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Wound

Wound

Stay up to date on the latest medical knowledge with this Wound activity. In this online self-assessment activity, you'll read our reference articles and test your knowledge with 112 activities in Wound for 102 total CME hours.


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Featured Article Activities

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Breast Abscess

Breast abscesses are a common problem, especially in lactating women. Most breast abscesses are benign, however when a n ...
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Rating: 3.50
Hours: 1

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Hand Infection

Hand infections comprise a broad spectrum of pathology, dependent upon which superficial or deep structures are involved ...
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Hours: 1

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Impaired Wound Healing

Wounds of all shapes and sizes have plagued patients and created a significant burden on their caretakers. It has long b ...
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Rating: 4.50
Hours: 0.75

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Keloid

Keloids result from abnormal wound healing in response to skin trauma or inflammation. Keloid development rests on genet ...
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Hours: 1

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Wound Healing Phases

Wound healing is a natural physiological reaction to tissue injury. However, wound healing is not a simple phenomenon an ...
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Hours: 0.75

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Vitamin C Deficiency

Vitamin C deficiency, also known as scurvy, is a disease primarily associated with socioeconomic status and access to fo ...
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Hours: 1.25

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Wound Activities

Title Description Hours Questions
Above the Knee Amputations Above-the-knee amputations are performed in patients of all ages for a variety of reasons. The amputation is performed through the femur and allows pa ... Read the Article 0.75 6 Activity MD/PA Activity DO
Abrasion Abrasion is the superficial denudation of the epithelium due to scraping, impact or pressure. While the management of abrasions is relatively simple, ... Read the Article 1 8 Activity MD/PA Activity DO
Acute and Chronic Thermal Burn Evaluation and Management Thermal burns are a significant cause of worldwide morbidity and mortality. They can lead to debilitating, lifelong injuries and have serious psycholo ... Read the Article 1 9 Activity MD/PA Activity DO
Animal Bites Animal bites account for approximately one percent of all emergency visits in the U.S. yearly and can range from superficial injuries to disfiguring a ... Read the Article 1 8 Activity MD/PA Activity DO
Anthrax Anthrax is an infectious disease caused by an encapsulated, spore-forming, gram-variable bacteria called Bacillus anthracis. This commonly presents wi ... Read the Article 0.75 6 Activity MD/PA Activity DO
Bacteroides Fragilis The human colon possesses the largest population of bacteria in the body, and the majority of these organisms are anaerobes; of these, about 25 percen ... Read the Article 1 7 Activity MD/PA Activity DO
Basal Cell Cancer Basal cell carcinoma a common cutaneous malignancy that occurs mostly on sun-damaged skin of the head, neck, and trunk. Basal cell carcinoma can be di ... Read the Article 1.25 14 Activity MD/PA Activity DO
Battle Sign Battle Sign is bruising over the mastoid process that is typically the result of head trauma. Battle sign typically requires significant head trauma a ... Read the Article 0.75 5 Activity MD/PA Activity DO
Below Knee Amputation A below the knee amputation (BKA) is a transtibial amputation that involves removing the foot, ankle joint, distal tibia, fibula, and corresponding so ... Read the Article 1 6 Activity MD/PA Activity DO
Benzoyl Peroxide Benzoyl peroxide is an over-the-counter topical medication and is also an FDA-approved prescription medication for the treatment of acne vulgaris. It ... Read the Article 0.75 4 Activity MD/PA Activity DO
Bisphosphonate Related Jaw Osteonecrosis Bisphosphonates are synthetic pyrophosphate analogs used to treat hypercalcemia secondary to conditions affecting bone resorption such as malignancy, ... Read the Article 1 8 Activity MD/PA Activity DO
