| A | B |
|---|
| Acute Wound | One in which healing occurs as a sequential cascade of overlapping processes that requires the coordinated completion of a variety of cellular activities. These processes are not haphazard but carefully regulated. |
| Yellow Wound | _____ with fibrinous slough or purulent exudate from bacteria |
| Connective Tissue | Contains collagen and elastic fibers and can be found in the dermis |
| Delayed Primary Closure | An anatomically precise _____ that is delayed by a few days but before granulation tissue becomes visible. |
| Dermis | This is second principal part of the skin and is composed of connective tissue. The few cells in the _____ include fibroblasts and macrophages. The thickness of the _____ varies depending on anatomical location. Blood vessels, nerves and glands are embedded here. |
| Epidermis | This is the first layer of the skin and is composed of stratified squamous epithelium and contains four principal cells, the main cell being the keratinocyte. These cells help waterproof and protect the skin and underlying tissues. |
| Epithelium | The cellular covering of internal and external body surfaces, including the lining of vessels and small cavities |
| Erythema | A painful spreading redness around a wound |
| Collagen | A protein generated by fibroblasts which provides the supportive network of connective tissue and Protein responsible for tissue repair |
| Fibroblast | The cells that form fibrous tissue |
| Hemostasis | The stoppage of bleeding |
| Maceration | A softening or wetting of the skin owing to retention of excessive moisture |
| Primary Intention | When the edges of a wound are approximated and the individual layers of tissue are joined together by suturing, staples or tissue adhesives or a combination of all of these |
| Vasoconstriction | Reduced blood flow. |
| Superficial Wound | _____ confined to the epidermis layer. |
| Sloughing | Shedding of dead tissue as a result of skin ulceration. |
| Secondary Intention | When a wound has sustained a degree of tissue loss it may seem impossible to close the wound as the edges cannot be bought together or undesirable if infection is still present |
| Vasodilation | Increased blood flow. |
| Subcutaneous Fatty Tissue | This layer lies beneath the dermis and contains areolar and adipose tissues |
| Full-thickness Wound | _____ involving the entire epidermis and dermis. |
| Tertiary Intention | Delayed or secondary closure, Poor circulation or infection - do not suture until later |
| Serous Exudate | Watery in appearance, seen with mild inflammation - blister like |
| Purulent Exudate | Pus, Severe inflammation with infection. Thicker due to leukocytes. Liquefied dead tissue and bacteria |
| Hemorrhagic Exudate | large component of RBC’s (sanguineous / serosanguineous) |
| Suppuration | Means pus formation |
| Pyrogenic Bacteria | Is bacteria that causes pus formation |
| Pus | Color can be yellow, Green, or brown |
| Dehiscence | Partial or complete separation of the wound edges and the layers below the skin. |
| Evisceration | Protrusion of the internal viscera through a disrupted wound. |
| Superficial Wound | Contained to the epidermis |
| Partial Thickness Wound | Involves and includes epidermis and upper dermis |
| Chronic Wound | One in which the normal process of wound healing is disrupted at one or more points in the phases of wound healing. Often a is ‘stuck’ in either inflammation or proliferation. These wounds are often impeded by the accumulation of necrotic or sloughy tissue in the wound bed. |
| Black Wound | Containing necrotic tissue. |
| Blanching | White color to the skin where pressure is applied. |
| Clean-Contaminated Wound | Intentional _____ created by entry into the alimentary, respiratory, or genitourinary tract under controlled conditions. |
| Clean Wound | Intentional _____ in which no inflammation was encountered and the respiratory, alimentary, and oropharyngeal tracts were not entered. |
| Contaminated Wound | Open, traumatic _____ or intentional _____ with acute nonpurulent inflammation. |
| Debridement | Removal of necrotic tissue to foster the regeneration of healthy tissue. |
| Eschar | Scab or dry crust that results from death of the skin. |
| Exudate | Material and cells discharged from blood cells. |
| Hematoma | Localized collection of blood underneath the tissue. |
| Hemorrhage | Persistent bleeding. |
| Inflammation | Nonspecific cellular response to tissue injury or infection; involves increased blood flow in the affected area. |
| Intentional Wound | Acquired during treatment (such as surgery) or therapy (such as venipuncture). |
| Ischemia | Oxygen deprivation, usually due to poor perfusion. |
| Penrose Drain | Flexible _____ that functions by gravity. |
| Phagocytosis | Process by which certain cells engulf and dispose of foreign bodies. |
| Pressure Ulcer | Localized area of tissue necrosis that develops when soft tissue is compressed between a bony prominence and an external surface for a prolonged period of time; also known as bedsore or decubitus ulcer. |
| Red Wound | _____ in the proliferative phase of repair. |
| Suture | Surgical means of closing a wound by sewing, wiring, or stapling. |
| Unintentional Wound | _____ resulting from trauma or accident. |
| Full Thickness Wound | Involves and includes epidermis, dermis and subcutaneous fat and deeper structures |
