The Pathology Of Trauma

Question 1

Diffrent types of cuts

Answer 1

First intention
Need to suture lacerations and splenectomy wound

Haematoma present

Minimal granulation tissue

Re-epithelialisationoccurs

Second intention
Larger injuries not suitable for suturing

Haematoma

Large amount of granulation tissue

Delayed re-epithelialisation
Risk of infection

Question 2

Investigations for sudden severe central chest pain

Answer 2

Check for Troponin increased (careful as takes time to get into blood)

Better off doing an ECG - was found to have ST elevation - therfore a ST elevation myocardial infarction (STEMI)

Question 3

Myocardial repair

Answer 3

Infarction followed by removal of necrotic muscle by macrophages

Capillary and fibroblast ingrowth from viable edges

Gradual increase in collagen

Question 4

Management of patients coming in

Answer 4

Need to check to see if you need to do:
IV fluids

Blood Transfusion

Internal reduction and fixation for bone damage

Reduction and plaster cast for bone damage

Primary repair of any nerve damage

Suturing/dressing of lacerations

Splenectomy for ruptured spleen

Insulin required temporarily for DM