SOLUTIONS GRADED A+
✔✔Radiation - ✔✔Exposed dermis, superficial, found in skin field, skin may have
erythema with dark black coloration
✔✔Minor trauma excoriation - ✔✔Linear, shallow, found anywhere with local or
advancing erythema
✔✔Minor trauma skin tears - ✔✔Shallow, linear flaps found on arms, hands legs
common with ecchymosis
✔✔Failed surgical site - ✔✔Partial or full thickness, necrotic base found at site of
incision with erythema and edema
✔✔Fistulae - ✔✔Pathological opening between organs cavities and the skin found at
site of abcess with opening in wound beds presenting with drainage organs and tissue
cavities
✔✔Stewart-Treves syndrome/angiosarcoma - ✔✔Malignant neoplasm originating from
blood vessels found with chronic lymphedema but rarely
✔✔Skin metastasis - ✔✔Present as hardened or rubbery, light pink nodules with
surrounding by a lighter area accompanied by patchy erythema, pimple like, may or
may not be painful
✔✔Partial thickness wound - ✔✔Down to but not through the dermis
✔✔Is hemosiderin staining common with lymphedema - ✔✔Not unless the venous
system is also compromised
✔✔What is the significance of wet Escher with arterial wounds - ✔✔Indicates the onset
of wet gangrene and requires immediate medical attention
✔✔General Contraindications for MLD - ✔✔Cardiac edema, renal failure, acute
infection, acute bronchitis, acute DVT, malignancy, bronchial asthma, hypertension
✔✔Local contradictions to the neck - ✔✔Carotid sinus syndrome, hyperthyroidism, age
(>60 arthrosclerosis)
✔✔Local contradictions to the abdomen - ✔✔Pregnancy, dysmenorrhea, illustrated,
diverticulitis, aortic aneurysm, recent abdominal surgery, DVT, inflammatory conditions,
radiation fibrosis, unexplained pain