Blistering Distal Dactylitis Blistering distal dactylitis (BDD) is a bacterial infection of the fingers presenting as multiple fluid-filled lesions. This condition is common in ch ... Read the Article 0.75 6 Activity MD/PA Activity DO
Botulism Antitoxin Botulinum antitoxin, also known as botulism antitoxin, is comprised of antibodies or antibody antigen-binding fragments that block the neurotoxin prod ... Read the Article 0.75 6 Activity MD/PA Activity DO
Breast Abscess Breast abscesses are a common problem, especially in lactating women. Most breast abscesses are benign, however when a non-lactating patient presents ... Read the Article 1 7 Activity MD/PA Activity DO
Burn Evaluation And Management Burns are injuries of the skin involving the two layers: the thin, outer epidermis and the thicker, deeper dermis. 86% of burns are caused by thermal ... Read the Article 1 8 Activity MD/PA Activity DO
Caterpillar and Moth Bites “Lepidopterism” refers to various skin & systemic reactions secondary to contact with moth and butterfly larvae or caterpillars (order Lepidoptera). I ... Read the Article 0.75 4 Activity MD/PA Activity DO
Cellulitis Cellulitis is a common bacterial skin infection, with over 14 million cases occurring in the United States annually. This activity educates the learne ... Read the Article 1.25 13 Activity MD/PA Activity DO
Chemical Decontamination Contending with a mass casualty incident involving a chemical exposure seems daunting; fortunately, these are rare events. It is quite possible that ... Read the Article 0.75 6 Activity MD/PA Activity DO
Colovesicular Fistula The most common cause of colovesicular fistulas is the sequelae of complicated diverticulitis and accounts for over two-thirds of cases. The second mo ... Read the Article 1 8 Activity MD/PA Activity DO
Dakin Solution Dakin solution, also called Dakin fluid or Carrel-Dakin fluid, is a dilute sodium hypochlorite (NaClO) solution that is commonly known as bleach. The ... Read the Article 0.75 4 Activity MD/PA Activity DO
Decubitus Ulcer Decubitus ulcers are skin or soft tissue injuries that form due to prolonged pressure exerted over specific areas of the body. They should receive pro ... Read the Article 1.25 16 Activity MD/PA Activity DO
Diabetic Foot Care Proper diabetic foot care is an essential part of limb preservation. Patients with diabetes are at increased risk for foot ulceration secondary to neu ... Read the Article 0.75 5 Activity MD/PA Activity DO
Diabetic Foot Infections There are approximately 29 million people with diabetes in the United States, and approximately 25% of people older than age of 65 have diabetes. The ... Read the Article 1 7 Activity MD/PA Activity DO
Diabetic Foot Ulcer Diabetic foot ulcers are among the most common complications of patients who have diabetes mellitus which is not well controlled. It is usually the re ... Read the Article 1 8 Activity MD/PA Activity DO
Diabetic Ulcer Diabetes mellitus is a metabolic endocrine disorder due to an overall deficiency of insulin (Type 1) or defective insulin function (Type 2) which caus ... Read the Article 0.75 6 Activity MD/PA Activity DO
Digit Amputation Digital amputation is often associated with traumatic injuries but is also seen within the elective surgery setting, such as in the case of cancer res ... Read the Article 0.75 5 Activity MD/PA Activity DO
Digital Nerve Block Digital nerve block is a simple procedure that can be performed to provide immediate anesthesia for a multitude of injuries and procedures, such as fr ... Read the Article 0.75 6 Activity MD/PA Activity DO
Electrical Burns Electrical injuries are when high-energy current travels through the body due to contact with an electrical source. Injuries occur due to either the f ... Read the Article 1 7 Activity MD/PA Activity DO
Escharotomy Burns commonly present acutely . They can be due to many modalities, including thermal, chemical, electrical or radiation. Often, burns result in supe ... Read the Article 0.75 6 Activity MD/PA Activity DO
Facial Burns Burn injuries are a significant health issue and are a leading cause of accidental death or injury in the U.S. Burns to the face can affect many speci ... Read the Article 1.5 14 Activity MD/PA Activity DO
Fascial Dehiscence Fascial dehiscence is a significant complication of abdominal surgery, particularly cases done in an emergent setting. Associated bowel obstructions a ... Read the Article 1 6 Activity MD/PA Activity DO
Fasciocutaneous Flaps This activity reviews the reconstructive option of fasciocutaneous flaps and highlights the role of the interprofessional team in evaluating and impro ... Read the Article 0.75 5 Activity MD/PA Activity DO
