SlideShare a Scribd company logo
WOUNDS
PRESENTED BY
INTERN DOCTOR
MUGABI BARNABAS
OUTLINE
1. Case presentation.
2. Definition
3. Classification
4. Pathophysiology
5. Management
6. Complications
7. Workup
8. Chronic
9. History
CASE PRESENTATION
Namyalo Aidah,68 years.
A two weeks history.
Remembered to have been pierced by a thorn in her left
foot that she left in for 3 days.
PMHx:Diabetic and hypertensive.
PDHx:Glibenclamide, metformin,lasix and nifedipine.
Vitals:Temp-37.8C. Pulse-135b/m. B.P-144/85mmHg.
Investigations:CBC. RBS-23.7mmol. U/S scan and X-ray.
DEFINITION
A wound is a type of injury which happens
relatively quickly in which skin is torn,cut ,or
punctured(an open wound),or where blunt force
trauma causes a contusion(a closed wound).
CLASSIFICATION
According to the level of contamination
Open
Closed
CLASSIFICATION
According to the level of contamination:
 Clean
 Contaminated
 Infected
 Colonized
CLASSIFICATION
Open,according to the object that caused the wound:
 Incisions or incised wounds
 Lacerations-regular or irregular.
 Abrasions(grazes)
 Avulsions
 Puncture
 Penetration wounds
 Gunshot
CLASSIFICATION
CLASSIFICATION
Closed
 Hematomas
 Crush injury
PATHOPHYSIOLOGY
When the epidermis or dermis is broken,an
orchestrated cascade of biochemical events is
set into motion to repair the damage:
1. Haemostasis
2. Inflammation
3. Proliferation
4. Maturation
PATHOPHYSIOLOGY
MANAGEMENT
Depends on the type,cause and depth of the wound
and whether other structures beyond the skin(dermis)
are involved.
o Recent lacerations.
o Minor wouds like bruises.
o Abrasions
o Punctures
MANAGEMENT
Cleaning:
Also known as wound toilet,evidence to support
cleaning of a wound before closure is scant:
 Tap water
 Sterile saline solution
 Betadine
 Hydrogen peroxide.
 Savron
MANAGEMENT
Closure:
 Timing;6-24 hours.
 Techniques;bandages,sutures,glue,…
 Anaesthesia.
 Gloves
MANAGEMENT
DRESSINGS:
 Ointments.
 Creams containing silver.
 Honey
COMPLICATIONS
 Bacterial infection.
 Light to detect the presence of bacteria.
 Current labaratory methords
WORK UP
A. Evaluating the wound,its extent and severity.
B. Cultures
C. X-rays
D. Tetanus shot.
CHRONIC
Diabetic foot:
o 25% of diabetic patients will develop foot ulcers
o Associated with inadequate circulation,poorly functioning
veins,and immobility
o Amputation every 30 seconds somewhere in the world
o Interdisciplinary approach to treatment.
HISTORY
 The body and the soul were believed to be intimately connected.
 Wounds on the body were believed to correlate with wounds to the soul and vise
versa
 Wounds were also seen as a writing on the ‘’tablet’’ of the body.
REFERENCES
 Fernandez R., Griffiiths R.(15th February 2012). « Water for wound
dressing ».
 Eliya-Masamba, Martha C.;Banda,GraceW.(2013-10-22). »Primary closure
versus delayed closure for non bite traumatic wounds within 24 hours post
injury ».
 “The Clinical Case for Use of Hyperbaric Oxygen The therapy in the
Treatment of Diabetic Wounds,” Diversified Clinical Services,copyright 2009.
 Reichardt,Paul F.(1984). “Gawain and the image of the wound”.
 Sheth,V.M.;Weitzul,S. (2008). “Postoperative topical antimicrobial
use”.Dermatitis: contact,atopic,occupational,drug.
THANK YOU.

More Related Content

Similar to WOUNDS.pptx

Wound care
Wound care Wound care
Wound care
Sung Wook Song
 
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in BrazilLinda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
Kim Solez ,
 
RAYNAUD'S DISEASE
RAYNAUD'S DISEASERAYNAUD'S DISEASE
RAYNAUD'S DISEASE
ShylaMercy
 
Leptospirosis 2015
Leptospirosis 2015Leptospirosis 2015
Leptospirosis 2015
Pranjal Agarwal
 
Open fracture wound care_Dr anglen
Open fracture wound care_Dr anglen Open fracture wound care_Dr anglen
Open fracture wound care_Dr anglen
Trần Thanh
 
case presentation on post kala azar dermal leishmaniasis (PKDL)
case presentation on post kala azar dermal leishmaniasis (PKDL)case presentation on post kala azar dermal leishmaniasis (PKDL)
case presentation on post kala azar dermal leishmaniasis (PKDL)
ChristyThomas37
 
