Wound Healing

Question 1

Wound closure(epithelization)

Answer 1

biological cells:kertinocyte culture,platelet rich plasma,Growth factor impregnated dressings

External materials:Grafts,staples,flaps,Regen D

Question 2

Complications of wound healing

Answer 2

Physical evidence
1)Scars;atrophic,dyschromic
2)Ulcer;Marjolins ulcer
2)Keloids

Then hypertrophic,chronic unhealed,contracture

Question 3

Wound assessment physical exam

Answer 3

Wound outlook
-infection signs,odor/exudate, surrounding skin,wound edge,sote size,depth and location

-Wound base:Tender,indurated
-Wound floor:necrosis,granulation
-Lab test:WS,MCS/WB culture

Question 4

Open wound -skin is broken…

Answer 4

Object wound:penetrating,crushing,perforating wound,laceration
Motion wound :friction/abrasion wound ,blast wound,traction and avulsion

Question 5

Clean wound

Answer 5

UnInfected operative wounds
No inflammation

Question 6

Clean contaminated wound

Answer 6

Operative wounds entering abdomen and trunk under controlled conditions
Inflammation but no unusual contamination

Question 7

Contained wound

Answer 7

Fresh wounds
During surgery due to break in strike technique

Question 8

Dirty wound

Answer 8

Old traumatic wounds with retained devitalised tissue
Organism causing post operative infection were present in the operative field before operation

Question 9

Ulcer Vs wound vs injury

Answer 9

Ulcer is bridge in skin caused by necrosis
Wound is injury caused by extranl factors
Injury is disruption in normal physiology and anatomy of a tissue,organ or system.