WOCN program
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| Necrotizing fasciitis key points | Subcutaneous crepitus, recent surgery, rapidly spreading, necrosis of fascia- sloughing of overlying tissue
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| SSSS | Staphylococcal scalded skin syndrome blistering of skin, manage according to standard wound principles very low mortality
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| Toxic shock syndrome | S aureus is usual pathogen. Dx based on constellation of Sx: fever >102, rash progressing to desquamation, hypotension, mucosal membrane involvement
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| 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
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| 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
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| Epidermolysis bullosa | defect in the basement membrane-blisters caused by minor trauma pt needs protection against trauma (think tape, medical devices)
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| what is calciphylaxis | associated with renal disease, indurated necrotic lesions with violaceous discoloration, severe pain that is refractory to analgesia
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| what type of dressing should be used for epidermolysis bullosa | nonadherent,
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| TEN (toxic epidermal necrolysis) is primarily caused by what? | medication reaction
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| are chronic wounds are susceptible to developing squamous cell cancer? | yes
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| what blood dyscrasias can lead to chronic leg ulcerations | sickle cell, thallassemia rheumatoid arthritis
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| what systemic disorders are associated with vasculitis ulcers? | RA; SLE, scleroderma, Sjögren syndrome, dermatomyositis, polyarteritis
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