Leprosy (Hansen's Disease)
Leprosy (Hansen's Disease) Leprosy (Hansen's Disease)
Leprosy (Hansen's Disease)
KULDEEP VYAS
 
Blood culture role in sepsis and it's management
Blood culture role in sepsis and it's managementBlood culture role in sepsis and it's management
Blood culture role in sepsis and it's management
Dr Nisha Singh
 
Rabies
Rabies Rabies
Rabies
KULDEEP VYAS
 
Eds 16 10
Eds 16 10Eds 16 10
Eds 16 10
maha fahmy
 
Ulcer lecture notes.ppt
Ulcer lecture notes.pptUlcer lecture notes.ppt
Ulcer lecture notes.ppt
DramoyoGeofrey
 
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasdReynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
karthikss21
 
Cat scratch disease
Cat scratch diseaseCat scratch disease
Cat scratch disease
Montasir Ahmed
 
mnemonics in dermatology
mnemonics in dermatologymnemonics in dermatology
mnemonics in dermatology
Ayman Ayman
 
Chikungunya, Dengue, Yellow Fever, Zika 2018
Chikungunya, Dengue, Yellow Fever, Zika 2018Chikungunya, Dengue, Yellow Fever, Zika 2018
Chikungunya, Dengue, Yellow Fever, Zika 2018
Alexandre Naime Barbosa
 
Severe Cutaneous Adverse Reactions to Drugs
Severe Cutaneous Adverse Reactions to DrugsSevere Cutaneous Adverse Reactions to Drugs
Severe Cutaneous Adverse Reactions to Drugs
Jerriton Brewin
 
Chikungunya, dengue, yellow fever, zika 2019
Chikungunya, dengue, yellow fever, zika 2019Chikungunya, dengue, yellow fever, zika 2019
Chikungunya, dengue, yellow fever, zika 2019
Alexandre Naime Barbosa
 
Candidiasis jc
Candidiasis jcCandidiasis jc
Candidiasis jc
priyadershini rangari
 
2015: Wounds in the Geriatric Population-Salas
2015: Wounds in the Geriatric Population-Salas2015: Wounds in the Geriatric Population-Salas
2015: Wounds in the Geriatric Population-Salas
SDGWEP
 
Wound infection (revised 27th feb 2017)
Wound infection (revised 27th feb 2017)Wound infection (revised 27th feb 2017)
Wound infection (revised 27th feb 2017)
Marie Private Nursing Service (under Rosaforrestiana)
 

Similar to WOUNDS.pptx (20)

Wound care
Wound care Wound care
Wound care
 
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in BrazilLinda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
Linda Cendales Composite Tissue Graft Summary Banff 2013 Meeting in Brazil
 
RAYNAUD'S DISEASE
RAYNAUD'S DISEASERAYNAUD'S DISEASE
RAYNAUD'S DISEASE
 
Leptospirosis 2015
Leptospirosis 2015Leptospirosis 2015
Leptospirosis 2015
 
Open fracture wound care_Dr anglen
Open fracture wound care_Dr anglen Open fracture wound care_Dr anglen
Open fracture wound care_Dr anglen
 
case presentation on post kala azar dermal leishmaniasis (PKDL)
case presentation on post kala azar dermal leishmaniasis (PKDL)case presentation on post kala azar dermal leishmaniasis (PKDL)
case presentation on post kala azar dermal leishmaniasis (PKDL)
 
Leprosy (Hansen's Disease)
Leprosy (Hansen's Disease) Leprosy (Hansen's Disease)
Leprosy (Hansen's Disease)
 
Blood culture role in sepsis and it's management
Blood culture role in sepsis and it's managementBlood culture role in sepsis and it's management
Blood culture role in sepsis and it's management
 
Rabies
Rabies Rabies
Rabies
 
Eds 16 10
Eds 16 10Eds 16 10
Eds 16 10
 
Ulcer lecture notes.ppt
Ulcer lecture notes.pptUlcer lecture notes.ppt
Ulcer lecture notes.ppt
 
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasdReynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
Reynolds Immersion asdsadasoisadhfisdjhfidshfishfoihdsadasdasd
 
Cat scratch disease
Cat scratch diseaseCat scratch disease
Cat scratch disease
 
mnemonics in dermatology
mnemonics in dermatologymnemonics in dermatology
mnemonics in dermatology
 
Chikungunya, Dengue, Yellow Fever, Zika 2018
Chikungunya, Dengue, Yellow Fever, Zika 2018Chikungunya, Dengue, Yellow Fever, Zika 2018
Chikungunya, Dengue, Yellow Fever, Zika 2018
 
