Wound types and Skin injuries

  1. A wound resulting from separation of the epidermis from the dermis or separation from both from underlaying tissue.

    Epidermal flap may cover or partially cover the wound or be lost.

    Surrounding skin is thin and ecchymotic.

    Location: arms and hand, lower extremities and other body parts.
    Skin Tear
  2. A wound caused by impaired arterial blood flow to the lower leg, foot and toes resulting in tissue ischemia, necrosis and loss.

    Cool, thin and shiny skin. Decrease or absent skin hair. Painful

    Minimal exudate, pale wound bed, necrotic tissue may be cover the wound bed, well defined wound margin.
    Arterial Ulcers
  3. A wound caused by a decrease in blood flow return from the lower extremities to the heart.

    Located between the knee, ankle, between the lower calf and ankle where sock are worn.

    Hyperpigmentation, brown discoloration firm hardened, dry scaly skin, edema. Redness proximal and distal to wound.

    Wound bed irregular margins, often shallow and has drainage.
    Venous Ulcers
  4. Ulcer in a person with diabetes.

    Location: Metatarsal head, top of toes and foot.

    Skin is dry, cracked, warm. Decrease sensation (neuropathy), charcot's foot.

    Wound bed regular margin, callus around wound.

    light pink tissue extending fromt he wound margin to edge indicates wound is healing.
    Diabetic Ulcers
  5. A skin irritation that occurs from urinary or fecal incontinence.

    Can lead to inflammation, erosion, and/or secondary infection.

    Tissue loss is limited to the epidermis/dermis. multiple areas of tissues are lost.

    Location: Buttocks, perineum and upper thighs.

    Diffuse area of light/pale to deep erythema of the skin, scaling of the skin, papule and vesicle formation, serosanguineous tissue weeping.

    Secondar infection: A maculopapular rash with satellite lesions. Very erythematous skin which may be prutic (itchy).
    Perineal (incontinence associated) Dermatitis
Card Set
Wound types and Skin injuries
skin tears, venous/arterial/diabetic ulcers, perineal (incontinence associated) Dermatitis