Skin Wounds And Wound Healing, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

A wound is a disorder resulting from injury to living tissue induced by a cut, blow, or other impact, normally one in which the skin is cut or broken.
Wounds are injuries that sever the skin or other body tissues.
They often happen because of an accident, but surgery, sutures, and stitches also produce wounds.
Minor wounds normally are not severe, but it is important to clean them.
Serious and infected wounds may need first aid followed by a visit to the doctor

Wounds occur when there is:
a. Cuts by a sharp object such as a knife
Cuts carve the skin open.
This produces bleeding and pain.
Cuts need to be cleaned, closed, and covered with a bandage so they do not get infected.
b. Punctures are stab wounds.
They can be superficial ones, such as from a splinter or deep ones, such as from stepping on a nail.
Puncture wounds injure and bleed.
c.Abrasions are surface loss of skin and are less serious than cuts
d. Bruises are produced by broken blood vessels that bleed into the tissue under the skin.
A bruise causes the skin to be black and blue or red.
e. Burns can be produced from dry heat (fire), moist heat (steam, hot liquids), electricity, chemicals, and the sun (sunburn).
f. Insect Bites and Stings
g. Bed sores particularly in the elderly

Wounds can be divided into:
A. Superficial Wounds
a. Epidermis is injured
b. Healing happens with scar formation
c. Wounds have alterations in pigmentation
B. Deep Wounds
I. Without Loss of Tissue
These wounds can be closed with sutures or surgical tape.
The stability and strength of wound can be recovered.
There is development of connective tissues.
Granulation tissue will be quickly covered by epithelium.
II. With Loss of Tissue

The doctor will want to
1. Stop the bleeding if the wound is bleeding a lot.
2. Clean the wound with disinfectant.
This will get rid of dirt and other small objects and reduce the chance of infection.
3. Look in the wound for foreign objects like dust or glass splinters.
4. Explore (probe) or close the wound under local anesthesia.
Closing the wound:
The laceration may need stitches, staples, other treatments to seal the wound if:
1.It is deep or bleeds a lot.
2.The wound is wide open or
3.The wound is in a region that moves a lot, such as the hands, feet, and joints.
Stitches also stop the wound from getting infected.
Stitches may reduce the amount of scarring.
If the wound is too old, it should not be stitched.

Wound healing procedure can be divided into 4 distinct phases:
Hemostasis,
Inflammatory,
Proliferation,
Remodeling.

Wound treatment requires:
1.Surgical debridement and irrigation of wounds
2.Systemic and topical antibiotic for infections
3.Clean Wound suture
4.Delayed wound closure.

Methods are present to increase the healing of the clean wound.
After a wound is in a steady clean condition, a decision must be made about permitting it to heal by natural processes or increasing healing with a surgical treatment.

Surgical methods are:
1. Skin grafting,
2. Application of bioengineered skin substitutes, and
3. Use of flap closures

TABLE OF CONTENT
Introduction
Chapter 1 Skin Wounds and Wound Healing
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Bed sores
Chapter 8 Skin Injuries
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Dec 16, 2016
• ISBN: 9781370741403

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Skin Wounds

And

Wound Healing,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2016 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Skin Wounds and Wound Healing, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Skin Wounds and Wound Healing)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical conditions.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Wounds

Recently I had to stitch a cut on patient working in a restaurant.

The cut by a sharp knife on the forearm was clean but deep and bleeding.

The first procedure was to compress the bleeding wound with thick gauze and elevate the hand so that the bleeding will stop.

Next when the bleeding had stopped, the sides of the wound were injected with 2% lignocaine injection to provide local anesthesia.

Once the local anesthesia had worked, the wound was then examined for dirt and foreign bodies which should be removed before stitching is done.

The wound was then cleansed with eusol lotion and dried with gauze.

When the wound is dry the wound was then stitched with Ethicon polyprolene sutures size 2 by short interrupted stitches approximating both edges of the wound together.

When the cut had been closed to my satisfaction, the wound is then sprayed with an Opsite antiseptic spray and covered with non stick bandage.

The patient did not need a tetanus toxoid injection as he already had his injection done 1 week ago and the wound was clean and free from foreign bodies.

He was advised to stay away from work for 1 week and to have the stitches removed after 1 week.

I week later I reviewed his wound which has closed nicely and removed the stitches.

At a later review his wound was inspected.

There was no keloid formation and his scar was minimal and would probably fade away with time.

In the past I had a few cases of children who had cuts on the forehead from sharp edges of tiles from the swimming pool.

Even with help of the parents there was a problem holding on to the child to inject local anesthesia and stitch just a small cut together.

Now with new technology a small cut on the forehead can be closed by just cleaning it, drying and applying sterile strips across the wound.

Most of the times, the child did not need to be restrained because there was no injection or stitching.

There was also no need to remove the stitches.

A wound is a medical disorder resulting from injury to living tissue induced by a cut, blow, or other impact, normally one