Severe Cutaneous Adverse Reactions to Drugs
Severe Cutaneous Adverse Reactions to DrugsSevere Cutaneous Adverse Reactions to Drugs
Severe Cutaneous Adverse Reactions to Drugs
 
Chikungunya, dengue, yellow fever, zika 2019
Chikungunya, dengue, yellow fever, zika 2019Chikungunya, dengue, yellow fever, zika 2019
Chikungunya, dengue, yellow fever, zika 2019
 
Candidiasis jc
Candidiasis jcCandidiasis jc
Candidiasis jc
 
2015: Wounds in the Geriatric Population-Salas
2015: Wounds in the Geriatric Population-Salas2015: Wounds in the Geriatric Population-Salas
2015: Wounds in the Geriatric Population-Salas
 
Wound infection (revised 27th feb 2017)
Wound infection (revised 27th feb 2017)Wound infection (revised 27th feb 2017)
Wound infection (revised 27th feb 2017)
 

More from BARNABASMUGABI

MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptxMICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
BARNABASMUGABI
 
RADIOTHERAPY describes the various indications
RADIOTHERAPY describes the various indicationsRADIOTHERAPY describes the various indications
RADIOTHERAPY describes the various indications
BARNABASMUGABI
 
Optic Disc Abnormalities and their presentations
Optic Disc Abnormalities and their presentationsOptic Disc Abnormalities and their presentations
Optic Disc Abnormalities and their presentations
BARNABASMUGABI
 
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
BARNABASMUGABI
 
OCULAR VIRAL ILLNESSES with different ocular manifestations
OCULAR VIRAL ILLNESSES with different ocular manifestationsOCULAR VIRAL ILLNESSES with different ocular manifestations
OCULAR VIRAL ILLNESSES with different ocular manifestations
BARNABASMUGABI
 
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
BARNABASMUGABI
 
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eyeHYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
BARNABASMUGABI
 
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaestheticOCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
BARNABASMUGABI
 
1.Ocular headache and the causes of raised ocular pressure
1.Ocular headache and the causes of raised ocular pressure1.Ocular headache and the causes of raised ocular pressure
1.Ocular headache and the causes of raised ocular pressure
BARNABASMUGABI
 
DIABETIC RETINOPATHY-postgraduate teaching.pptx
DIABETIC RETINOPATHY-postgraduate teaching.pptxDIABETIC RETINOPATHY-postgraduate teaching.pptx
DIABETIC RETINOPATHY-postgraduate teaching.pptx
BARNABASMUGABI
 
Other Retinal Vascular Diseases.pptx
Other Retinal Vascular Diseases.pptxOther Retinal Vascular Diseases.pptx
Other Retinal Vascular Diseases.pptx
BARNABASMUGABI
 
MUGABI ON ASTIGMATISM.pptx
MUGABI ON ASTIGMATISM.pptxMUGABI ON ASTIGMATISM.pptx
MUGABI ON ASTIGMATISM.pptx
BARNABASMUGABI
 
BURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptxBURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptx
BARNABASMUGABI
 
REFRACTIVE SURGERY PRESENTATION.pptx
REFRACTIVE SURGERY PRESENTATION.pptxREFRACTIVE SURGERY PRESENTATION.pptx
REFRACTIVE SURGERY PRESENTATION.pptx
BARNABASMUGABI
 
BURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptxBURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptx
BARNABASMUGABI
 
lacrimal secretion.pptx
lacrimal secretion.pptxlacrimal secretion.pptx
lacrimal secretion.pptx
BARNABASMUGABI
 
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptxPERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
BARNABASMUGABI
 
CLINICAL REFRACTION.pptx
CLINICAL REFRACTION.pptxCLINICAL REFRACTION.pptx
CLINICAL REFRACTION.pptx
BARNABASMUGABI
 
BLUNT TRAUMA PRESENTATION.pptx
BLUNT TRAUMA PRESENTATION.pptxBLUNT TRAUMA PRESENTATION.pptx
BLUNT TRAUMA PRESENTATION.pptx
BARNABASMUGABI
 
COMMUNITY OPHTHALMOLOGY.pptx
COMMUNITY OPHTHALMOLOGY.pptxCOMMUNITY OPHTHALMOLOGY.pptx
COMMUNITY OPHTHALMOLOGY.pptx
BARNABASMUGABI
 

More from BARNABASMUGABI (20)

MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptxMICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
MICROBIAL AND PARASITIC INFECTIONS OF THE EYE.pptx
 
RADIOTHERAPY describes the various indications
RADIOTHERAPY describes the various indicationsRADIOTHERAPY describes the various indications
RADIOTHERAPY describes the various indications
 
Optic Disc Abnormalities and their presentations
Optic Disc Abnormalities and their presentationsOptic Disc Abnormalities and their presentations
Optic Disc Abnormalities and their presentations
 
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
OCULAR TOXOPLASMOSIS the blinding disease and is classified among the torch i...
 
