Flaps

Question 1

Wound Hx:

Answer 1

Age
Medical Hx Incl Comorbities:
  DM, ESRD, Card/PVD/Vascilitis, VIII (Heme)
  RADIATION
Meds: Steroids
SoHx: Smoking, Nutn

Question 2

Wound PE:

Inv:

Answer 2

Wound: Location, Size, Extent, Skin, Bed (Color, pig, inflammation, satellite, edema)
(Odour, necrosis, Granulation, Exposed, Fibrin, exudate, eschar, FB, Inflamm/infn, tunneling, sinus)

Vascular: Skin/Hair, Temp, Pulse
Neuro: 2pt, Vib 128, Reflex

Inv: BW + Glucose/A1c, ALB, Pre, baseline ESR/ CRP.

Test: Hand doppler, ABI, Cultures, Bx.
ABI: 0.5-0.9 - arterioal venous.
>1.2 = calcified