Neuropathic Ulcers
The most important measure in preventing neuropathic foot ulcers
What is proper foot wear?
Atypical wound that can occur in patients with Crohns and/or RA - mimics a venous ulcer without the swelling, often has a violet colored wound margin
What is pyoderma gangrenosum?
Setting/location where most burns occur
What is in the home?
Strict contraindications for ESTR
Areas of the body most at risk for frostbite
What are the ears, nose, and distal appendages?
Most common location of neuropathic foot ulcers
What is the plantar aspect of the foot, metatarsal heads?
Term used to describe a wound that occurs when a cancerous tumor breaks through the skin
What is a fungating wound?
The most common mechanism of injury in burns
What are thermal injuries?
Best waveforms to use for ESTR
What are waveforms with polar effects - i.e., HVPC, pulsed monophasic, diadynamic, and pulsed biphasic assymmetrical unbalanced waveforms?
Best dressings/topical agents to use on a dry, infected wound
What is honey or silver hydrogel (amorphous)?
Typical characteristics of neuropathic foot ulcers
What is dry, callused margin, pale wound base, full thickness skin damage?
Distinct smell sometimes generated by malignant wounds
What is wet cardboard?
Time it takes for the full extent of an electrical or chemical burn to become evident
What is 72 hours?
Strict contraindications for pulsed lavage
What are facial wounds, osteomyelitis, exposed blood vessels and nerves, and wounds that communicate with body cavities?
Common medications used in people with respiratory conditions and/or musculoskeletal conditions that can suppress wound healing
What are corticosteroids and NSAIDS?
Gold standard for treatment of DFUs
What is total contact casting?
What is molluscum contagiosum?
Zones of a burn injury from most to least severe
What are the zone of coagulation, zone of stasis, and zone of hyperemia?
This modality promotes optimal moisture balance, decreases bacterial load, and increases mitosis through an applied stretch to healing tissues
What is negative pressure wound therapy (NPWT)?
Foot deformity that occurs in people with DPN and places them at risk of wound formation at the midfoot
What is Charcot foot/Charcot arthropathy?
Best time to assess shoe fit in a person with peripheral neuropathy
What is the end of the day?
Damage to skin from radiation therapy that increases risks of delayed healing and vulnerability to future wounds
What is capillary fibrosis, decreased angiogenesis, and reduction in formation of granulation tissue?
Greatest risk factor for formation of heterotopic ossification
What is TBSA involved in the burn?
This biophysical agent helps stimulate mitosis and growth factor production through its effect on the mitochondria
What is low intensity light therapy (LILT)?
Type of dressing that canNOT be used when patients are receiving HBOT
What is petroleum gauze/inert gauze?
Most accurate method for assessing peripheral circulation in people with long-standing diabetes
What is the TBI?
Type of skin condition that is associated with HIV/AIDS - extremely painful and can affect the hands and soles of the feet
What is Kaposi's sarcoma?
Most common location for heterotopic ossification following a burn injury
Elbow
Contraindications for HBOT
What are pneumothorax, emphysema, seizure disorder, claustrophobia, sinusitis, and upper respiratory infection?
Topical agent used to address hypergranulation tissue - can stain tissues black
What is silver nitrate?
Commonly seen gait deviations in people with DPN
What is wide base of support, lack of distinct heel strike, early heel rise, poor shock attenuation, decreased step length, decreased speed, and increased step-to-step variability?
Skin condition associated with DM2, can mimic venous insufficiency/hemosiderin staining
What is necrobiosis lipoidica?
The most accurate method for estimating TBSA of a burn in children under the age of 5
What is the Lund-Browder chart?
Benefits of low frequency US
What is assists with debridement of necrotic tissue, removes biofilm, and promotes circulation?
Medications that can lead to SJS/TENS
What are anti-seizure, anti-psychotic, antibiotic, and chemotherapeutic medications as well as Tylenol?