Foot Ulcer Foot ulceration is among the most common health issues, and its prevalence has increased recently. It is one of the major causes of amputations, parti ... Read the Article 0.75 6 Activity MD/PA Activity DO
Free Tissue Transfer Of The Lateral Thigh And Anterolateral Thigh The Anterolateral thigh (ALT) flap is a versatile flap with broad indications and can cover almost any defect in the body from head to foot. It has be ... Read the Article 0.75 5 Activity MD/PA Activity DO
Frostbite Frostbite, also known as freezing cold injury is tissue damage that occurs due to cold exposure, occurring at temperatures below zero degrees celsius. ... Read the Article 1.25 16 Activity MD/PA Activity DO
Gangrene Gangrene is tissue damage secondary to infection, ischemia, or both. It is a relatively uncommon condition, and early recognition is essential. Gangre ... Read the Article 0.75 5 Activity MD/PA Activity DO
Gas Gangrene Gas gangrene is a highly lethal infection of soft tissue, caused by Clostridium species, with Clostridium perfringens being the most common. This is s ... Read the Article 1.25 13 Activity MD/PA Activity DO
Gram Negative Bacteria Gram-negative bacteria (GNB) are among the most significant public health problems in the world due to their high resistance to antibiotics. These mic ... Read the Article 1 7 Activity MD/PA Activity DO
Hand Infection Hand infections comprise a broad spectrum of pathology, dependent upon which superficial or deep structures are involved. Given the anatomical complex ... Read the Article 1 6 Activity MD/PA Activity DO
Hemorrhoidectomy Hemorrhoidal disease is a common disorder requiring surgical intervention in approximately 10% of cases. The overall prevalence is unknown because asy ... Read the Article 0.75 5 Activity MD/PA Activity DO
Hidradenitis Suppurativa Hidradenitis suppurativa (HS), also called acne inversus, is a chronic inflammatory skin condition with lesions including deep-seated nodules and absc ... Read the Article 1.25 14 Activity MD/PA Activity DO
Human Bites Human bites account for a relatively low percentage (3%) of the total bites encountered in the ED, but they have the potential for severe morbidity du ... Read the Article 1 7 Activity MD/PA Activity DO
Hyperbaric Cataracts Hyperbaric oxygen therapy (HBOT) is the administration of 100% oxygen at pressures greater than one-atmosphere absolute pressure (1 ATA) for a therape ... Read the Article 0.75 5 Activity MD/PA Activity DO
Hyperbaric Complications Hyperbaric oxygen therapy (HBOT) is generally a relatively safe therapy for various conditions. However, there are some adverse side effects. When adv ... Read the Article 0.75 6 Activity MD/PA Activity DO
Hyperbaric Patient Selection In hyperbaric medicine, it is important that healthcare professionals recognize that approved indications are not common knowledge amongst those that ... Read the Article 0.75 4 Activity MD/PA Activity DO
Hyperbaric Soft Tissue Radionecrosis Soft tissue radionecrosis refers to the delayed effects of radiation therapy which result in tissue breakdown from the impaired blood supply radiation ... Read the Article 1 9 Activity MD/PA Activity DO
Hyperbaric Therapy For Skin Grafts And Flaps Hyperbaric oxygen therapy has shown promise in salvaging flaps in tissue that has been irradiated or in areas where there is decreased tissue perfusio ... Read the Article 1 10 Activity MD/PA Activity DO
Hyperbaric Therapy For Wound Healing The international body that sets the standards for hyperbaric medicine is The Undersea and Hyperbaric Medical Society. There are currently 14 approved ... Read the Article 1 10 Activity MD/PA Activity DO
Hyperbaric Treatment Of Clostridial Myositis And Myonecrosis Clostridial myonecrosis, also called gas gangrene, can rapidly cause death if not immediately detected and treated. It is caused by the anaerobic spor ... Read the Article 1 8 Activity MD/PA Activity DO
Hyperbaric Treatment Of Diabetic Foot Ulcer Complications associated with diabetes are the leading cause of nontraumatic lower-extremity amputations. Diabetic foot ulcers occur in approximately ... Read the Article 0.75 2 Activity MD/PA Activity DO
Hyperbaric Treatment Of Thermal Burns Thermal burns are common in the United States, and approximately 2 million people are injured every year, with about 155 per million patients needing ... Read the Article 0.75 6 Activity MD/PA Activity DO
