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2.1
Wound

Presentation

A wound may be described in many ways; by its aetiology, anatomical location, by whether it is acute or chronic1, by the method of closure, by its presenting symptoms or indeed by the appearance of the predominant tissue types in the wound bed. [clinimed.co.uk]

The microorganisms likely to infect a wound depend predominantly on what microorganisms are present on the skin, as well as the depth and location of the wound. [woundsource.com]

To determine, how many cases were due to child abuse and to describe signs of their clinical presentation. [lsmuni.lt]

RestorixHealth’s Center of Excellence award presented to the Wound Clinic at Pinckneyville Community Hospital L-R: RestorixHealth Market Representatives, John Bender, Nichole Baer, Lead RN; Pinckneyville Community Hospital Representatives Stephen Priebe [kfvs12.com]

Entire Body System

  • Pain

    "Pain: The Gift Nobody Wants" is the title of one of Dr. Brand's books and a phrase used to initiate the explanation regarding the devastating consequences that can occur from limbs without the necessary warning system of pain. [hrsa.gov]

    Manage pain Wounds can be painful, so consider pain relief while the wound heals. Talk to your GP about options for pain relief. [healthywa.wa.gov.au]

    Any pain, redness, and swelling will typically increase in intensity. [medicalnewstoday.com]

    Provide pain relievers when possible. Review the wound every 24 hours. [cdc.gov]

    Wounds can be painful at first, but usually the pain lessens after the first day. If a cut affects a nerve or tendon, the person may be unable to move the body part fully. [msdmanuals.com]

  • Fever

    However, more severe wound infections require prompt medical attention, particularly those that occur along with fever, feeling unwell, or discharge and red streaks coming from the wound. [medicalnewstoday.com]

    You have signs of sepsis such as confusion or disorientation, shortness of breath, high heart rate, fever or shivering, extreme pain or discomfort or clammy or sweaty skin. [cdc.gov]

    Call your doctor right away if you notice: Increased drainage or bleeding from the wound Redness in or around the wound Foul odor or pus coming from the wound Fever above 101.0°F or shaking chills IV. [aast.org]

    […] wound is a normal part of healing, but seek medical care if there is any of the following: Red "streaking" spreading out from the wound Increased pain or swelling Difficulty moving the affected area Pus or odorous wound drainage Warmth around the wound Fever [uhs.wisc.edu]

    You have a fever or chills. You have more pain, redness, or swelling near your wound. Your symptoms do not improve. The skin around your wound feels numb. You have questions or concerns about your condition or care. [drugs.com]

  • Inflammation

    Second phase - Inflammation As the hemostasis phase can be construed to consist of an early and a late phase, the early phase being bleeding and hemostasis and the late phase being coagulation, so is it also with inflammation. [emedicine.medscape.com]

    Acute wound healing normally proceeds from coagulation and inflammation, ... [accessmedicine.mhmedical.com]

    Achieved by 4 phases- hemostatis, inflammation, proliferation and remodeling. For positive results all four phases should take place in sequence and proper time frame. [imedpub.com]

    PubMed Health: "What is an inflammation?" University of Edinburgh: "Types of Wound." University of Rochester Medical Center: "How Wounds Heal," "Taking Care of Cuts and Scrapes." Wound Care Centers: "At Home Wound Treatment." [webmd.com]

    However, inflammation can lead to tissue damage if it lasts too long.[7] Thus the reduction of inflammation is frequently a goal in therapeutic settings. Inflammation lasts as long as there is debris in the wound. [en.wikipedia.org]

  • Weakness

    […] human or animal bite Isn't cleaned or treated within 8 hours Occurs in your hand, foot, leg, armpit, or groin (the area where your belly meets your thighs) Contains dirt or saliva Heals very slowly Occurs in a person with diabetes, alcoholism, or a weak [fairview.org]

    Damage to the deeper tissues may result from the direct impact of the blow upon a tissue, as in the fracturing of a skull by a hammer or, more commonly, from the transmission of the force of impact through the body to a relatively weak point. [britannica.com]

    Some nerve injuries cause weakness or paralysis, loss of sensation, or numbness. If foreign material remains inside a puncture wound, the part of the wound near the material is usually painful when touched. [msdmanuals.com]

    Nice 4k btw bad: - weak drums (was that supposed to be a bassdrum?) [pouet.net]

  • Animal Bite

    Other common types of injuries include Animal bites Bruises Burns Dislocations Electrical injuries Fractures (broken bones) Sprains and strains [medlineplus.gov]

    Seek medical attention as soon as possible if: There is a foreign object (soil, wood, metal, or other objects) embedded in the wound; A wound is a result of an animal bite; A wound is a result of a puncture by a dirty object; The wound is infected (pain [cdc.gov]

    A wound is more likely to become infected if it: Results from a hole (puncture), such as from a nail or piece of glass Results from a human or animal bite Isn't cleaned or treated within 8 hours Occurs in your hand, foot, leg, armpit, or groin (the area [fairview.org]

    Although any wound can become infected, infection is particularly likely in deep scrapes, which grind dirt into the skin, and in puncture wounds (particularly those resulting from animal bites or human bites), which introduce contamination deep under [msdmanuals.com]

