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Penetrating Wound
Wound Penetrating

Presentation

Presentation Chest trauma can lead to several serious injuries. Chest trauma patients usually present with chest pain and shortness of breath, but can also present in shock (altered mental status) or in traumatic arrest. [cdemcurriculum.com]

Age and Sex edits from the Medicare Code Editor alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting Present on Admission symbol highlights the diseases that will always be coded as present [books.google.com]

A further 10 per cent presented with symptoms between 4 to 6 hours, and 6 per cent between 7 to 18 hours. All the injuries caused symptoms within 18 hours of the injury event. [ncbi.nlm.nih.gov]

Herein, we present a penetrating parietal lobe injury due to stab wound. [austinpublishinggroup.com]

Entire Body System

  • Pain

    Rib injuries can be frightening as the casualty may feel unable to breath due to the severe pain. [firstaidforfree.com]

    Patients present with chest pain, dyspnea, painful respirations and are tachycardic, tachypneic and hypoxic. [cdemcurriculum.com]

    ER Procedures: Chest tube placement: drained 300cc of frank blood Change in status: The patient at this time began complaining of a new subscapular pain, or pain between the shoulder blades. [bumc.bu.edu]

    Management Frontiers in Medicine Epidemics Zika Virus Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio Interviews Interactive Medical [nejm.org]

    Pain may be difficult to assess in patients with distracting injuries. [slideshare.net]

  • Swelling

    When a bandage coated with such needles is pressed against moist living tissue, the needles penetrate the surface and swell up, forming a physically interlocking bond with the tissue. [natureasia.com]

    Infection may cause redness, swelling, pus, or watery discharge from a puncture wound that is not noticed or not treated properly. [emedicinehealth.com]

    Both bleeding and damage from this pressure wave results in brain swelling, which can also lead to death (See Figure 1, CAT scans showing typical fatal head gunshot wounds). [aans.org]

    He went on to an uneventful postoperative course with no residual nerve weakness, swelling or inflammation in the area. [oralhealthgroup.com]

    Pain and swelling may occur with or without discoloration. More serious symptoms may indicate a life threatening situation. [woundcarecenters.org]

  • Disability

    Suicide-related gunshot wounds to the head are associated with a very high mortality rate and severe disability in the few who survive. [aans.org]

    Repeated assessments for nerve injuries are important as these are the ones that are frequently missed and result in long-term disability. [sjtrem.biomedcentral.com]

    The GCS should be used to evaluate the possible disability of the patient. Proper evaluation of the patient includes assessing for the possibility of paralysis. [medictests.com]

    Disability Perform a rapid assessment of neurological status. Exposure Clothes should be removed and the entire body surface examined for exit and entry wounds. [patient.info]

  • Surgical Procedure

    This case report is unique because of the rare type of injury, time that passed from the injury, the way bullet entered the artery (via atrial septal defect) and especially the success of both surgical procedures (embolectomy and repair of atrial septal [ncbi.nlm.nih.gov]

    Retinal Perforations, Breaks Surgical Procedures and Postoperative Cases Toxic Retinopathies; see also Light Toxicitiy Trauma (Injury) Battered Child Syndrome Berlin's Edema, Retinopathia Sclopetaria Foreign Body Injury Foreign Body Injury Foreign Body [atlasophthalmology.net]

    Foreign bodies in the cheek, face or oral cavity may be the result of traumatic injuries, self-inflicted or iatrogenic dental or surgical procedures. [oralhealthgroup.com]

    Seen most commonly in the axillae or groin of cats. puncture wound penetrating wound. sucking wound a penetrating wound of the chest through which air is drawn in and out. surgical wound one deliberately produced during a surgical procedure, e.g. the [medical-dictionary.thefreedictionary.com]

  • Inflammation

    He went on to an uneventful postoperative course with no residual nerve weakness, swelling or inflammation in the area. [oralhealthgroup.com]

    • Exudative, serous, or secondary retinal detachment – An exudative retinal detachment occurs due to inflammation, injury or vascular abnormalities that results in fluid accumulating underneath the retina without the presence of a hole, tear, or break [slideshare.net]

    If the area of injury is not very large, the products of inflammation, small blood clots, and other debris from the wound can be absorbed into the blood stream and disposed of. [medical-dictionary.thefreedictionary.com]

    People with penetrating abdominal trauma may have signs of hypovolemic shock (insufficient blood in the circulatory system ) and peritonitis (an inflammation of the peritoneum, the membrane that lines the abdominal cavity ). [2] Penetration may abolish [en.wikipedia.org]

    Many of these patients will have some superficial tenderness around the wound site, but no signs of peritoneal inflammation. [trauma.org]

