usmlebuzz
Forum Elite
Topics: 93
Posts: 263
|
You are on a surgical rotation. Three days ago, you got to close the incision on the ‘big’ surgery that took ten hours. On attending rounds, you are asked the following question: ‘If we were to biopsy your perfectly closed and healing wound, what would we expect to find?’
A. Granulation tissue, a large amount of neovascularization, and evidence of epithelial proliferation
B. The incision filled with a clot
C. Macrophages and granulation tissue
D. Neutrophils, mitoses in the epithelial basal cells, and closure of the wound site
E. Proliferation of fibroblasts, enough collagen deposition to produce a small scar, and no inflammation or newly formed vessels
|
| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
|
come on guys this is easy :icon_cyclop:
|
| mjl1717
Forum Hero
Topics: 958
Posts: 5,466
|
MY guess is -E
___________________
Smell the coffee! "Is That an Osler move??"
|
| Ouli Maty
Forum Elite
Topics: 33
Posts: 275
|
I've rearranged this process and the correct answer is D .
B. The incision filled with a clot (first 24h)
D. Neutrophils, mitoses in the epithelial basal cells, and closure of the wound site (within 24 to 48h)
C. Macrophages and granulation tissue
A. Granulation tissue, a large amount of neovascularization, and evidence of epithelial proliferation
E. Proliferation of fibroblasts, enough collagen deposition to produce a small scar, and no inflammation or newly formed vessels
___________________
deep breathing...
|
| marcousmle
Forum Newbie
Topics: 2
Posts: 8
|
my answer is C
|
| dmnz
Forum Junior
Topics: 7
Posts: 72
|
I think it is A
Phase 1 - acute inflammation+ vasodilation+increased permeability>fluid accumulation -[ within 24 hrs] -recollect wounds are oozy in begining-epithelium starts growing with 2 hrs .
Phase 2- granulation+ neovascularization- 24-48 hrs + mono and lympho (T subsets)[ mono secrete growth factors]-
Phase 3 - Fibroblast proliferation/mild deposition - 48-72 hrs - very diagnostic-recollect from surgical ward round- fluid oozing decreases-dressings are not changed after 72 hrs
Phase 4- epithelization/ moderate collagen -after 72 hrs-collagen deposition is Maximum between 1-3 weeks
any corrections guys?
Deepak :wink:
|
|
|
ritu plz tell the answer
|
|
|
It would be choice C
|
| mjl1717
Forum Hero
Topics: 958
Posts: 5,466
|
I agreee with Maty-answer d
___________________
Smell the coffee! "Is That an Osler move??"
|
| aiysha
Forum Senior
Topics: 31
Posts: 133
|
i think it is C
please ritu tell us the correct answer.
|
| Malaysian
Forum Guru
Topics: 28
Posts: 778
|
I think its C too.....but A is a close contender!
|
| meissa
Forum Newbie
Topics: 0
Posts: 20
|
the correct answer is A. the third day granulation tissue start
|
|
| |
| | | | | | | | | | | | |
