Exam 2: Lecture 16: Case Studies : Wounds & Suture Knowledge LA Flashcards
What type of closure should be performed on this type of laceration
delayed primary closure
how do we do delayed primary closure on this foot wound
apply a wet to dry bandage to remove debris and close the wound in 1-2 days after it is as clean as possible
what nerve block would you use to suture this wound
low 4 point nerve block
After closure, what is the best way to manage the wound?
foot cast!!
what are the advantages of a foot cast
decreases motion, wounds communication with the coronary band will heal faster, and can be applied in the field
what are the disadvantages of a foot cast
higher upfront cost, can not examine the wound daily, and open wounds will have copious discharge
what is the management for foot cast management
stall rest, change the elasticon at the top of the cast every 1-2 days, remove in 2-3 weeks
what synovial structures mights communicate with this wound
pastern and coffin joint, navicular bursa, and flexor tendon sheath
how would you definitively determine the involvement of a synovial structure
pressurize the synovial structure
how would you treat this if it did not involve a synovial structure?
foot cast and second intention healing
what type of closure should be used on this laceration?
delayed secondary
after closure, what would be the best method to protect the wound
foot cast
when closing large body wounds, what is the #1 complication that should be discussed with owners
dehiscence!
what type of needle should you use to close the muscle layers
taper point
what suture pattern would you use to close the muscle
simple continuous
what suture would you use to close the SKIN of this wound
prolene
what type of needle would you use to close the skin
reverse cutting
What type of tension relieving pattern would you use to close the skin of this wound
Near-far-far-near
which will most likely cause dehiscence of this wound?
a. fluid accumulation
b. infection
c. inflammation
d. all of the above
D. all of the above!
which wound was made parallel to langers lines
both!
what substance was applied to the wound before clipping
sterile lubricant
what is the purpose of the drape?
provides a sterile field in case you drop your suture
what joint (if any) may be involved in this wound
tarsometatarsal and distal intertarsal joints
how would you debride this wound
lavage with saline
which suture/needle would you use to close this wound
0 prolene on a reverse cutting needle
what suture patterns would be appropriate to use to close this wound? (Choose all that apply)
a. simple interrupted
b. horizontal mattress
c. simple cutaneous
d. vertical mattress
e. lembert
f. cushings
h. near-far-far-near
a. simple interrupted
d. vertical mattress
h. near-far-far-near