Musculoskeletal

  • Fracture

    1 Ankle Fractures 84 2 Pelvic Ring Fractures 69 3 Tibial Shaft Fractures 68 4 Femoral Shaft Fractures 66 5 Tibial Plateau Fractures 60 6 Acetabular Fractures 59 7 Evaluation, Resuscitation & DCO 53 8 Calcaneus Fractures 49 9 Femoral Neck Fractures 47 [orthobullets.com]

    Fractures in the pre-hospital setting Fractures in hospital Limb and joint fractures in hospital Open fractures in hospital Pelvic fractures in hospital Major trauma service organisation Major trauma service delivery procedures Pathway created: February [pathways.nice.org.uk]

    Fractures and burns are also traumatic injuries, as well as contusions, especially when they affect vital organs such as the heart. Cause of Condition Traumatic injuries happen for many reasons. [docdoc.com.sg]

    AO/OTA Classification Code fractures and dislocations with the AO/OTA Fracture and Dislocation Classification 2018. More educational tools Explore AO Trauma's varied teaching and learning materials to enhance your expertise. [aotrauma.aofoundation.org]

    Other common types of injuries include Animal bites Bruises Burns Dislocations Electrical injuries Fractures (broken bones) Sprains and strains [medlineplus.gov]

  • Contusion

    – One or two other artery forceps, a pair of Farabeuf retractors and a scalpel may be useful for a contused or deep wound. [medicalguidelines.msf.org]

    Fractures and burns are also traumatic injuries, as well as contusions, especially when they affect vital organs such as the heart. Cause of Condition Traumatic injuries happen for many reasons. [docdoc.com.sg]

    A relatively slight blow may damage the skin and underlying soft tissues, as shown by bruising, or contusion, which results from the infiltration of blood into the tissues from ruptured small vessels and by swelling caused by the passage of fluid through [britannica.com]

    […] graze from falling Incised Usually as a result of surgical intervention Crush Made with a heavy blow of a cutting tool, such as a hatchet, sword Lacerated Fragments of tissue torn away with a sharp-edged object Stab Made with a pointed tool or weapon Contused [dermnetnz.org]

    Closed Wound Types Contusions: blunt trauma causing pressure damage to the skin and / or underlying tissues (includes bruises) Blisters: fluid filled pockets under the skin Seroma: a fluid filled area that develops under the skin or body tissue (commonly [jobst-usa.com]

  • Osteoporosis

    […] vehicle collision, rollover motor accident, lap belt restraint only, ejection from a motor vehicle, accident involving motorised recreational vehicles, bicycle collision, horse riding accidents) pre-existing spinal pathology, or known or at risk of osteoporosis [pathways.nice.org.uk]

Eyes

  • Foreign Body Sensation

    A retained foreign body in a wound is suggested by pain or foreign-body sensation (enhanced by motion) in the absence of infection. Suspected foreign bodies can often be identified using ultrasonography. [msdmanuals.com]

Skin

  • Sweating

    Blood, sweat, tears, bruising, chipped nails and shots fired. (Some on target.) #broughttoyouby Ministry of Defence, Singapore (MINDEF) LET'S CONNECT! [youtube.com]

    Skin folds can sometimes have moisture buildup from sweat. This can cause the skin to break down and lead to fungal growth. Erysipelas (bacterial infections): a superficial infection of the inner layer of your skin. [jobst-usa.com]

    If you frequently find yourself waking up drenched in perspiration, it’s likely that you suffer from night sweats. Also known... Burning calories is a term most often associated with aerobic exercise and physically taxing jobs. [sleepfoundation.org]

    In healing that results in a scar, sweat glands, hair follicles[43][44] and nerves do not form. [en.wikipedia.org]

    Staph infections may remain in the skin and affect the sweat and oil glands. However, they can also spread throughout the body and affect multiple organs. A healthcare provider can prescribe antibiotics to help fight off staph infections. [medicalnewstoday.com]

  • Blister

    Researchers have found that when spouses fight, their cuts, scrapes, and blisters take longer to heal than when they are getting along. [sciencemag.org]

    See your doctor if any large blisters form. Go to the emergency room right away if you have any major burns. Continued Step 4. [webmd.com]

    Wounds can also take the form of blisters. Blisters occur when a small amount of liquid accumulates in a certain area underneath the skin. When a wound has become infected, the symptoms displayed will be that of the infection. [docdoc.com.sg]

    Closed Wound Types Contusions: blunt trauma causing pressure damage to the skin and / or underlying tissues (includes bruises) Blisters: fluid filled pockets under the skin Seroma: a fluid filled area that develops under the skin or body tissue (commonly [jobst-usa.com]

    […] frostbite) Chemical wounds (acid or alkali burns) Radiation-based wounds (skin irritation after radioactive radiation) Depending on the type of injury and the tissue affected, the following symptoms may occur: pain bleeding swelling redness irritation blistering [montavit.com]

