Term
| What are some negative local factors of equine wound healing? |
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Definition
-motion: puts tension across the wound
-infection
-seroma/hematoma: daed space
-skin tension
-lack of blood supply |
|
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Term
| What are some of the causes of skin tension in equine wound healing? |
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Definition
-loss of skin
-skin retraction: esp on distal limb
-swelling
-granulation tissue: after 5-7 days
-fibrous tissue or new bone formation |
|
|
Term
| What vaccination must horses always, always get? |
|
Definition
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Term
| Outline wound care in equine med. |
|
Definition
-pack wound with KY lube and/or gauze spnges in anticipation for clipping
-then clip hair
-then cleans wound with disinfectant scrub
-pressure lavage |
|
|
Term
| What solutions do we use for lavage in equine med? |
|
Definition
-Povidone Iodine 0.2%
-Chlorhexidine 0.05% |
|
|
Term
| How do we perform a low pressure lavage? |
|
Definition
|
|
Term
| What do we use for a high pressure lavage in equine med? Max pressure? |
|
Definition
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|
Term
| What are the consequences of excessive pressure with pressure lavage? |
|
Definition
-water log tissue
-imbed bacteria |
|
|
Term
| What do we use for regional/local aneshtesia in a horse? |
|
Definition
| -20 or 22 gauge 1.5" needle with Carbocaine |
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|
Term
| What do we do for wound debridement in equine med? |
|
Definition
-devitalized tissue
-freshen wound edge by scraping with scalpel |
|
|
Term
| What do we use for tissue apposition in equine med? |
|
Definition
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|
Term
| Why do we want to avoid dead space with equine wound closure? |
|
Definition
|
|
Term
| How do we manage dead space in equine med? |
|
Definition
-compression bandages
-drain: eliminate fluid accumulation
- |
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|
Term
| What are the 4 primary drain rules in equine med? |
|
Definition
-do not exit through closure
-anchor to skin at exit hole only
-maintain for 48 hrs only if passive drain
-maintain only if productive if an active drain |
|
|
Term
| What is the type of passive drain most commonly used in equine med? |
|
Definition
|
|
Term
| What is the type of active drain most commonly used in equine med? |
|
Definition
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|
Term
| What are some of the ways we manage skin tesion in equine med? |
|
Definition
-undermine skin
-tension relieving sutures |
|
|
Term
| How do we relieve tension during closure in equine med? |
|
Definition
| -use towel clamps to allow skin to stretch back out |
|
|
Term
| Do we always have to bandage a lower limb wound on a horse? |
|
Definition
|
|
Term
| By what two methods do wound heal by when allowed to close bysecond intention? |
|
Definition
-wound contraction
-epithelialization |
|
|
Term
| When do we use bandage debridement in equine med? |
|
Definition
| -for dirty wounds to encourage debris and exudate to stick to bandage |
|
|
Term
| When do we ue dry/dry bandage debridement in equine med? |
|
Definition
| -for very contaminated, exudative wounds |
|
|
Term
| When do we use wet/dry bandage debridement in equine med? |
|
Definition
| -for very contaminated, non-productive wounds to rehydrate the wound |
|
|
Term
| For open wound, after they are cleaned what do we do? |
|
Definition
| -apply topical antimicrobials: Neosporin/bacitracin/polymyxin B |
|
|
Term
| Can we use Furacin on lower limb equine wounds? |
|
Definition
|
|
Term
| What is proud flesh? What does it result in? |
|
Definition
-aka exuberent granulation tissue
-when granulation tissue grows above skin level
-can result in permanent difigurement if left unmanaged |
|
|
Term
| What are the three primary differentials for exuberent granulation tissue? |
|
Definition
-fungal
-parasitic: HAebronema
-Neoplastic |
|
|
Term
| How do we control proud flesh? |
|
Definition
| -surgical excision with careful hemorrhage control |
|
|
Term
| What topical medications are used for the management of exuberent granulation tissue? |
|
Definition
-coirticosteroids: inhibits fibroplasia
-copper sulfate/boric acid powder |
|
|
Term
| What are our major concerns with heelbulb or coronary band injuries in the horse? |
|
Definition
-try to perform primary or delayed closure
-immobilize
-always put in a foot cast |
|
|
Term
| What sequela is our major concern with equine metacarpal/metatarsal wounds? |
|
Definition
| -sequestrum if bone is exposed |
|
|
Term
| What sequela is our major concern with equine axillary/inguinal wounds? |
|
Definition
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