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Fiser Wound healing
Fun facts from Fiser's Absite Review
38
Medical
Professional
11/20/2013

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Cards

Term
# First stage of wound healing
# time course
# predominant cell type
# goal
Definition
# inflammation
# Days 1-10
# PMNs and Macs
# Epithelialization
Term
# Second stage of wound healing
# time course
# predominant cell type
# goal
Definition
# proliferation
# 5 days-3 weeks
# fibroblasts
# neovascularization, collagen production, granulation
Term
# Third stage of wound healing
# time course
# predominant cell type
# goal
Definition
# Remodeling
# 3 wks to 1 yr
# fibroblasts and lymphocytes
# type III collagen replaces type I
Term
Amount of wound healing that happens during epithelialization stage
Definition
1-2 mm/day
Term
Amount of regeneration in peripheral nerves/day
Definition
1 mm/day
Term
Order of cells to arrive at wound site
Definition
1. platelets
2. PMNs
3. Macrophages
4. Fibroblasts
5. Lymphocytes
Term
Most import cell for wound healing and reason
Definition
Macrophages release growth factors and cytokines and probably clearing debris with phagocytosis
Term
Prominent cell type by day
Definition
0-2: OMNs
3-5: Macs
>5: fibroblasts
Term
Contents and purpose of platelet alpha granules
Definition
# PF4- aggregation
# betathrombomodulin- binds thrombin
# PDGF: chemoattractant
Term
Contents of dense granules
Definition
Adenosine
Serotonin
Calcium
Term
Factors that promote platelet aggregation
Definition
TXA2, thrombin, PF4
Term
Other factors released from plts not in granules
Definition
# Platelet activating factor
# TGF-alpha
# Beta lysin- antimicrobial
# PGE2- vasodilator
# PGI2- vasodilator
# PGF2- vasoconstriction
Term
Most important factor for healing by secondary intention (open wounds)
Definition
epithelialization
Term
Most important factor for healing by primary intention (closed wounds)
Definition
Tensile strength
Term
Strength layer of the bowel
Definition
submucosa
Term
Limiting factor dictating tensile strength
Definition
Deposition and cross-linking of collagen
Term
Most common type of collagen
Definition
Type I
Term
Important places Type I collagen is found
Definition
Bone, sking and tendon
Term
Primary cartilage in HEALED wound
Definition
Type I
Term
Primary cartilage in healing wound
Definition
Type III
Term
Important places where type II collagen is found
Definition
Cartilage
Term
Important places type III collagen is found
Definition
blood vessels and skin
Term
Important places type IV collagen is found
Definition
basement membranes
Term
Important places type V collagen is found
Definition
Cornea
Term
Factors necessary for hydroxylation of proline and subsequent cross-linking of Pro residues
Definition
Alpha-ketogluterate
Iron
Vit C
O2
Term
Frequency of Pro in collagen
Definition
every 3rd amino acid
Term
Maximum tensile strength achieved in wound healing
Definition
80% of pre-wound strength
Term
Strength of wound at 6 weeks
Definition
80% of final strength; 60 % of pre-wound strength
Term
Strength of wound at 8 weeks
Definition
Maximal tensial strength- 80% pre-wound strength
Term
Counteracts the effects of steroids on wound healing
Definition
Vit A 25000 IU daily
Term
Defect in osteogenesis imperfecta that effects wound healing
Definition
Defect in collagen I
Term
Defect in Marfan's syndrome that affects wound healing
Definition
defect in fibronectin
Term
Defect in Ehlers-Danlos syndrome that effects wound healing
Definition
Defect in collagen
Term
Defect in epidermolysis bullosa that effects wound healing AND TX
Definition
Excessive fibroblasts; Tx is phenytoin
Term
Cause of and treatment for leg ulcers
Definition
90% are due to venous insufficiency. Tx is Unna boot and elastic wrap/ elevation
Term
Method of inheritance of keloids
Definition
Auto-dominant
Term
Difference b/w keloids and hypertrophic scars
Definition
In keloids, collagen gois behoid original scar whereas in hypertrophic scar, it stays within the confines of the original scar
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