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Classification and Differential Diagnosis of Wounds:
Wound Care 101

by Marie Williams, DPM
Director Podiatric Medical
Education
Parkway Regional Medical Center
North Miami Beach, Florida
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We like to refer to Dr. William's lecture as Wound Care
101, because it offers a basic foundation on which to build a cadre of wound
care knowledge. The phases, stages, etiologies and classifications are
outlined, giving the practitioner a method of compartmentalizing each particular
wound.
Creating the optimum microenvironment is the key to success
in treating wounds. Dr. Williams categorizes the available wound products and
discusses the method by which they restore a suitable environment for healing.
Alginates and collagenates are excellent for wounds with heavy exudates, but
when do we use foams and hydrogels? Are platelet derived growth factors a magic
bullet? Should enzymatic debriding agents be discontinued once the necrosis has
been removed? Biosynthetic skin substitutes are typically derived from fetal
foreskin. Will these products increase in size if they are gently manipulated?
Dr. Williams addresses these and other issues in
classification and differential diagnosis of wounds.

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