Hypertrophic Scarring Hypertrophic scarring represents an undesirable variant in the wound healing process. In hypertrophic scars, excess connective tissue is deposited in ... Read the Article 0.75 4 Activity MD/PA Activity DO
Hypothermia Accidental hypothermia occurs when the body dissipates more heat than it absorbs or creates, leaving the body unable to generate sufficient heat to ma ... Read the Article 1.25 16 Activity MD/PA Activity DO
Ileostomy An ileostomy is a procedure in which the lumen of the ileum, part of the small bowel, is brought through the abdominal wall via a surgically-created o ... Read the Article 1 7 Activity MD/PA Activity DO
Impaired Wound Healing Wounds of all shapes and sizes have plagued patients and created a significant burden on their caretakers. It has long been noticed that some patient ... Read the Article 0.75 2 Activity MD/PA Activity DO
Keloid Keloids result from abnormal wound healing in response to skin trauma or inflammation. Keloid development rests on genetic and environmental factors. ... Read the Article 1 8 Activity MD/PA Activity DO
Marjolin Ulcer A Marjolin ulcer is a cutaneous malignancy that arises in the setting of previously injured skin, longstanding scars, and chronic wounds. Historically ... Read the Article 0.75 5 Activity MD/PA Activity DO
Methicillin Resistant Staphylococcus Aureus Based on the antibiotic susceptibilities, Methicillin resistance in S. aureus is defined as an oxacillin minimum inhibitory concentration (MIC) of gre ... Read the Article 1 7 Activity MD/PA Activity DO
Necrotizing Fasciitis Necrotizing fasciitis is a subset of aggressive skin and soft tissue infections (SSTIs) that cause necrosis of the muscle fascia and subcutaneous tiss ... Read the Article 1.25 16 Activity MD/PA Activity DO
Neuropathic Ulcer Neuropathic ulcers occur when a patient with poor neurological function of the peripheral nervous system has pressure points that cause ulceration thr ... Read the Article 1 5 Activity MD/PA Activity DO
Opioid Analgesics Opioids are a class of medication used in the management and treatment of pain. This activity outlines the indications, action, and contraindications ... Read the Article 1 8 Activity MD/PA Activity DO
Oral Cutaneous Fistula Oral cutaneous fistulas (OCF) are an infrequent condition in which there is a pathologic communication between the oral cavity and the skin. Chronic d ... Read the Article 0.75 5 Activity MD/PA Activity DO
Osteomyelitis Osteomyelitis is a serious infection of the bone that can be either acute or chronic. It is an inflammatory process involving the bone and its structu ... Read the Article 1.5 19 Activity MD/PA Activity DO
Peripheral T-Cell Lymphoma Peripheral T cell lymphoma (PTCL) is a relatively rare, heterogeneous neoplasm involving T lymphocytes categorized under non-Hodgkin lymphoma (NHL). A ... Read the Article 0.75 5 Activity MD/PA Activity DO
Perirectal Abscess The anorectal abscess can vary on the spectrum of complexity based on the location and involvement of surrounding tissue. A thorough knowledge of the ... Read the Article 1 8 Activity MD/PA Activity DO
Polymyxin Polymyxins are a class of medications used in the management and treatment of systemic infections caused by susceptible strains of multidrug-resistant ... Read the Article 1 7 Activity MD/PA Activity DO
Postoperative Wound Infection Postoperative wound infection is a common problem. The process of wound infection is complex and involves an interplay between several biological path ... Read the Article 1 7 Activity MD/PA Activity DO
Postpartum Infection Postpartum infections account for a significant, and often preventable, portion of the global healthcare burden. Puerperal sepsis is one of the top fi ... Read the Article 0.75 5 Activity MD/PA Activity DO
Pressure Injury Pressure injuries are formed when pressure causes localized damage to underlying skin and soft tissue. These skin and soft tissue injuries remain a si ... Read the Article 1.5 21 Activity MD/PA Activity DO
Pyoderma Gangrenosum Pyoderma gangrenosum is an ulcerative disorder that falls into the category of neutrophilic dermatoses. Pyoderma gangrenosum should not be confused wi ... Read the Article 1 7 Activity MD/PA Activity DO
Radial Nerve Injury The radial nerve stems from the posterior cord of the brachial plexus and supplies the upper limb. It also supplies the triceps brachii muscle of the ... Read the Article 0.75 5 Activity MD/PA Activity DO
Radiation Therapy In The Treatment Of Keloids Keloids are benign raised scars that are formed after cutaneous insult. Normally, cutaneous injury results in wound closure and a flat scar. Some in ... Read the Article 0.75 5 Activity MD/PA Activity DO