OCULAR VIRAL ILLNESSES with different ocular manifestations
OCULAR VIRAL ILLNESSES with different ocular manifestationsOCULAR VIRAL ILLNESSES with different ocular manifestations
OCULAR VIRAL ILLNESSES with different ocular manifestations
 
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
LEUKEMIC DISEASES AND THE EYE.pptx. This talks about the ocular manifestation...
 
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eyeHYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
HYPERTENSIVE RETINOPATHY. The effects of hypertension on the eye
 
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaestheticOCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
OCULAR PHARMACOLOGY.Talks of the various drugs mainly topical and anaesthetic
 
1.Ocular headache and the causes of raised ocular pressure
1.Ocular headache and the causes of raised ocular pressure1.Ocular headache and the causes of raised ocular pressure
1.Ocular headache and the causes of raised ocular pressure
 
DIABETIC RETINOPATHY-postgraduate teaching.pptx
DIABETIC RETINOPATHY-postgraduate teaching.pptxDIABETIC RETINOPATHY-postgraduate teaching.pptx
DIABETIC RETINOPATHY-postgraduate teaching.pptx
 
Other Retinal Vascular Diseases.pptx
Other Retinal Vascular Diseases.pptxOther Retinal Vascular Diseases.pptx
Other Retinal Vascular Diseases.pptx
 
MUGABI ON ASTIGMATISM.pptx
MUGABI ON ASTIGMATISM.pptxMUGABI ON ASTIGMATISM.pptx
MUGABI ON ASTIGMATISM.pptx
 
BURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptxBURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptx
 
REFRACTIVE SURGERY PRESENTATION.pptx
REFRACTIVE SURGERY PRESENTATION.pptxREFRACTIVE SURGERY PRESENTATION.pptx
REFRACTIVE SURGERY PRESENTATION.pptx
 
BURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptxBURKITTS LYMPHOMA.pptx
BURKITTS LYMPHOMA.pptx
 
lacrimal secretion.pptx
lacrimal secretion.pptxlacrimal secretion.pptx
lacrimal secretion.pptx
 
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptxPERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
PERIOCULAR MALPOSITIONS AND INVOLUTIONAL CHANGES.pptx
 
CLINICAL REFRACTION.pptx
CLINICAL REFRACTION.pptxCLINICAL REFRACTION.pptx
CLINICAL REFRACTION.pptx
 
BLUNT TRAUMA PRESENTATION.pptx
BLUNT TRAUMA PRESENTATION.pptxBLUNT TRAUMA PRESENTATION.pptx
BLUNT TRAUMA PRESENTATION.pptx
 
COMMUNITY OPHTHALMOLOGY.pptx
COMMUNITY OPHTHALMOLOGY.pptxCOMMUNITY OPHTHALMOLOGY.pptx
COMMUNITY OPHTHALMOLOGY.pptx
 

Recently uploaded

Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and SynonymsGiloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and Synonyms
Planet Ayurveda
 
Skin Diseases That Happen During Summer.
 Skin Diseases That Happen During Summer. Skin Diseases That Happen During Summer.
Skin Diseases That Happen During Summer.
Gokuldas Hospital
 
Local anesthetics 2024/ Medicinal Chemistry pdf
Local anesthetics 2024/ Medicinal Chemistry pdfLocal anesthetics 2024/ Medicinal Chemistry pdf
Local anesthetics 2024/ Medicinal Chemistry pdf
NarminHamaaminHussen
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
Gokuldas Hospital
 
Debunking Nutrition Myths: Separating Fact from Fiction"
Debunking Nutrition Myths: Separating Fact from Fiction"Debunking Nutrition Myths: Separating Fact from Fiction"
Debunking Nutrition Myths: Separating Fact from Fiction"
AlexandraDiaz101
 
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga
 
Recent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptxRecent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptx
DrGirishJHoogar
 
pharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdfpharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdf
KerlynIgnacio
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
Dr. Dhwani kawedia
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
Gokuldas Hospital
 
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOWPune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Get New Sim
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
Torstein Dalen-Lorentsen
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
Healthmedsrx.com
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
shruti jagirdar
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
Jyoti Bhaghasra
 
pharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptxpharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptx
AdugnaWari
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
Dr. Sumit KUMAR
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
Dr. Deepika's Homeopathy - Gaur City
 

Recently uploaded (20)

Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and SynonymsGiloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and Synonyms
 
Skin Diseases That Happen During Summer.
 Skin Diseases That Happen During Summer. Skin Diseases That Happen During Summer.
Skin Diseases That Happen During Summer.
 
