Differential Diagnosis
Wet, weepy wound; gaitor region
What is a venous ulcer?
Compares systolic pressure in the LE to systolic pressure in the UE
What is ABI?
Best irrigant for cleansing chronic wounds
What is normal saline?
Versatile wound covering - can be applied to absorb or hyrdate
What is gauze/saline-moistened gauze?
Lab value that reflects short-term nutritional changes
What is pre-albumin?
Wound over a bony prominence, full-thickness, no subcutaneous tissue visible
What is a Stage III pressure ulcer?
Standardized measure used to assess risk of pressure injury
What is the Norton or Braden scale?
Selective debridement method not covered under some state PT practice acts
What is sharp debridement?
Typically made with petroleum, mineral oil, or glycerin - non-adherent
What is inert gauze?
Lab value that reflects the oxygen carrying capacity of the blood
What is hemoglobin & hematocrit?
Dry, pale wound bed, callused borders, painless
What is a neuropathic foot ulcer?
What is the Wagner Scale?
Selective debridement method, adds growth factors and antimicrobials
What is larva therapy or biodebridement (maggot therapy)?
Made from seaweed, absorbs exudate and forms a gel
What is alginate?
Medications often used in the treatment of chronic pulmonary conditions, slows healing
What are corticosteroids?
Dry, gangrenous wound accompanied by sharp, stabbing pain on LE elevation
What is an arterial ulcer?
Standardized instrument used to assess risk of neuropathic foot ulcers
What is the Michigan Neuropathy Screening Instrument (MNSI)?
Non-selective debridement method included in APTA's Choose Wisely Campaign - not supported by evidence
What is W/P therapy?
When applied as a primary dressing, helps promote autolytic debridement
What is semi-permeable film?
Cancer treatment that damages the capillary bed and can impair local blood supply
No open skin, non-blanchable erythema; located over the sacrum
What is a Stage I pressure injury?
High level of accuracy/sensitivity in determining risk of osteomyelitis
Probe-to-bone test
Selective debridement method, requires "scoring" of eschar
What is enzymatic debridement/application of collagenase?
Commonly used in palliative care to reduce odor
What are charcoal-based dressings?
Lab value should be below 6% in people with neuropathic ulcers
What is hemoglobin A1c?