Radiation Therapy Induced Skin Ulcer Management of acute or chronic skin injuries due to ionizing radiation is a complex challenge with injuries ranging from acute redness to chronic woun ... Read the Article 0.75 4 Activity MD/PA Activity DO
Ramipril Ramipril is an ACE-inhibitor which is used for several indications. These include hypertension, prevention of heart failure progression post-myocardia ... Read the Article 0.75 6 Activity MD/PA Activity DO
Scalp Laceration A laceration is a pattern of injury in which blunt forces result in a tear in the skin and underlying tissues. Lacerations in the scalp are different ... Read the Article 1 8 Activity MD/PA Activity DO
Scar Revision Patients may want a scar revision for a multitude of reasons. They can cause function limitations, be a reminder of a traumatic event, or cause other ... Read the Article 0.75 5 Activity MD/PA Activity DO
Sea Urchin Toxicity Sea urchin envenomation occurs when a sea urchin spine penetrates the soft tissue of the victim. Frequently spines break off and remain in the soft ti ... Read the Article 0.75 6 Activity MD/PA Activity DO
Septal Perforation Nasal septal perforation is a full-thickness defect of the nasal septum. Bilateral mucoperichondrial leaflets and a structural middle layer comprise t ... Read the Article 0.75 5 Activity MD/PA Activity DO
Shark Trauma There are over 470 species of sharks throughout the world, and sharks generally prefer shallow waters in temperate and tropical regions. These regions ... Read the Article 0.75 5 Activity MD/PA Activity DO
Silver Sulfadiazine Silver sulfadiazine is a medication used in the prevention, management, and treatment of burn wound infections. It is a heavy metal topical agent with ... Read the Article 0.75 5 Activity MD/PA Activity DO
Skin Biopsy Skin biopsy is an important and common diagnostic procedure in dermatology practice. Various methods of skin biopsy exist, and multiple factors are co ... Read the Article 0.75 5 Activity MD/PA Activity DO
Skin Grafting Skin grafting is a closure technique used in dermatology most commonly to close wounds created by the removal of skin cancer. Although currently less ... Read the Article 0.75 6 Activity MD/PA Activity DO
Squamous Cell Skin Cancer Squamous cell carcinoma, the second most common form of skin cancer, is caused by the cumulative exposure of skin to UV light. This condition has prec ... Read the Article 0.75 6 Activity MD/PA Activity DO
Sternoclavicular Joint Infection Septic arthritis of the sternoclavicular joint is rare and represents less than 1% of all bone and joint infections. A sternoclavicular joint infectio ... Read the Article 1 7 Activity MD/PA Activity DO
Stingray Sting Stingray envenomations are common injuries. Practitioners should recognize that these injuries vary in level of severity and clinical concern should v ... Read the Article 0.75 5 Activity MD/PA Activity DO
Streptococcus Group A Group A streptococci are ubiquitous bacteria encountered on a daily basis, which have the potential to cause a wide range of infections in humans. The ... Read the Article 0.75 5 Activity MD/PA Activity DO
Subungual Hematoma Drainage Subungual hematomas are injuries of the nail bed in which bleeding develops under the nail. Patients usually complain of pain and discoloration of the ... Read the Article 0.75 4 Activity MD/PA Activity DO
Suction Drains Surgical drains are catheters placed near the surgical wound to remove blood, pus, or other fluid, and prevent it from accumulating in the body. They ... Read the Article 0.75 6 Activity MD/PA Activity DO
Sunburn A sunburn is caused by excessive exposure to the sun’s ultraviolet (UV) rays or by exposure to artificial sources of UV rays such as tanning beds. The ... Read the Article 0.75 3 Activity MD/PA Activity DO
Supertrochlear Nerve Block The supratrochlear nerve block is a special procedure, which can be utilized to relieve pain in the mid-forehead region. It can provide anesthesia for ... Read the Article 0.75 5 Activity MD/PA Activity DO
Tetanus Tetanus is an infection characterized by muscle spasms and lockjaw, also called trismus. Toxins produced by Clostridium tetani are responsible for the ... Read the Article 1.25 17 Activity MD/PA Activity DO
Tetanus Prophylaxis This activity reviews and outlines the role of tetanus prophylaxis. It will outline the basics of immunization and prophylaxis and will discuss types ... Read the Article 1 7 Activity MD/PA Activity DO
