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Файл:Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 394 - файл
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472 Index
https://t.me/medicina_free
point prevalence audit, 448
polyarteritis nodosa, 116
polyarteritis nodosa cutanea, 115
poor injection techniques, 158
popliteal artery, 15, 29, 29
posterior tibial artery (PTA), 29,
29, 270–272
precollectors, 44
pregnancy, 25, 231
prescribing, 7, 113
analgesia, 114
antihistamines, 157
hosiery, 415–416
loop diuretics, 366
social, 342–343
primary care, 48–49, 55–56
pro‐inammatory genetic
syndromes, 108
Prochaska and DiClemente’s
change model, 327
proliferation phase of wound
healing, 36, 37–38
proteolytic enzymes, 21
psychological assessment, 236–238
psychological status of person, 235
psychosocial management
of pain, 309
distraction, 309
empowerment, 310–311
expectation, 309
questions to ponder, 311
public health, 441
audit process, 446–450
elements of personalised care
plan, 441–442
evaluation of service, 443–444
PDSA cycle, 444–446, 445
public campaigns, 442–443
pulse oximetry, 265
pyoderma gangrenosum (PG), 107
classic ulcerative, 108
clinical presentation of, 110
cribriform scar, 109
diagnosis, 111, 111
examination, 108
history, 108
intervention, 112
investigations, 110–111
optimising local wound
environment, 112–113
pain management, 114
reducing systematic
inammation, 112
subtypes of, 108
with violaceous, 109
pyoderma gangrenosum, 230, 297
pyogenic arthritis, PG and acne
(PAPA), 108
Q
quality‐of‐life (QoL), 190, 234, 235
audits, 444
impact on sleep, 296
lymphoedema impact on, 48, 65
measure for limb
lymphedema, 66
patient satisfaction and, 450
quality‐of‐life measure for limb
lymphoedema
(LYMQOL), 66, 85
Quality‐of‐Life Scale, 299
quality service as care, 444
Queen’s Nursing Institute
(QNI), 443
R
radiotherapy, 52, 83, 154, 230
range of motion (ROM), 189, 191
Raynaud’s phenomenon,
124, 129, 365
rebuilding. See proliferation phase
of wound healing
reconstructive microsurgery, 82–83
recurrence, 18, 77, 276
in patients with peripheral
arterial disease, 408
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Index 473
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prevention in patients with
healed venous ulceration,
408–409
prevention of, 134
venous ulcer, 407–408
red legs, 69–72
dierential diagnosis of, 71
treatment for, 72
remodelling of wound healing. See
maturation phase of
wound healing
renal disease, 268
reoccurrence, risk of, 406
resource management, 1, 2,
9, 348, 447
management of dressings and
bandages, 3
tips on practitioners, 4
respiratory disorders, 230
rheumatoid arthritis (RA),
108, 114, 118
co‐morbidities and risk factors for
leg ulceration in, 118
diagnosis, 121–122
examination, 121
history, 119–121
intervention, 122–123
investigations, 121
rheumatoid arthritis (RA), 54, 199
RightCare scenario, 450
risk minimisation approach, 75
risk stratication for
reassessment, 410
rituximab, 128
rocker‐soled shoes, 214
rodent ulcers. See basal cell
carcinoma (BCC)
S
scleroderma, 114. See also systemic
scleroderma
sclerosing panniculitis, 73
sclerosis. See systemic scleroderma
self‐care:
in hosiery, 429–431
model, 343
self‐harm wounds. See dermatitis
artefacta
self‐lymphatic drainage
(SLD), 80, 80
self‐management, 436
benets of, 344
characteristics of people with leg
ulcers, 345
empowering patients for leg ulcer
prevention, 434
of EPD, 167–168
fundamental steps, 438
healthcare professional–patient
relationship, 435
supporting, 343
tips for patient education and
involvement, 437
semi‐bespoke footwear, 214
short saphenous veins, 16
short stretch bandages. See
inelastic bandage
sickle cell anaemia, 130
sickle cell disease (SCD), 130, 230, 297
examination, 131–133
history, 130–131
management, 133–134
sickle cell ulceration, 132
sickle cell leg ulceration, 131
Sickness Impact Prole, 299
skin, 33–35
assessment, 263–264, 264
biopsy, 121, 127, 153
integrity maintenance, 431–434
physical examination of, 63, 63
popping, 158
tone classication tool, 248, 252
skincare, 74–76, 86 129
key steps to, 368
undergoing compression
therapy, 367
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474 Index
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sleep pattern and behaviour, 232
smoking, 31, 233
social determinants of health,
319–324, 320
aect leg ulcer occurrence and
healing, 320
examples of inextricable
links, 322–323
social prescribing, 342–343
social ulcer, 334
sphygmomanometer cu,
applying, 269, 270
squamous cell carcinoma
(SCC), 136, 146
diagnosis, 153–154
examination, 150–153
history, 149–150
intervention, 154–155
investigations, 153
key risk factors and presentation
of, 147–148
squamous cell carcinoma in situ.
