Wounds- All Types
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Arterial Ulcer | Lateral lower leg. Smooth edges. Deep. No drainage. Painful. Pallor on elevation, decreased pedal pulse
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| Venous Ulcer | Medial lower leg. Shallow. Irregular edges. More exudate. Granulation present. Less painful, comfortable with legs elevated, pain with feet in dependent pos. Signs: edema, dermatitis, cyanosis in dependent pos. Pulse present.
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| Neuropathic Ulcer | Not painful. Lack protective sensation. Location: WB areas. Healing impaired. 2.5-3 = Normal. 3-5 = decreased LT. 5.07 = protective sensation (monofilament). Test 1/3/5 MT head
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| Pressure Ulcer Stage 1 | Non-blanchable redness
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| Pressure Ulcer Stage 2 | Partial thickness loss of dermis. Looks like shallow, open ulcer with red wound bed. Ex: skin tear, serum filled blister
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| Pressure Ulcer Stage 3 | Full thickness loss of dermis, subcutaneous fat may be visible, muscle not visible
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| Pressure Ulcer Stage 4 | Exposed bone or tendon
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| Wagner Stage 0 | No open lesion
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| Wagner Stage 1 | Superficial ulcer, not involving subcutaneous tissue
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| Wagner Stage 2 | Deep ulcer, through subcutaneous tissue, may expose bone
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| Wagner Stage 3 | Deep ulcer with osteitis, abcess
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| Wagner Stage 4 | Gangrene of Digit
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| Wagner Stage 5 | Gangrene of foot, req disarticulation
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| Superficial Wound | Epidermis intact ie sunburn
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| Partial thickness wound | Through epidermis, dermis intact (abrasion, blister)
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| Full thickness | Through dermis, into subcutaneous fat (requires secondary intention)
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| Subcutaneous | Involves fat, muscle, bone
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| Primary intention | Smooth edges reapproximated with sutures
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| Secondary intention | Let wound close on its own
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| Tertiary intention | AKA delayed primary. Wound temporarily left open, closed with sutures later
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Created by:
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