Tetanus Toxoid The tetanus toxoid is a vaccine used in the management and treatment of tetanus. It is in the vaccine class of medications. This activity reviews the ... Read the Article 1.25 14 Activity MD/PA Activity DO
Thermal Burns Thermal burns are skin injuries caused by excessive heat, typically from contact with hot surfaces, hot liquids, steam, or flame. Most burns are minor ... Read the Article 1 8 Activity MD/PA Activity DO
Tibia Diaphyseal Fracture Tibial fractures are common injuries; the subcutaneous nature of the tibia makes it more prone to open injury. Radiographs are essential in the initia ... Read the Article 0.75 5 Activity MD/PA Activity DO
Tongue Laceration The tongue is a muscular organ that plays a central role in a person’s ability to communicate and to experience food via taste, chewing and swallowing ... Read the Article 0.75 4 Activity MD/PA Activity DO
Topical, Local, and Regional Anesthesia and Anesthetics Nerve impulse transmission occurs when voltage-gated sodium channels on the neuronal membrane open, allowing a massive influx of sodium. This causes m ... Read the Article 1 11 Activity MD/PA Activity DO
Total Parenteral Nutrition Total parenteral nutrition is a medication used in the management and treatment of malnourishment. It is in the nutrition class of drugs. This activit ... Read the Article 1.25 17 Activity MD/PA Activity DO
Transabdominal Plane Block The tranversus abdominis plane (TAP) block has become one of the most common truncal blocks performed for postoperative analgesia after abdominal surg ... Read the Article 1 5 Activity MD/PA Activity DO
Tularemia Tularemia is an acute febrile zoonotic illness caused by the highly infectious gram-negative organism Francisella tularensis. It is important to maint ... Read the Article 0.75 6 Activity MD/PA Activity DO
Vibrio Vulnificus Vibrio vulnificus is a bacterium that causes septicemia, severe wound infections, and gastroenteritis. Failure to recognize and treat this infection p ... Read the Article 0.75 5 Activity MD/PA Activity DO
Vitamin C Deficiency Vitamin C deficiency, also known as scurvy, is a disease primarily associated with socioeconomic status and access to food. Signs and symptoms are oft ... Read the Article 1.25 16 Activity MD/PA Activity DO
Wound Assessment A wound is damaged or disruption to the skin and, before treatment, the exact cause, location, and type of wound must be assessed to provide appropria ... Read the Article 1 6 Activity MD/PA Activity DO
Wound Closure Techniques Wound management is an essential part of emergency medicine practice. The clinicians care for wounds ranging from minor and simple lacerations or abra ... Read the Article 0.75 5 Activity MD/PA Activity DO
Wound Debridement Wound debridement is based on the premise that debridement will promote reepithelialization. Wound debridement has been utilized for more than a decad ... Read the Article 0.75 2 Activity MD/PA Activity DO
Wound Dressings Wounds can be present over different anatomical parts of the body. However, the basic principles of choosing a wound dressing remain the same. Choosin ... Read the Article 1 7 Activity MD/PA Activity DO
Wound Foreign Body Removal Soft tissue foreign bodies or wounds associated with foreign bodies result from blunt/abrasive trauma or penetrating trauma. Patients may present earl ... Read the Article 0.75 5 Activity MD/PA Activity DO
Wound Healing Phases Wound healing is a natural physiological reaction to tissue injury. However, wound healing is not a simple phenomenon and involves a complex interplay ... Read the Article 0.75 5 Activity MD/PA Activity DO
Wound Irrigation Wounds and lacerations are common complaints. Each year in the United States, roughly 12.2 million patients are seen in emergency departments for woun ... Read the Article 0.75 4 Activity MD/PA Activity DO
Wound Pressure Injury Management Pressure injuries have been given various names over the last several years, including pressure ulcers, decubitus ulcers, or bed sores. Pressure injur ... Read the Article 0.75 5 Activity MD/PA Activity DO
Wrist Splint The wrist is one of the most frequently splinted parts of the body, often after injury or surgery. Wrist splints provide rigid support to allow proper ... Read the Article 1 8 Activity MD/PA Activity DO
Zinc Deficiency Zinc deficiency is common worldwide but is seen with greater frequency in developing countries. Zinc deficiency can be inherited or acquired, and typi ... Read the Article 1 7 Activity MD/PA Activity DO

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