Plastics - Wounds

Question 1

primary closure indication?

Answer 1

wound <6 hours, clean

Question 2

secondary closure indications”?

Answer 2

animal, human bite, crush, infection

>8 hours since injury

Question 3

tertiary closure/delayed primary closure?

Answer 3

interrup healing process with packing

close 4-10 days post-injury after granuation tissue forms

Question 4

definition of chronic wound?

Answer 4

don’t heal in 6 weeks

Question 5

rule of 9s?

Answer 5

only include 2nd degree or higher
18% chest, back
9% head
9% arms
18% legs
1% groin

Question 6

Parkland formula?

Answer 6

4cc x kg x %TBSA,

1/2 first 8 hours, 1/2 in next 16 hours

Question 7

erysipelas treatment?

Answer 7

penicillin or first gen cephalosporin

trace borders

Question 8

erysipelas usu. what organism?

Answer 8

GABHS

group A Strep

Question 9

ceullulitis treatment?

Answer 9

trace borders
cephalexin
cloxacillin 2G q4h

Question 10

necrotizing fasciitis 2 types?

Answer 10

1: beta haemolytic srep

type 2: polymicrobial

Question 11

4 signs of basal skull fracture?

Answer 11

1. battle sign (bruised bastoid)
2. hemotympanum
3. raccoon eyes
4. CSF otorrhea

Question 12

when plan paediatric hand surgery?

Answer 12

as early as 6/12 months, to assess hand function first