General RA Treatments Flashcards
classifications of cases requiring treatment
injury
disease
post mortem tissue change
order of preembalming
remove dirt, external stains, etc.; set features, temporary suture loose skin flaps, shaving
order of concurrent
pressure to prevent swelling; bleaching discolorations
order of postembalming
excise tumors; reduce swelling; tissue building; dry/suture incision; apply wax; cosmetics; hairstyle
antemortem injury resulting from friction of skin against firm object resulting in removal of epidermas
abrasion
wound/irregular tear of flesh
laceration
laceration treatment
scab removal
waxing and reproduction of pores and wrinkles
cosmetizing
abnormal color in/on body; stain; to discolor with foreign material; cannot be removed during embalming
discoloration
lighten/blanch skin discolorations
bleaching agents
effect of bleach on skin
lightening of stained area/nonstained tissue
effect of bleach on moisture content of skin
possible dehydration
effect of bleach on surface preservation
fixation of tissue
surface compress procedure
massage cream to non stain area, cover with plastic reduce fumes, check at intervals, remove when gone/least reduced
hypodermic bleaching procedure
inject with syringe and needle, inject through entire areaa, not in nonstained area, seal injection with drop tissue adhesive
reason for possible ineffectiveness of hypodermic bleaching
insert too deep, missing stain
caution in using staining arterial fluid; hypodermic
could counterstain thus overcoloring
possible problems, hypodermic bleaching
dehydration/overbleaching
alternative application of phenol and alcohol
alcohol neutralizing agent
adhesive tape remover
alcohol, ether
blood remover
cold water, ammonia
paint remover
turpentine, paint thinner
nicotine remover
lemon juice, household bleach
tar; varnish remover
acetone, commercial remover, shampoo
iodine remover
alcohol
mercurochrome remover
household bleach
grease remover
ether, acetone, gas, shampoo
oil remover
ether, kerosene, gas, carbon tetrachloride
wax remover
ether
urine remover
ammonia
glue remover
white vinegar, glue solvent
lipstick remover
dry cleaning solvent
to oxidize/be oxidized by fire/equivilant means; tissue reaction/injury resulting from application of heat, extreme cold, caustics, radiation, friction/electricity
burns
any injury caused by heat, produces redness of skin
first degree
resulting in acute inflammation of skin and blisters
second degree
result in destruction of cutaneous and subcutaneous tissues (seared, charred, roasted tissue)
third degree
complete incineration
fourth degree
first degree treatment
no special treatment; stronger than normal arterial solution against skin slip; massage cream during and after embalming
second degree treatment
blisters opened, loose skin removed before, surface embalming compress applied during because heat coagulates blood in surface tissures that arterial fluid cannot reach; painted with sealer and cosmetics
third degree treatment
most difficult; excied down to normal noncharred tissue if possible; surface embalming compress; after dried, cover with sealer; wax can be applied on surface; deep wounds sealed and packed with cotton; basket weave stitch on large openings
fourthd degree treatment
not appropriate for RA
area from which something has been cut out
excision
excision procedures
temporary suture removal of damaged tissue undercut edges chemical drying of deep tissue sealing deep filling with appropriate material basket weave suture wax surfacing and simulation of pores cosmetic adjustments tumors and abscesses
spontaneous new growth of tissue forming an abnormal mass
tumor
localized area of pus
abscess
new and abnormal formation of tissue; tumor/growth
neoplasm
decapitation embalming treatment
head and trunk separately; head- common carotid artery if intact, if not external and internal carotid/external maxillary arteries; if all destroyed- hypodermic injection/surface compresses; one person holds head while other works
attachment to trunk
use of splint/dowel- insert into foramen magnum, attach to spinal column alignment of head suture muscles application of filler surface wax
distention causes
embalming
decomp
trauma
pathological conditions
distention types
liquid
solid
semisolid
gaseous
methods of reduction of swollen tissue
external pressure excision aspiration incision and pressure chemical channeling concentrated arterial fluid during embalming surgical reduction
manually, cotton compress, collar, electric spatula
external pressure
dissect tissue from a concealed area in the feature/excise swollen tissue from outside as if tumor
excision
by small trocar/needle and syringe
aspiration
concealed; after incision made area manually pressed
incision and pressure
preservation of skin slip
puncture blisters, remover loose skin, surface compress during/after, may hypodermically inject arterial fluid in deeper area below, wax applied to darker areas
fracture that does not penetrate skin
simple
fracture pierces skin
compound
fracture treatments
refracturing and resetting
wire bridging
splinting
hair preparation
clean/remove debris
comb and brush
dry and set for styling
adjust hair as needed
sources of hair
body itself, hair pieces, barber shops/hair salons, brushes
replacement and attachment of hair methods
directional growth
trimming and thinning
facial hair
beard area
mustache
sideburns
eyebrows and eyelashes
other options for hair replacement
scarf
bandage
wig/toupee
hat/cap
conditions requiring hypodermic tissue building
dehydration; sunken areas
equip. and material for tissue building
syringe and needles, tissue building liquids, and solvents
cautions with tissue building instruments
dont clean with water
tissue building procedures
select inject. point; insert needle; slowly inject until elevated slightly; smooth area with finger until returns to normal contour
eye points of entry
between lids at inner canthus/medial corner
supraorbital area margin point of entry
eyebrows
temples point of entry
outer edge of eyebrow, hairline above temple, behind top of ear,sideburn when present
cheeks point of entry
behind wing of nose, corners of mouth, outside ear behind lobe, inside ear behind tragus, angle of jaw
mouth point of entry
lateral corner of lip behind weather line
hand point of entry
fingers, back of hand, sides
neck point of entry
inside ear, angle of jaw
enter the inferior of organ/cavity; pistol, rifle wounds, medical devices, puntures, stab wounds
penetrating wounds
types of wounds
penetrating puncture gunshot laceration contusion hematoma
secure margins of holes; made around opening, pulled and tied
purse string suture
hidden stitch
intradurmal
to form thread anchor for wax; criss cross network of stitches in base of wound
basket weave
used in hidden area; follows pattern of single intradermal except made on surface of skin
worm suture
temporary to hold in place while embalming
bridge stitch
post recovery consideration of organ and tissue recovery
edema discoloration lacerations and abrasions hair restroation dehydration prosthetic device leakage distention
wound filler type was
firm
wax for derma surgery
medium
surface restorer wax
soft
soft usually tinted wax
lip
firming wax
place in refrigerator
mix with cornstarch
mix with talcum powder
softening wax
manipulate by kneading
add cream
place in warm water
hold under blow dryer
