Practical Wound Management UPDATED ACTUAL Questions and
CORRECT Answers
1. Basic rules of "First do no harm"
wound manage-
ment You will miss more by not looking than not knowing.
Tissue is tissue, if I wouldn't put it on my wound it doesn't go on my patients
wounds.
Create the best environment for healing and get out of the way.
Be part of the solution not part of the problem
2. Normal form Normal form is
required for normal
function
One wound, one scar
- lesions will want to heal together instead of as individual structures
3. Wound healing Lack of blood supply
failure
Infection
Motion
Tension
4. What structures Joints
are in
this area that Tendon sheath
could make this
Bursa
a
serious injury?
Synovial fluid: good medium for bacterial growth; glucose
, 5. Treatment op- Primary Closure
tions - Closure
Delayed Primary Closure
- leaving for a few days then bringing it together
- The wound is not closed until edema has subsided, no infection is present, and
all debris and exudate have been removed.
Delayed Secondary Closure
- leaving it alone until it forms granulation tissue, deride then put back together
Second Intention healing
6. Risks of closing a Wound dehiscence
wound too early
Deep seated infection
7. Golden period The time it takes for bacteria to multiply to 10^6 bacteria per gram of tissue
Breakpoint for infection
8. Factors that favor **Golden period dosnt exist for large animals since environment is full of feces and
wound infection debris**
Contamination with feces, which can contain 10^11 bacteria per gram
Contamination with soil, infection can appear with as little as 100 microorganisms
per gram
The virulence of offending bacteria
2/9
CORRECT Answers
1. Basic rules of "First do no harm"
wound manage-
ment You will miss more by not looking than not knowing.
Tissue is tissue, if I wouldn't put it on my wound it doesn't go on my patients
wounds.
Create the best environment for healing and get out of the way.
Be part of the solution not part of the problem
2. Normal form Normal form is
required for normal
function
One wound, one scar
- lesions will want to heal together instead of as individual structures
3. Wound healing Lack of blood supply
failure
Infection
Motion
Tension
4. What structures Joints
are in
this area that Tendon sheath
could make this
Bursa
a
serious injury?
Synovial fluid: good medium for bacterial growth; glucose
, 5. Treatment op- Primary Closure
tions - Closure
Delayed Primary Closure
- leaving for a few days then bringing it together
- The wound is not closed until edema has subsided, no infection is present, and
all debris and exudate have been removed.
Delayed Secondary Closure
- leaving it alone until it forms granulation tissue, deride then put back together
Second Intention healing
6. Risks of closing a Wound dehiscence
wound too early
Deep seated infection
7. Golden period The time it takes for bacteria to multiply to 10^6 bacteria per gram of tissue
Breakpoint for infection
8. Factors that favor **Golden period dosnt exist for large animals since environment is full of feces and
wound infection debris**
Contamination with feces, which can contain 10^11 bacteria per gram
Contamination with soil, infection can appear with as little as 100 microorganisms
per gram
The virulence of offending bacteria
2/9
