Learn me please Flashcards
phenylketonuria
cognitive delay and behavioral issues due to excess phenylalanine which is neurotoxic
tay sach’s deisease
accumulation of GM2 causes cognitive delay and deteriation of motor skills and paralysis; common in jewish communities; pts die by 5yo
Wilson’s disease
appears in ages 4-6 causes inability to metabolize copper leading to degenerative cognitive changes, ataxia, osteomalacia, atrophy, and contractures
onychomycosis
fungal infection that affects the toenails & nail beds
tinea pedis
athletes foot
primary intention wound closure
reapproximated with sutures
secondary intention
wound cant be reapproximated and is closed on its own
tertiary intention
delayed primary intention due to infection, etc. - left open then closed later
avulsion wound
degloving
arterial insufficency wounds
lateral malleolus, smooth edges, severe pain, minimal exudate, decreased skin temperature, shiny leg/hair loss
venous insufficency wounds
medial malleolus, moderate/heavy exudate, increased edema, flaking/dry skin, leg elevation lessens pain; normal skin temp
neuropathic ulcer
DM risk factor, places on foot with pressure or shear forces, low/moderate exudate, loss of protective sensation; decreased skin temp
wound types: vs. superficial, partial thickness, deep, subcutaneous
superficial: like a sunburn, epidermis intact; partial thickness into but not through the dermis; full thickness through dermis completely; subcutaneous: into fat, muscle, tendon, or bone
Wagner ulcer grade scale
grades 0-5; 0 = no ulcer, 2 = ulcer exposes bone; 4= gangrene, 5 = you need to amputate
Staging Ulcers I-IV
I = nonblanchable redness; II = partial thickness tissue loss of the dermis; III = full thickness loss without bone, muscle or tendon exposed (just fat); IV = exposed bone, tendon, or muscle; unstagable = if slough or eschar is covering it
types of dressings for autolytic debridement
hydrocolloids, hydrogels, foam dressings, transparent film, alginates
hydrocolloids
like blister pads, absorb lots of exudate, waterproof, microcrobial affects
hydrogels
used with minimal drainge
pro tip: functional position
meaning “what’s gonna allow for the most function” for the hand, this would be fingers splinted in flexion with thumb in abduction so you can sorta hold/grasp things