It is the break in the continuity of tissue and sequalae.
Classification of Wounds:
- Acute Wounds
- Chronic Wounds
Wound |
1) Acute Wounds
- Closed Wounds
- Open Wounds
Acute Wound |
Closed Wounds
A) Bruises:
Whenever there is blunt trauma or fall it will result change in colour of the skin initially bluish then become greenish and black.
Bruises |
B) Hematoma:
It is accumulation of blood in tissues which usually needs evacuation because of pressure symptoms.
Hematoma |
Open Wounds
A) Abrasion/ Friction:
When the skin surface is rubbed off against any surface will result in abrasion.
Abrasion/ Friction |
It can be incised (as occurs in surgical blade incision or knife) or penetration wound which occurs in the blunt trauma (with nail or glass).
Laceration |
C) Bite Wounds:
As occurs in dog bite, camel bite etc.
Bite Wound |
D) Complex Wounds:
These includes Crush wounds as occur in Road Traffic Accidents.
Complex Wound |
Injuries to specific tissues
a) Bone b) Muscles c) Nerve d) Blood Vessels e) Fats
Management of Acute Wounds
Closed Wounds Management
Bruise:
Bruise usually disappear by itself. It is a self limiting disease. And the clearance time is variable.
Bruise |
Hematoma:
It is usually evacuated.
Hematoma |
Open Wounds Management
Lacerated Wounds:
The dead tissue is removed, if there is an injury to nerves, vessels so they are repaired and wound is closed. patient is given Tetanus Vaccine and Antibiotics.
Lacerated Wound |
Bite Wounds:
Damaged and Necrotic tissue is excised while muscles, nerves and vessels are repaired. In case of rabid animal bite, Rabies Vaccines are given (0, 3, 7, 14, 28th days).
Bite Wound |
Abrasion/ Friction:
Usually there is a skin loss which require skin Grafting.
Abrasion/ Friction |
Complex Wounds:
Usually these wounds do not heal by primary intention. there is odema, exudate and extensive necrotic tissue so the wound is thoroughly cleaned and left open to give time to subside the odema or inflammation. When the wound appear healthy then it is closed. Tetanus Vaccines, Antibiotics and daily dressing are needed.
Complex Wound |
2) Chronic Wounds
A) Ulcers
B) Pressure sore (Bed sores and Decubitus ulcer)
Chronic Wound |
Definition:
It is discontinuity in the epithelium and deeper tissues.
Classification of Ulcers:
Ulcer |
Classification of Ulcers:
- Decubitus Ulcers
Causes/ Risk factors for Decubitus Ulcers:
Prolong immobility(stroke, paraplegia, orthopedic surgery)
Management:
1) One has to treat the disease and mobilize the patient as soon as possible.
2) Frequent posture change
3) Air cushions are used
4) The decubitus ulcer is kept moist
5)Proper dressing and antibiotics are used
Decubitus Ulcer |
- Tuberculous Ulcers
Tuberculous Ulcer |
- Syphilic Ulcers
Syphilic Ulcer |
- Peptic Ulcers
- Malignant Ulcers
Malignant Ulcer |
- Neuropathic Ulcers (Diabetes)
- Haematological Disease (Sickle cell disease, Spherocytosis)
Haematological Disease |
- Venous Ulcers
Venous Ulcer |
- Arterial Ulcers
- Stress Ulcers in Mouth
Stress Ulcer in Mouth |
- Vasculitic Ulcers
Vasculitic Ulcer |
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