Anatomy Boundaries of the breast Boundary Structure Superior Second or third rib Inferior Inframammary fold at the sixth or seventh rib Medial Lateral border of the sternum Lateral Anterior axillary line, axillary tail of spence extends laterally across the anterior…
Classification Classification of SSI Surgical Site Infection Description Signs and Symptoms Onset Superficial Involves the skin and SC tissue. A form of cellulitis brought onto the incision site. Purulent discharge from incision, Fever, Tenderness, Erythema, Warmth, Swelling Within 30 days…
Wound dehiscence Wound dehiscence is separation of wound along incision line. Fascial dehiscence is the separation of a fascial closure following abdominal surgery. ****Risk can be reduced by good surgical technique and avoidance of heavy lifting for 4-6 weeks after…
Overview The goal of managing chronic wound is to identify and address the conditions that impair wound healing. By correcting these condition, the wound behaves like an acute wound and can be managed as such through closure, skin graft, or…
Overview The goals of wound care include: The steps in management of wound usually involve assessment → preparation → repair → follow-up Wound preparation Types of injuries and considerations Type of injury Nota bene Animal bite Cat bites are deep…
TIME mneomnic for assessment of wounds Tissue: presence of granulation or hypergranulation tissue, devitalized or necrotic tissue, and surrounding tissue Inflammation or infection: areas within or surrounding the wound site that may indicate the presence of infection or inflammation Moisture:…
Tidy vs Untidy wound Type of wound Characteristic Examples Healing Tidy wound Incised, Clean, no tissue loss Surgical incision, Stab, Cuts Primary intention Untidy wounds Irregular, tissue loss, devitalized tissue, contaminated Crush, Avulsion/Degloving, Burn Secondary intention Open wounds The skin…
Excess healing Description Excessive scarring Excess proliferation of fibroblasts and collagen due to dysregulation of the proliferative and maturation stage Hypertrophic scar Excess proliferation of fibroblasts and collagen leading to a raised scar that does not grow beyond the boundaries…
Overview There are 2 major types of abnormal wound healing: impaired wound healing and delayed wound healing Impaired vs Delayed wound healing Abnormal healing Description Cause Delayed healing Though at a slower rate of healing, the wound ultimately achieves mechanical…
Healing of Bones Healing of bones resembles dermal healing with some notable differences and specific terms. Phase Process Nota bene Hematoma and Inflammation Accumulation of blood, devitalized soft tissue, dead bone and necrotic marrow at the fracture site → Breakdown…