Skin

  • Ulcer

    In healing by first intention (primary union), restoration of tissue continuity occurs directly, without granulation; in healing by second intention (secondary union), wound repair following tissue loss (as in ulceration ) is accomplished by closure of [medical-dictionary.thefreedictionary.com]

    Stress ulcer prophylaxis and a bowel regimen should be instituted on admission to the ICU. [omicsonline.org]

Workup

[…] exploration: Diagnostic aid to determine the track of penetration through the tissue layers Laparoscopy: To evaluate and treat intra-abdominal injuries, including stab wounds to the anterior abdomen or those with uncertain peritoneal penetration See Workup [emedicine.medscape.com]

Treatment

Pathophysiology of heart wounds and their surgical treatment are discussed. [ncbi.nlm.nih.gov]

additional investigations or surgical treatment. [sjtrem.biomedcentral.com]

Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. [drugs.com]

Prognosis

Puncture Wound Prognosis Most puncture wounds heal well on their own. Patients will be given thorough instructions emphasizing wound care and cleansing and monitoring for infection. [emedicinehealth.com]

Firearm wounds still justify routine laparotomy due to both multiplicity of visceral injuries and bad prognosis. Identifiers Authors User assignment Assign yourself or invite other person as author. It allow to create list of users contirbution. [infona.pl]

While there is sufficient data to support ICP monitoring for prognosis in severe closed head injury, the only evidence of its use in pTBI comes from military settings. [omicsonline.org]

Understanding the trajectory of the bullet path is important in determining prognosis. The brain is divided into two hemispheres made up of four lobes each, with each lobe providing different functions. [aans.org]

[…] arrive at a hospital. [11] Injuries from firearms are the leading cause of TBI-related deaths. [11] Penetrating head trauma can cause cerebral contusions and lacerations, intracranial hematomas, pseudoaneurysms, and arteriovenous fistulas. [11] The prognosis [en.wikipedia.org]

Etiology

Glass, knife, wood, metal splinters and bullet injuries are the some examples in the etiology of these injuries [1-4]. [austinpublishinggroup.com]

Most individuals sustaining eye injuries are male with an estimated relative risk of 5.5 times greater than women. [1] Etiology Penetrating or perforating ocular injuries can be due to injury from any sharp or high velocity object. [eyewiki.aao.org]

Etiology Gunshot wounds, considered high-velocity projectiles, are the most common cause (64%) of penetrating abdominal trauma, followed by stab wounds (31%) and shotgun wounds (5%). Penetrating abdominal trauma may result from urban violence. [emedicine.medscape.com]

Epidemiology

The epidemiology of serious eye injuries from the United States Eye Injury Registry. [eyewiki.aao.org]

Effect of Implementing Safety‐Engineered Devices on Percutaneous Injury Epidemiology. Infection Control and Hospital Epidemiology, 25 (7), 536–542. doi: 10.1086/502436 Tuma, S., & Sepkowitz, K. A. (2006). [worksafe.qld.gov.au]

Authors — Ecker, R. et.al eMedicine, Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology, 2009, and Penetrating Head Trauma, 2009. [aans.org]

Epidemiology • Ocular trauma is the cause of blindness in about half a million people worldwide. • Trauma is the most important cause of unilateral loss of vision, particularly in developing countries. 4. • 90% are preventable • >50% of the total injuries [slideshare.net]

Interpretation of fatal gunshot wounds in post-mortem is fraught and requires expert attention. [ 3 ] Epidemiology Deaths from firearms reflect their availability in various countries. [patient.info]

Pathophysiology

Pathophysiology of heart wounds and their surgical treatment are discussed. [ncbi.nlm.nih.gov]

Authors — Ecker, R. et.al eMedicine, Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology, 2009, and Penetrating Head Trauma, 2009. [aans.org]

The exact pathophysiology of secondary tissue injury associated with pTBI is poorly understood and differs from that of closed-head injuries. [omicsonline.org]

The pathophysiology intraperitoneal and extraperitoneal bladder rupture is a model of blunt and penetrating trauma in general. [hsj.gr]

Pathophysiology Stab Wounds (or other hand initiated projectiles) Lacerate local tissues along the weapon path Stab Wounds enter skin perpendicularly and are deeper than long By contrast, Laceration s are typically from blunt forces that strike parallel [fpnotebook.com]

Prevention

Appropriate and adequate eye protection when performing visually threatening activities is the most effective method to prevent ocular trauma. [eyewiki.aao.org]

According to the Centers for Disease Control and Prevention, trauma wounds and injuries are the number one killer of Americans aged 1 to 44. [woundcarecenters.org]

Antibiotic medicine may be given before and after the surgery to prevent an infection. Caregivers may do surgery to clean and look for problems, such as bleeding, inside your abdomen. [drugs.com]

Studies, to date, do not support more than 24 hours of antimicrobial coverage for prevention of infection associated with a hollow viscous injury. [east.org]

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