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24 de abr. de 2024 · With a puncture wound, stop the bleeding, and clean, medicate and cover it. If the wound is severe or becomes infected, seek medical help.
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A 38-year-old male with no past medical history presented to the emergency department (ED) with a puncture wound from a construction site. The patient stated that he was walking around the construction site with tennis shoes when he felt severe pain in his right foot. The patient pulled a rusty nail from the sole of the foot.
A 50-year-old female with past medical history of hypertension, hyperlipidemia, insulin-dependent diabetes, and peripheral neuropathy presented to the ED with swelling and redness of her left foot. The patient stated that she noticed the swelling 4 days ago and it has progressed. The foot is now painful and red. The patient denied any trauma to the...
Puncture wounds are penetrating injuries caused by a pointed object. Puncture wounds with or without a retained foreign body are a common presentation to the ED.1 Plantar puncture wounds account for the majority of these injuries. Nails are the most frequently seen objects in puncture wounds, but other items such as needles, glass, wood, plastic, a...
Clinically, most puncture wounds initially appear benign, in the form of a small entry point with irregular skin margins and local ecchymosis.6 Delayed presentation can present with local edema, erythema, wound drainage, lymphadenopathy.6Taking a thorough history is imperative. Timing of the injury is critical. A wound more than 6 hours old has a h...
Evaluation of a patient with puncture wound includes the examination of the entry site, assessing the skin appearance, inspecting, and palpating for retained foreign bodies. Inspection should include looking for any signs of infections such as local erythema, edema, drainage.1,2,3 Pain with passive movement, crepitus, and purulence may indicate a d...
Detection of any retained foreign bodies is important as stated earlier since they can lead to serious infection and inflammatory complications. Thirty-eight percent of retained foreign bodies are missed on initial examination.5 X-ray radiographs with multiple views of the injury site are recommended for all puncture wounds except in the case of kn...
The majority of puncture wounds have a benign course. Almost all serious complications are associated with retained foreign body. One must have a high index of suspicious for identification and removal of retained foreign bodies.2,3Patients who present within 6 hours of an injury with a superficial puncture wound with no evidence of foreign body re...
Case 1: Plain imaging was negative for any retained foreign bodies. Patients puncture wound was irrigated with 1L of normal saline. Dressing was applied and patient was discharged home with Cefalexin and Ciprofloxacin. Case 2: Plain imaging was negative for any retained foreign bodies, there was significant soft tissue edema. Point of Care Ultrasou...
Despite their benign initial appearance, puncture wounds should be taken seriously due to risk of infection and potential sequela such as osteomyelitis and deep soft tissue infections.Consideration of retained foreign bodies and thorough examination and imaging (ultrasound and/or plain films)are the keys to decreasing complications.Staphylococcus and Streptococcal species are the most common causes of infection. Pseudomonasis an important consideration in plantar puncture wounds and the most common cause of osteomyelitis.The majority of puncture wounds without retained foreign bodies will have a benign course. Prophylactic antibiotics, high-pressure irrigation, and debridement are unnecessary in most cases. Educate...Haverstock DPM, B., 2012. Puncture Wound of the Foot. Clinics in Podiatric Medicine and Surgery, 29(2), pp.311-322.Racz, R., Ramanujam, C. and Zgonis, T., 2020. Puncture Wound of the Foot. Clinics in Podiatric Medicine and Surgery, 27(4), pp.523-534.Quinn J. Puncture Wounds and Bites. In: Tintinalli JE, Ma O, Yealy DM, Meckler GD, Stapczynski J, Cline DM, Thomas SH. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 9e. McGraw-Hill;...Belin, R. and Carrington, S., 2012. Management of Pedal Puncture Wounds. Clinics in Podiatric Medicine and Surgery, 29(3), pp.451-458.17 de mar. de 2022 · Infections, ranging from mild soft tissue involvement to osteomyelitis, are the main complication resulting from puncture wound injuries. The clinical aspects, management, and prevention of puncture wound infections are reviewed here.
19 de dez. de 2023 · Learn how to identify and treat puncture wounds caused by sharp objects such as nails or animal teeth. Puncture wounds can become infected and require medical attention and antibiotics.
A puncture wound is a small hole in the skin caused by a sharp object. Learn how to stop the bleeding, clean the wound, and prevent infection with antibiotics and tetanus shot.
20 de jul. de 2022 · Learn how to clean, stop the bleeding, and prevent infection of minor wounds. Find out when to call your doctor or nurse and if you need a tetanus shot.
Plantar puncture wounds involving the sole of the foot are a common injury. Typical objects causing these injuries include …. Heel pain in the active child or skeletally immature adolescent: Overview of causes. …pain, swelling, and pus drainage and to seek prompt medical attention if they occur.