Local anesthetics 2024/ Medicinal Chemistry pdf
Local anesthetics 2024/ Medicinal Chemistry pdfLocal anesthetics 2024/ Medicinal Chemistry pdf
Local anesthetics 2024/ Medicinal Chemistry pdf
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
 
Debunking Nutrition Myths: Separating Fact from Fiction"
Debunking Nutrition Myths: Separating Fact from Fiction"Debunking Nutrition Myths: Separating Fact from Fiction"
Debunking Nutrition Myths: Separating Fact from Fiction"
 
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
 
Recent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptxRecent advances on Cervical cancer .pptx
Recent advances on Cervical cancer .pptx
 
pharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdfpharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdf
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
 
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOWPune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
 
pharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptxpharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptx
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
 

WOUNDS.pptx

  • 2. OUTLINE 1. Case presentation. 2. Definition 3. Classification 4. Pathophysiology 5. Management 6. Complications 7. Workup 8. Chronic 9. History
  • 3. CASE PRESENTATION Namyalo Aidah,68 years. A two weeks history. Remembered to have been pierced by a thorn in her left foot that she left in for 3 days. PMHx:Diabetic and hypertensive. PDHx:Glibenclamide, metformin,lasix and nifedipine. Vitals:Temp-37.8C. Pulse-135b/m. B.P-144/85mmHg. Investigations:CBC. RBS-23.7mmol. U/S scan and X-ray.
  • 4. DEFINITION A wound is a type of injury which happens relatively quickly in which skin is torn,cut ,or punctured(an open wound),or where blunt force trauma causes a contusion(a closed wound).
  • 5. CLASSIFICATION According to the level of contamination Open Closed
  • 6. CLASSIFICATION According to the level of contamination:  Clean  Contaminated  Infected  Colonized
  • 7. CLASSIFICATION Open,according to the object that caused the wound:  Incisions or incised wounds  Lacerations-regular or irregular.  Abrasions(grazes)  Avulsions  Puncture  Penetration wounds  Gunshot
  • 10. PATHOPHYSIOLOGY When the epidermis or dermis is broken,an orchestrated cascade of biochemical events is set into motion to repair the damage: 1. Haemostasis 2. Inflammation 3. Proliferation 4. Maturation
  • 12. MANAGEMENT Depends on the type,cause and depth of the wound and whether other structures beyond the skin(dermis) are involved. o Recent lacerations. o Minor wouds like bruises. o Abrasions o Punctures
  • 13. MANAGEMENT Cleaning: Also known as wound toilet,evidence to support cleaning of a wound before closure is scant:  Tap water  Sterile saline solution  Betadine  Hydrogen peroxide.  Savron
  • 14. MANAGEMENT Closure:  Timing;6-24 hours.  Techniques;bandages,sutures,glue,…  Anaesthesia.  Gloves
  • 15. MANAGEMENT DRESSINGS:  Ointments.  Creams containing silver.  Honey
  • 16. COMPLICATIONS  Bacterial infection.  Light to detect the presence of bacteria.  Current labaratory methords
  • 17. WORK UP A. Evaluating the wound,its extent and severity. B. Cultures C. X-rays D. Tetanus shot.
  • 18. CHRONIC Diabetic foot: o 25% of diabetic patients will develop foot ulcers o Associated with inadequate circulation,poorly functioning veins,and immobility o Amputation every 30 seconds somewhere in the world o Interdisciplinary approach to treatment.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. HISTORY  The body and the soul were believed to be intimately connected.  Wounds on the body were believed to correlate with wounds to the soul and vise versa  Wounds were also seen as a writing on the ‘’tablet’’ of the body.
  • 25. REFERENCES  Fernandez R., Griffiiths R.(15th February 2012). « Water for wound dressing ».  Eliya-Masamba, Martha C.;Banda,GraceW.(2013-10-22). »Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury ».  “The Clinical Case for Use of Hyperbaric Oxygen The therapy in the Treatment of Diabetic Wounds,” Diversified Clinical Services,copyright 2009.  Reichardt,Paul F.(1984). “Gawain and the image of the wound”.  Sheth,V.M.;Weitzul,S. (2008). “Postoperative topical antimicrobial use”.Dermatitis: contact,atopic,occupational,drug.