Blog

You have evaluated a patient with a right medial lower extremity wound today. The wound bed is 80% granular, 20% yellow slough. There is moderate wound odor, and copious blue-green drainage on the dressings. The border is irregular and macerated.  The periwound is moderately edematous, with moderate distal hemosiderin deposition.  The patient states that his leg swells up throughout the day and weeps into his sock and shoe. You diagnose the underlying etiology as venous insufficiency and this is confirmed by the vascular surgeon, having tested the patient with a venous duplex scan with poor results, and a normal ABI bilaterally.  What form of debridement would you do/recommend?

A patient presents to your clinic with a wound that is properly dressed, but you notice the dressing is heavily saturated with fluid and the patient has not changed it for the past 4 days.  Clean technique dictates that after removing their dressing you should:

Which compression plan is best for the patient above?

Which of the following is the most likely reason for American companies to seek third-country nationals for their international sales forces?

When a firm (manufacturer) uses another firm’s distribution channel systems in a foreign country, the practice is known as:

You are working in a rural based outpatient orthopedic clinic.  Your patient presents with PT referral for low back pain  When you do your evaluation, you notice a wound on the plantar foot.   You speak with the referring MD who gives you the ok to evaluate/treat the wound. PMH is significant for osteoarthritis, DM, and smoking.  With limited resources available, what should you do to address the wound on the first visit?

Patient is receiving hospice care and presents to wound clinic with a fungating breast wound (malignant).  The wound measures 12x8x2 cms and has heavy drainage with foul odor.  The wound has 50% necrotic tissue.  The patient has 8/10 pain with dressing changes and changes her dressing 3-4 times per day.  Which is least important when establishing goals of care?  

Your patient is referred to your wound clinic from the vascular team and presents with a non operable mild arterial insufficiency wound to the left lateral malleolus that measures 0.8×0.5×0.2cms and is 50% necrotic and 50% granular.  She states that she sleeps in side lying.  The following interventions are likely appropriate except:

Your patient resides in a transitional care unit (TCU) with a stage 4 pressure injuries to his bilateral ITs.  He is getting nursing dressing changes at the facility, but the wounds continue to have significant necrotic tissue.  He has had repeat hospital admission due to sepsis from his wounds.  He has limited financial resources and no available family to participate in his care.  Which of the following is the most appropriate treatment plan given this information?

You are asked to evaluate a patient with a vertical abdominal wound after having a hemicolectomy for colon cancer. The surgery was 12 days ago.  The wound measures 15.0 cms x 2.5 x 5.6 cms.  The wound is 80% yellow slough and 20% granular (but more on the pink than red side).  There is minimal odor, no erythema, minimal edema.  There is moderate drainage on the dressings.  What is the biggest impairment (limitation) to wound healing for this gentleman?