UNIT 3: TISSUE HEALING NOTES Flashcards
Syndrome
Group of signs and symptoms that indicate injury or disease.
Something that you see is…
Sign (Objective)
Examples of signs
Deformity, limping, bleeding
Something that a person is feeling is…
Symptom (Subjective)
Examples of symptoms
Aching pain, burning, drowsiness, fever, sharp pain
Pathology
Structural and functional changes from injury
Etiology
Cause of a disease
Mechanism
Mechanical description of cause
Diagnosis
Specific condition
Differential diagnosis
Possible conditions that share the same symptoms or signs
Examples of differential diagnosis
Fractures, headaches, strokes
Working Diagnosis
A disease that hasn’t been ruled out
Prognosis
Projected outcome
What is needed in order to have a definitive diagnosis?
All aspects of the injury or illness must be considered
What are the 3 stages of healing process?
Inflammation, Fibroblastic Repair, Maturation-Remodeling
What is the goal of inflammatory response?
Prepare the body for healing
What happens in inflammatory response?
- Cells start to die
- New capillaries form
- Type III Collagen Formation
Vasodilatation
Increase blood flow to bring new cells/chemicals into the area for healing
What are the important chemicals in inflammatory response?
Phagocytes/Macrophages
Leukocytes
Platelets
Histamine
Phagocytes/Marophages
Cells that engulf & eat dead cells
Leukocytes
White blood cells fighting infection
Platelets
Carry blood clotting materials
Histamine
Cause the vasodilitation
How many days does the Inflammatory response lasts?
Injury to 4 days
What are the 5 cardinal signs of inflammation?
- Pain
- Swelling
- Heat
- Redness
- Loss of function/ROM
What is the goal of fibroblastic (repair) phase:
Repair the injured site
What happens in fibroblastic repair?
- Debris removal via phagocytes
- Scar formation via Fibroblasts
- Decrease in capillaries
- Absorption of Type III Collagen
- Develop New Tissues
Important chemicals of fibroblastic repair?
Fibroblasts, Chondroblasts, Osteoblasts
Fibroblasts
Lay new fibers
Chondroblasts
Build cartilage
Osteoblasts
How long does the fibroblastic repair lasts?
Build bone
4 days – 3 weeks
What is the goal of maturation?
Return to normal tissue, strength, function
What happens in maturation phase?
- Re-absorption of all chemicals
- Scar maturation
- Production of Type 1 Collagen
Scar maturation
Re-alignment of fibers along normal lines
How long does the maturation phase lasts?
3 weeks - 2 years
Signs of infection
- Redness
- Heat
- Swelling
- Tenderness
- Abnormal or Purulent Discharge
Factors affecting the rate & extent of healing
Age, nutrition, fitness level, steroids
POLICE
Used for boots and crutches
Protection
Optimum
Loading
Ice
Compression
Elevation
Why is elevation important?
Helps with swelling
What are treating signs of infection?
Clean, cover and refer