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atypical wounds

WOCN program

Necrotizing fasciitis key points Subcutaneous crepitus, recent surgery, rapidly spreading, necrosis of fascia- sloughing of overlying tissue
SSSS Staphylococcal scalded skin syndrome blistering of skin, manage according to standard wound principles very low mortality
Toxic shock syndrome S aureus is usual pathogen. Dx based on constellation of Sx: fever >102, rash progressing to desquamation, hypotension, mucosal membrane involvement
Spider bites Brown recluse & black widow are the only two with documented tissue damage. Brown recluse: "red white and blue " center has grey to red-purple bulla, ring of blanched tissue surrounded by erythematous tissue
Pyoderma gangrenosum Pain out of proportion to wound, pathergy; violaceous irregular border, erythema of periwound; associated W/ autoimmune diseases; diagnosed by exclusion. Tx is corticosteroids and cyclosporine. Topical wound management per standard care
Epidermolysis bullosa defect in the basement membrane-blisters caused by minor trauma pt needs protection against trauma (think tape, medical devices)
what is calciphylaxis associated with renal disease, indurated necrotic lesions with violaceous discoloration, severe pain that is refractory to analgesia
what type of dressing should be used for epidermolysis bullosa nonadherent,
TEN (toxic epidermal necrolysis) is primarily caused by what? medication reaction
are chronic wounds are susceptible to developing squamous cell cancer? yes
what blood dyscrasias can lead to chronic leg ulcerations sickle cell, thallassemia rheumatoid arthritis
what systemic disorders are associated with vasculitis ulcers? RA; SLE, scleroderma, Sjögren syndrome, dermatomyositis, polyarteritis
Created by: Beth Perry