PUNCTURE WOUNDS

Question 1

Definition of Puncture Wound

Answer 1

Wound who’s depth is greater than the width

Question 2

Most common pathogens

Answer 2

Staph Aureus MC
Staph sp.
Strep sp.

Question 3

Pathogen related to athletic shoes

Answer 3

Pseudomonas

Question 4

Patient Risk Factors for Puncture Wound Complications

Answer 4

Elderly
Diabetes
Perpheral Vascular Disease
Immunocompromised

Question 5

Wound Characteristic Risk Factors for Puncture Wound Complications

Answer 5

Contaminated with soil, debris
Foreign Body
Occured outdoors
Occured through shoe / sock
Deeper penetration (axial load on foot)

Question 6

Indications for Plain radiographs

Answer 6

Suspicion of fracture
Infected wound
Wound caused by materials prone to fragment (wood, glass, etc.)
Foreign Body Sensation

Question 7

Indications for CT / MRI

Answer 7

Suspected deep space infection
Persistent pain after injury
Failure to respond to treatment

Question 8

% of radiopaque foreign bodies > 1 mm diameter will detect

Answer 8

> 90%

Question 9

Substances not reliably dected on pain radiographs

Answer 9

Wood
Thorns
Plant matter

Question 10

Indications for prophylactic antibiotics

Answer 10

High Risk Patients with plantar puncture wounds

Question 11

Prophylactic Antiobiotics

Answer 11

First gen cephalosporin
anti staph penicillin
macrlide
cipro with a/w athletci shoes

Question 12

Complications

Answer 12

Cellulitis
Abscess
Osteomyelitis