Surgery and Bleeding Control

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What is the most likely outcome of a wound that has not undergone primary surgical processing in the first 2 days?

Primary suture

Secondary early suture

Deep burn

Provisional stitch (correct)

After 5 days of receiving a cut wound, what type of stitches should the surgeon use to finish debridement?

Secondary early stitch

Primary suture

Primary delayed sutures (correct)

Provisional stitch

What is included in late surgical processing of a wound?

Removal of debride

Excision of a bottom of a wound

Removal of necrotic tissue

All of the above (correct)

When can clinical symptoms of pyogenesis in a wound be identified?

2-3 days Signup and view all the answers

What characterizes a staphylococcal infection in a wound?

Strong hurt in the sewn-up wound Signup and view all the answers

In the first phase of the injuring process, what is necessary to use in wound treatment?

Antiseptics Signup and view all the answers

What is the likely diagnosis for a 67-year-old man who experiences pain in both temporomandibular joints while yawning?

Intermittent cramp, lockjaw Signup and view all the answers

What is the diagnosis for a 45-year-old woman with closed multiple fragmental breakage of the ribs on the right side?

Closed multiple fragmental breakage of the ribs on the right side with pulmonary rhexis Signup and view all the answers

What is the likely diagnosis for a patient with a sprain in the sternoclavicular joint on the left?

Rhexis of sternoclavicular joint Signup and view all the answers

What is the diagnosis for a patient with a subdermal hematoma of the left supraclavicular area?

Rhexis of sternoclavicular joint Signup and view all the answers

What is the diagnosis for a patient with a breakage of the left collar bone?

Opened breakage of left collar bone Signup and view all the answers

What type of cleaning must be done before the next operation?

postoperative Signup and view all the answers

What are the basic groups that all ways of stopping bleeding are divided into?

mechanical, biological Signup and view all the answers

What is the purpose of temporary hemostasis?

digital pressing Signup and view all the answers

What is the maximum time of applying a tourniquet on lower extremity in winter?

1.5 hours Signup and view all the answers

What drug stops bleeding in place it is located?

gelatin sponge Signup and view all the answers

What is the way of physical stop of bleeding?

diatermoelektrokoagulation Signup and view all the answers

What is the biological method of stopping bleeding?

wound tamponade epiploon Signup and view all the answers

What is the chemical substance used for breaking bleeding process?

vicasolum Signup and view all the answers

What is the haemostatic drug with rezorbtiv general activity?

trasylolum, vicasolum Signup and view all the answers

What is the method of final stop of bleeding?

vascular seam Signup and view all the answers

What is the correct step to finish a puncture procedure?

Introduce antibiotics and then remove the needle Signup and view all the answers

What is the recommended surgical treatment for a carbuncle in the interscapular region of a patient with diabetes?

Crucial incision and necrectomy Signup and view all the answers

What is the preferred method of surgical treatment for tissue-melting gas gangrene?

Guillotine amputation Signup and view all the answers

What is the most appropriate action for a surgeon to take after phlegmon lancing, if the patient's body temperature decreases, but copious purulent discharge from the wound persists?

Make counterincisions Signup and view all the answers

What is the most likely surgical procedure performed on a 65-year-old patient with diabetes who had an amputation of the middle one-third of the right thigh?

Amputation with stump formation Signup and view all the answers

What is the primary goal of guillotine amputation in tissue-melting gas gangrene?

To remove the infected tissue Signup and view all the answers

In which intercostal space on the posterior axillary line should the pleural drainage be installed?

7-8 Signup and view all the answers

What is the most likely nature of the infection when a liquid level and gas accumulation are present on the X-ray film?

Putrefactive Signup and view all the answers

What is the sign of a severe purulent-inflammatory process course in the blood formula?

Increase in the number of band neutrophils Signup and view all the answers

What is the most likely form of an erysipelatous inflammation when the patient has grave condition and fuzzy contours of inflammation?

Necrotic Signup and view all the answers