Skin Laceration

Age: ‍ years old

Gender: ‍malefemale



HISTORY:

Presents with a laceration that occurred ‍ ‍days ago

Location is on ‍rightleft ‍ ‍handface

Mechanism of injury: ‍ ‍falldirect blow

Alleviating factors: ‍none, ‍effectiveineffective

Occupation: ‍

Work-related injury: ‍yesno



Associated symptoms: *Try using right-click for negatives*

‍intense pain

‍heavy bleeding

‍swelling

‍bruising

‍redness

‍pus or discharge

‍fever, up to ‍°, over ‍ ‍hoursdays



Contributing factors:

no history of: ‍diabetes, ‍immunodeficiency

tetanus vaccination: ‍up-to-dateincompleteunvaccinated





EXAM:

General appearance: ‍well-appearing, ‍apparent distress

Skin: ‍rashlesions on ‍





ASSESSMENT:

‍Skin laceration ‍likelysuspectedpossible

DDx: simple laceration, complex laceration, puncture wound, avulsion injury, tendon injury, nerve injury, vascular injury, animal bite, human bite, abrasion, crush injury, amputation injury, burn, foreign body in skin, cellulitis, tetanus, rabies





PLAN:

Investigations:

- X-ray if foreign body or fracture suspected

Laceration repair:

- Local anesthesia with ‍lidocaine ‍cc ‍locally

- Cleaning and irrigation with normal saline

- Exploration of wound

- Closure with ‍suturesadhesive stripstissue adhesive

- Dressing with antibiotic ointment

Treatments:

- ‍Topical antibiotics

- ‍Oral antibiotics

- ‍Analgesics

- Tetanus vaccination

- Wound dressing

- Education on wound care

Further care:

- Referral to plastic surgeon for complex lacerations

- Suture removal in ‍5710 days

- Follow-up in ‍ ‍daysweeks for wound check

- Return if signs of infection develop such as redness, swelling, pus, or fever