terminology

Question 1

serous exudate

Answer 1

clear, light, thin, watery consistency

- normal in healthy healing observed during inflammatory and proliferative phase

Question 2

sanguineous exudate

Answer 2

red (blood), thin, watery consistency

- may be indicative of new blood vessel growth or disruption of blood vessels

Question 3

serosanguineous exudate

Answer 3

light red/ pink, thin watery consistency

- normal in healthy healing observed during inflammatory and proliferative phase

Question 4

seropurulent exudate

Answer 4

cloudy, opaque, yellow/ tan color, thin watery consistency

- may be an early warning sign of impending infection and is always considered abnormal

Question 5

purulent exudate

Answer 5

yellow/green, thick, viscous

- generally indicator of wound infection and is always considered abnormal

Question 6

eschar

Answer 6

hard, leathery, black/brown dehydrated tissue that tends to be firmly adhered to the wound bed

Question 7

gangrene

Answer 7

death and decay of tissue resulting from an interruption in blood flow to an area of the body
- can also occur in muscles and organs

Question 8

hyperkeratosis

Answer 8

callus

- white/ gray in color and can vary in texture from firm to soggy depending on moisture level

Question 9

slough

Answer 9

moist, stringy, mucinous, white/yellow tissue that tends to be loosely attached in clumps to the wound bed

Question 10

contusion

Answer 10

injury caused by a blow that does not disrupt skin integrity
- pain, edema, and discoloration, as a result of blood seepage under the surface of the skin

Question 11

dehiscence

Answer 11

separation, rupture, or splitting of a wound closed by primary intention

Question 12

dermis

Answer 12

vascular layer of skin located below epidermis containing hair follicles, sebaceous glands, sweat glands, lymphatics, blood vessels and nerve endings

Question 13

desiccated

Answer 13

drying out or dehydration of a wound

-results from poor dressing selection

Question 14

desquamation

Answer 14

peeling or shedding of outer layers of epidermis

Question 15

ecchymosis

Answer 15

-bruise
discoloration occurring below intact skin resulting from trauma to underlying blood vessels and blood seeping into tissues
- typically blue/ black changing in time to greenish brown or yellow color

Question 16

epidermis

Answer 16

superficial, avascular epithelial layer of skin including flat, scale-like squamous cells, round basal cells, and melanocytes

Question 17

erythema

Answer 17

diffuse redness of skin often resulting from capillary dilation and congestion or inflammation

Question 18

friable

Answer 18

tissue that easily tears, fragments or bleeds when gently palpated or manipulated

Question 19

hematoma

Answer 19

localized swelling or mass of clotted blood confined to a tissue, organ or space usually caused by a break in a blood vessel

Question 20

hypergranulation

Answer 20

increased thickness of granular layer of the epidermis that exceeds the surface height of the skin

Question 21

normotrophic scar

Answer 21

scar characterized by the formation of collagen fibers that align in parallel fashion

Question 22

turgor

Answer 22

relative speed at which the skin resumes it normal appearance after being pinched
- tests hydration

Question 23

allograft (homograft)

Answer 23

temporary skin graft taken from another human, cadaver, in order to cover a large burned area

Question 24

autograft

Answer 24

permanent skin graft taken from a donor site on the patients own body

Question 25

escharotomy

Answer 25

opens or removes eschar from a burn site to reduce tension on surrounding structures, relieve pressure from interstitial edema, and subsequently enhance circulation

Question 26

full-thickness graft

Answer 26

a skin graft that contains the dermis an epidermis

Question 27

heterograft (xenograft)

Answer 27

temporary skin graft taken from another species

Question 28

mesh graft

Answer 28

skin graft that is altered to create a mesh-like pattern in order to cover a larger surface area

Question 29

recipient site

Answer 29

a site that has been burned and requires a graft

Question 30

sheet graft

Answer 30

skin graft that is transferred directly from the unburned donor site to the prepared recipient site

Question 31

split-thickness graft

Answer 31

skin graft that only contains superficial layer of the dermis in addition to the epidermis

Question 32

z-plasty

Answer 32

surgical procedure to eliminate a scar contracture, and incision in the shape of a “z” allows the contracture to change configuration and lengthen a scar