Types of Wound Healing
- Acute
- Chronic
- Primary Intention
- Approximated Edges
- Secondary Intention
- Edges Not Approximated
- Tertiary Intention
- Delayed Closure due to Infection and Necrosis
Wound Drainage Types and Devices
- Serous
- Serosanguineous
- Sanguineous
- Purulent
- T-tube
- Penrose
- Jackson-Pratt (JP)
- Hemovac
- Record Drainage Amounts
- Check Device Function
Pressure Ulcers
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Wound Care
- Surgery
- Septicemia
- Osteomyelitis
- Prevention
Braden Scale
- Sensory Perception
- Moisture
- Activity
- Mobility
- Nutrition
- Friction and Shear
Stevens-Johnson Syndrome
- Drugs
- < 10% of Body Surface Area (BSA) Involved
- 10-30% BSA Overlaps with Toxic Epidermal Necrolysis (TEN)
- Fever
- Affects Skin and Mucous Membranes
- Bullae Formation
- Necrosis
- Sloughing of Skin
- High Mortality Rate
- Supportive Care
- IVIG (Intravenous Immunoglobulin)
Acanthosis Nigricans
- Endocrine Disorders
- Diabetes Mellitus
- Obesity
- Malignancy
- Velvety Plaques
- Dark, Thickened Flexural Areas
- Hyperkeratosis with Melanocytes
- Treat Underlying Disorder
Stages of Hypothermia
- 32 to 35°C (90 to 95°F)
- Shivering
- 28 to 32°C (82 to 90°F)
- Obvious Motor Impairment
- Slowed Thinking
- < 28°C (< 82°F)
- Shivering Stops
- Paradoxical Undressing
- Arrhythmias
Hypothermia Interventions
- Remove From Environment
- Remove Wet Clothing
- Warm Clothing
- Heated Blankets
- Warm IV Solutions
- Heated Oxygen
- Warm Gastric Lavage
- Warm Trunk BEFORE Extremities
Keratoacanthoma
- Low-Grade Skin Tumor
- Dome-shaped Nodule with Central Crater
- More Common in Elderly
- Sun-exposed Skin
- Resembles Squamous Cell Carcinoma of the Skin
- Grows Rapidly over 4-6 Weeks
- Wide Excisional Biopsy
- Mohs Micrographic Surgery
Xeroderma Pigmentosum
- Defective Nucleotide Excision Repair
- Pyrimidine Dimer Accumulation
- Autosomal Recessive
- Susceptible to UVA and UVB Rays
- Actinic Keratosis
- Neurodegeneration
- Photosensitivity
- Corneal Ulcers
- Hyperpigmented Lentigines
- Increased Risk of Skin Cancer
Pseudofolliculitis Barbae
- Inflammation of Facial Follicles
- Associated with Shaving
- Cheeks, Jawline, and Neck
- Black Males
- Pustules and Papules
- Pruritus
- Painful
- Avoid Shaving
- Topical Clindamycin
- Low-Potency Steroid
- Topical Retinoid
Seborrheic Keratosis
- Flat, Greasy, Pigmented Squamous Epithelium
- "Stuck-On" Appearance
- Horn Cysts
- Proliferation of Immature Keratinocytes
- Most Common Benign Tumor in the Elderly
- Head, Trunk, and Extremities
- GI Adenocarcinoma
- Leser-Trelat Sign
- Observation
- Cryotherapy