See squamous cell
carcinoma (SCC)
Staphylococcus aureus, 73, 164, 173
Starling principle, 45
static stiness index (SSI),
379–380, 418
stem cells, 28
Stemmer sign, 62, 62
steroids, 117, 138
stiness index, 379–380
stress, 32, 233, 254
buckling, 229
psychological, 168
stroke, 30, 130, 131, 231, 233, 321
stuttering ulcer, 131
sub‐bandage pressure. See
interface pressure
sub‐optimal wound care,
cost of, 3–4
super‐absorbent polymers, 371
supercial lymphatics, 228
supercial veins, 15
supercial venous system, 14
surgery, 82
debulking surgery, 83
orthopedic, 201
reconstructive microsurgery,
82–83
swelling, 60
causes of, 54, 54
extensive congestion, 61
new venous, 61
unilateral or bilateral lower limb
swelling, 60
sympathetic nervous system (SNS), 28
systemic scleroderma, 123
calcium deposits, 126
classication, 127
diagnosis, 126–128
examination, 125
history, 124–125
implementation, 128–130
investigation, 126
ulceration associated with, 125
T
tacrolimus, 112, 138, 167
Takayasu arteritis, 115
telangiectasia, 91
temperature, 253
TheraBand, 209, 210
thigh pump, 193, 194
thrombus, 32
thyroid disorder, 88
TIMES, 110, 112, 161, 177, 255
principles, 109, 110, 112, 118
wound assessment, 129–130,
256–261
tissue damage:
brin cu theory, 21
mechanical theory, 21
theories of, 21
‘trap’ growth factor theory, 22–23
white blood cell theory, 21
本书版权归John Wiley & Sons Inc.所有
Index 475
https://t.me/medicina_free
tissues:
adipose, 51, 64, 87, 88, 142, 203
biopsies, 116, 139, 173
ischaemia, 21, 29, 32, 131, 139
necrotic, 253
physical examination of, 63, 63
toe brachial pressure index
(TBPI), 111, 265
toolbox approach, 355
topical steroids, 72, 72–73, 117,
138, 164, 165
transient ischaemic attack (TIA), 231
‘trap’ growth factor theory, 22–23
triphasic signal of ABPI, 273, 274
tumour necrosis factor
(TNF), 21, 118
tunica externa, 27–28
tunica interna, 28
tunica media, 28
U
ulceration, 131–132. See also leg
ulceration assessment; lower
limb ulceration
ulcers, 363. See also dermatitis
artefacta; drug‐induced leg
ulcers; leg ulcer management;
venous leg ulcers (VLUs)
aetiology, 120
Buruli, 175–176, 176
caused by hydroxycarbamide, 364
malignant, 145
Marjolin’s, 146–155, 152
Martorell’s, 139–141
neoplastic, 145
venous ulcer recurrence, 407–409
ultrasound, 154
‘unstable’ shoes theory, 211–212
V
varicose eczema, 72–73, 242, 242,
264, 407, 433, 434
varicose veins, 19, 25, 91, 203, 228
vascular assessment:
compression therapy
following, 123
for necrobiosis lipoidica, 136
PAD with Martorell’s ulcers, 140
for venous and/or arterial disease
identication, 126
vascular phase of wound healing, 36
vasculitis, 114, 230, 297
diagnosis, 117
examination, 115–116
forms of, 115
history, 114–115
intervention, 117–118
investigations, 116–117
presentation, 116
vasculitis associated with systemic
disease, 115
vasodilation, 28, 37, 131
veins, 11, 16, 16–17. See also
varicose veins
blood pressure in, 17
inammation of, 231
layers of, 27
in leg, 15
long saphenous, 16
perforator, 15, 16
short saphenous, 16
supercial, 15
walls of, 13
Velcro wrap systems, 395
veno‐muscular pumps (VMPs),
189, 194–195
venous disease, 18–19, 91
venous hypertension, 21
venous insuciency, 253
venous leg ulceration, 297, 354
venous leg ulcers (VLUs), 18, 22,
188, 189, 232, 233
biomechanical factors
inuence, 189
chronicity of, 190
features of, 24
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476 Index
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venous leg ulcers (VLUs) (Continued)
long‐term bandaging for, 217
management, 295
red ags for urgent treatment of
patients with, 276
Venous Leg Ulcer scenario, 450
venous pathophysiology, 375
venous skin changes, 383
venous staining, 245
venous system, 11
of leg, 15
supercial, 14
venous thrombus episode
(VTE), 228
venous ulcer recurrence:
factors inuencing, 407
in patients with peripheral
arterial disease, 408
prevention in patients with
healed venous ulceration,
408–409
venules, 11
blood ow from capillaries to, 13
glycocalyx and endothelium
changes in, 20
VenUS IV study, 409
violaceous border, 108
visco‐elastic foot orthoses, 216
Visual Analogue Scale (VAS), 108
W
walking:
gait cycle, 206, 207
and mobility, 205–206
spatial and temporal parameters,
208, 208
warfarin, 142, 156
white blood cells, 11, 21, 45, 262
white blood cell theory, 21
Wong‐Baker Faces scale, 301
World Health Organization (WHO)
analgesic ladder, 307
dening patient quality
of life, 450
dening social determinants of
health, 319
wound assessment, 226, 252
epithelial wound edges, 261
exudates and signi-
cance, 262–263
infection and inammation, 258
intrinsic and extrinsic factors
aecting wound healing,
253–254
repair and regeneration, 256
TIMES wound assess-
ment, 256–261
wound bed preparation:
and clinical management, 398
steps to, 399
wound care, 227
burden, 1–3
in leg ulceration, 405
procedures, 298
service, 443
wound healing, 35, 124–125
in ankle joint ROM, 191
haemostasis, 36
inammatory phase, 36, 37
maturation phase, 36, 38–39
phases of, 36, 36
proliferation phase, 36, 37–38
wounds, 52, 383, 395
atypical, 106
infection, 170
long‐term management of, 218
management, 122
in PWIDS, 158
wound‐related pain, 292
Wounds UK Best Practice
Document, 346
wrap systems, 113, 395
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