Semantic module 4. Traumatism and damage Practical employment № 14

Theme: wounds and ranoviy process. Prophylaxis of development of infection in a wound. Medical treatment of clean wounds

The I. Actoualnist themes

The study about a wound is the most important basis of theoretical and practical surgery. History of surgery is history of study about a wound in which, as in a mirror, the level of development of medicine and biology is represented. The problem of wounds in modern terms remains extraordinarily actual in communication with growth of number of complications, by small efficiency of most general methods of medical treatment. Wounds are one of widespread types of surgical pathology. Therefore the study of this theme is especially important for the students of the third course, medical faculty.

ІІ. Whole employments:

1. To know the features of surgical structure of wounds, that matters for motion, diagnostics and their medical treatment (=II);

2. To master classification of wounds (=II);

3. To know the clinical symptoms of wound (=II);

4.Знати diagnostic features of separate types of wounds (=II);

5. To master the modern phases of ranovogo process and their diagnostic value (=II);

6. To know the method of anaesthetizing and method of conducting of primary surgical treatment at patients with clean wounds (=II).

7. To capture the method of conducting of bandaging of clean wound (=III).

8. To capture the method of care of drainpipes (=III).

9. To capture the method of removal of stitches from a clean wound (=III).

ІІІ. Providing of initial level of knowledges-abilities

Literature:

Basic:

1. Methodical developments for audience and independent work of students.

2. General surgery / After red. S.P.Gouchenco, M.D.Gelibi, S.D.Himicha – Kiev.: Health, 1999.

3. Cherenco M.P., Vavric G.M. General surgery with anesteziologieyo, by the bases of reanimatologii and care of patients – Kiev.: Health, 1999.

4. Gostishev V.C. Obshaya hirourgiya: Oucheb. – M.: Medicine, 1993.

5. Gostishev V.C. "Roucovodstvo c practichescim zanyatiyam on obshey hirourgii"., "Medicine" - 1987.

Additional:

1.А.А. Simodeyco, S.S. Filip, O.O. Boldigar General surgery in questions and answers. Ouggorod, «Iva» - 2005.

2.С.М. Genic, M.V. Procopishin, V.M. Crisa and in. Situation tasks from surgery.Ivano-Francovsk, «Lileya-N.В» – 2003.

3.А.А. Simodeyco, S.S. Filip, O.O. Boldigar, Panto V.I. Practical skills from general surgery with the care of patients. Ouggorod, I will Reap. – 2001.

Tests and tasks for verification of initial level of knowledges

For a fresh wound characteristically all, except for:

+лімфореї

pain

bleeding

+посмикування muscles

gaping

The degree of expressed of pain in a wound determines all, except for:

quantities of nervous elements in the area of damage

the nervovo-psihichnogo state of sick

speeds of wound

+стану immunity of sick

+величини damaging object

sharpness of damaging object

What the linked degree of gaping of wound is with:

by the depth of damage

+локалізацією wounds

by the damage of nervous trunks

by the damage of fastsiy

by the damage of muscles and tendons

+напрямком elastic fibres of skin

Microorganisms at primary inficouvanni get in a wound with:

to pincers at bandaging, at surgical treatment

scalpel

hands of surgeon

+шкіри poranenogo

surgical filaments

+одягу poranenogo

What wounds heal over quick than other:

+різана

chopped

it is bitten

it is hammered

+садно

rozmigchena

To development of infection a lot of factors assist in a wound, except for:

haematomas

+ушкодження nerves

crovovtrati

shock

exhaustion

+відсутності foreign bodies

In a vognepalniy wound all areas of damage are distinguished, except for:

areas of ranovogo channel

areas of molecular concussion

+зони hemorrhage

areas of primary necrosis

areas of parabiozou

+зони cellular concussion

For the oscolchastih wounds of wounds characteristically all, except for:

difficult anatomic damages

presence of foreign bodies

high degree of inficovanosti

+рівного ranovogo channel

+обов’язкової presence of the entrance and initial opening

unequal damages of skin

For the local signs of inflammation characteristically all, except for:

edema

+ціанозу

rise of temperature

+порушення sensitiveness of skin

violation of function

pain

What wounds more reliable development of infection is in?

rizana

+укушена

chopped

+вогнепальна

it is placed on a face

it is scalped

It is needed to understand under primary surgical treatment of wound:

carving of edges and bottom of wound

opening of pockets

deleting of festering maintenance

+висічення edges, walls and bottom of wound

washing of wound by antisepticom, gemostaz

+зупинка bleeding

There is a wound with the limited area of necrosis of edge of skin. What needs to be executed?

+провести urgent prophylaxis of stupor

to appoint OUVCh to the wound

to impose a bandage with hypertensive solution

to impose a bandage with ointment Vishnevscogo

drenouvati wound

+висікти dead area of skin

For And phases of ranovogo protsessou in a clean wound characteristically all, except for:

development of atsidozou

increase of quantity of ions of hydrogen

+збільшення ions of calcium

increase of quantity of ions to potassium

increase of permeability of vessels

+розвитку alcalozou

There are different types of cicatrization of wound, except for:

primary

+затриманого

under a scab

+повторного

second

deferred

What signs characteristic for a colotoi wound

+мале gaping

+глибокий ranoviy channel

concussion of surrounding fabrics

the second necrosis

zabiy of fabrics

necrosis of fabrics

There are different types of cicatrization of wound, except for:

primary

+затриманого

under a scab

+повторного

second

deferred

What signs characteristic for a colotoi wound

+мале gaping

+глибокий ranoviy channel

concussion of surrounding fabrics

the second necrosis

zabiy of fabrics

necrosis of fabrics