equine wounds 1 and 2 Flashcards
the general principles of wound management
1- what is involved and how deep is it
2- antibiotic and infiinflam
3- wound lavage
4- bandaging- closure
if there is granulation, how old is the wound
3-5 days at least
what type of gloves are needed for probing and wound exploration
sterile
when do you explore the wound
after thorough wound cleaning with dilute betadine, clipped area
what locations heal best by second intention
distal limb and trunk wounds
what is the purpose of bandaging the wound
control hemorrage, keep clean, reduce ROM, control swelling
what is a major disadvantage of bandaging a wound
potential for proud flesh
what do you do with proud flesh
cut it off level with the leg. there are no nerve endings but will bleed a lot
if youre concerned about joint involvement what do you do
arthrocentesis and check white cell count
what to do while youre tapping the joint
distend with contrast and take a radiograph
how would you manage a tendon involvement wound in the short term before they refer
bandage, NSAIDS, stall rest
truncal wound that is dirty with skin flaps. can you cut off the flaps
no these help the wound close
treatment for degloving
want to attempt a closure because you dont want the bone exposed and dry. warn owner that it will likely dehise and look ugly
if you suspect a FB wound how will you tell
US and exploration
treatments for foreign body wounds
antibiotics, NSAIDs, lavage, controlled exercise to keep wound open and draining
common treatments for heel bulb lacerations
foot casts e2weeks, +- debride granulation tissue
what to remmebr about eyelid and facial lacerations
try and suture to maintain function
where does the graft get its vascular supply
from the bed.
what are major causes of graft failure
poor graft bed preparation
poor harvesting technique
infection
movement
what thickness is a punch graft
full thickness
what thickness is a pinch graft
partial thickness
what is a main disadvantage of a skin graft
cosmetics
what makes a good skin graft bed
happy smooth granulation tissue
what is important post op management for a skin graft
bandage the graft for the first 10 days to minimize graft movement
