurs when the cancer is encapsulated and has not spread

Answer 18

Ca in situ

Question 19

Used when the pathology report indicates there is no cancer or pre-cancerous cells associated with the lesion

Answer 19

Benign

Question 20

A specific pathologic diagnosis. this is a lesion whose behavior cannot be predicted. It’s currently benign, but there is a chance that it could undergo malignant transformation. There must be a pathology report indicating uncertain behavior

Answer 20

Uncertain Behavior