  • Flushing

    Your provider may also flush the wound with an antibiotic solution or apply an antibiotic ointment. Sometimes a pocket of pus (abscess) may form. In that case, the abscess will be opened and the fluid drained. [fairview.org]

    Clean the wound: Use clean water and a saline solution to flush away any debris or bacteria. Once the wound looks clean, pat it dry with a clean cloth. [medicalnewstoday.com]

Psychiatrical

  • Withdrawn

    If connecting to others is difficult… Many people who have experienced trauma feel disconnected, withdrawn and find it difficult to connect with other people. [helpguide.org]

    If you act anxious and overwhelmed, your baby may react with fussing, have trouble being soothed, eat or sleep irregularly or may act withdrawn. What you can do: Try your best to act calm. [childmind.org]

Neurologic

  • Agitation

    Warning signs may include: being unable to handle the intense feelings or physical sensations feeling numb and empty experiencing strong distressing emotions that persist being physically tense, agitated or feeling on edge disturbed sleep or nightmares [psychology.org.au]

    Tip 3: Self-regulate your nervous system No matter how agitated, anxious, or out of control you feel, it’s important to know that you can change your arousal system and calm yourself. [helpguide.org]

    E Restrict stimulants (such as tea, coffee, chocolate, cola, or cigarettes) because you do not want to make your body even more agitated than it already is. E Try to eat something, even if you do not feel like eating. [thiswayup.org.au]

    Nerve blocks and procedural sedation and analgesia should be used as needed for wounds that are difficult to anesthetize using local anesthesia (eg, very painful or large wounds) and for agitated or uncooperative patients. [msdmanuals.com]

  • Feeling of Relaxation

    E Do something relaxing each day E Find a quiet and relaxing place E Practice the slow breathing method for one minute E Enjoy the feeling of relaxation E Practice once or twice every day for at least 8 weeks. [thiswayup.org.au]

Workup

The basic workup includes evaluating the wound, its extent and severity. Cultures are usually obtained both from the wound site and blood. [en.wikipedia.org]

Treatment

Types & treatments Childhood eczema Adult eczema Insider secrets Types of hair loss Treatment for hair loss Causes of hair loss Hair care matters Insider secrets What is psoriasis Diagnosis & treatment Skin, hair & nail care Triggers Insider secrets What [aad.org]

Brand's treatment approach is understanding and addressing the psychological ramifications of neuropathy that make treatment protocol sometimes difficult to follow. [hrsa.gov]

Treatment options The treatment recommended by your doctor depends on your age, health and the nature of your wound. General medical care may include: Cleaning to remove dirt and debris from a fresh wound. [betterhealth.vic.gov.au]

These dressings display their own advantages and disadvantages in wound treatment. They are used so frequently in our routine wound treatments. [hsj.gr]

It is not intended as medical advice for individual conditions or treatments. [drugs.com]

Etiology

Figure 1: Toe wound, amputation site infected and sloughy Figure 2: Infected toe wound and nail bed Etiology Most infected wounds are caused by bacterial colonization, originating either from the normal flora on the skin, or bacteria from other parts [woundsource.com]

Wounds can originate from external causes such as penetrating objects or blunt trauma, or internal causes such as immune, metabolic, and neurologic etiologies. [jobst-usa.com]

Epidemiology

Trauma Surgery & Acute Care Open provides an interdisciplinary forum for global issues in trauma and acute care surgery and is dedicated to covering epidemiological, educational, and socioeconomic facets of trauma management and injury prevention. [tsaco.bmj.com]

However, few epidemiological studies have examined whether pregnant women with mental health disorders and trauma are at increased risk of using cannabis during pregnancy. [jamanetwork.com]

Effects of selected radioactive materials Polonium-210 Plutonium Uranium Consequences of a radiation accident Cancer and leukaemia Introduction Childhood leukemia Hereditary radiation damage Individual radiosensitivity Epidemiology of radiation-induced [bfs.de]

"Assault induced stab injuries: epidemiology and actual treatment strategy". Acta Chirurgica Belgica. 111 (3): 146–54. doi:10.1080/00015458.2011.11680726. [en.wikipedia.org]

Pathophysiology

When wounds persist, a specialized approach is required for healing.[4] Pathophysiology[edit] To heal a wound, the body undertakes a series of actions collectively known as the wound healing process. [en.wikipedia.org]

Prevention

The doctor will treat the wound immediately to prevent further blood loss or to prevent it from being infected. However, the doctor will also check for other injuries. [docdoc.com.sg]

They can prevent the wound bed friction and keep the wound bed moist and prevent germ contamination. Doctors can observe the wound situation without dressing removal. [hsj.gr]

The basic principle in chronic wound care is to keep the wound clean to prevent infection and promote healing. Regular aseptic wound dressing is crucial. [elderly.gov.hk]

In this article, we describe how to prevent, recognize, and treat an infected wound. We also cover risk factors, complications, when to see a doctor, and medical treatment. [medicalnewstoday.com]

Prevent hand-foot-and-mouth disease It’s contagious, but you can reduce your child’s risk of catching it. Find out what helps. Scabies? Treat everyone! If your child develops scabies, everyone in your household will need treatment. [aad.org]

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2.1
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