If a venous leg ulcer is draining heavily, which strategy is not recommended to reduce maceration and skin breakdown?

A patient with intellectual disability presents to the wound clinic for a pressure wound that is 100% covered in eschar and no signs of infection.  The wound measures 0.9×0.8×0.3cms.  The patient moves around during care and often vocalizes discomfort with light touching of the skin.  The most appropriate method of debridement for this patient would be:

For the patient above, the wound is now 80% granular with minimal drainage and patient denies pain or elevated blood sugars.  At this juncture in treatment, what intervention will allow the patient to heal the fastest as it addresses the most critical underlying cause for their wound? 

Using the clock method please select the correct measurements for the below right heel wound with a depth of 0.5 cm.  The measurements between the labeled points on the photo are as follows: wound assessment A-E = 3.1 cm B-F = 2.8 cm C-G = 3.4 cm H-D = 2.5 cm        

A patient presents with burns to his right arm that have resulted in damage to the biceps muscle. This would most appropriately be classified as what degree burn?

Your 89 year old Vietnam veteran presents to the wound clinic with a non healing wound to the right anterior lower leg after he hit his leg on the edge of his living room coffee table.  He lives along in her apartment and has a personal care attendant that visits in the morning and the evening for one hour.  He is able to ambulate short distances with a quad cane and wears an AFO to right leg. The wound measures 3.8×3.8×1.2cms and has moderate drainage. PMH: CVA with right hemiparesis of leg and arm, HTN, small bowel obstruction, rheumatoid arthritis (on chronic steroids), tobacco use (quit 3 years ago) Lab/tests: Venous duplex: negative for DVT ABI study: 0.85 BMI: 35

A patient presents to your clinic with a wound that is properly dressed, but you notice the dressing is heavily saturated with fluid and the patient has not changed it for the past 4 days.  Clean technique dictates that after removing their dressing you should:

Your patient is referred to your wound clinic from the vascular team and presents with a non operable mild arterial insufficiency wound to the left lateral malleolus that measures 0.8×0.5×0.2cms and is 50% necrotic and 50% granular.  She states that she sleeps in side lying.  The following interventions are likely appropriate except:

What is the most likely etiology for the wound in the patient above? 

21(2).png What is 41 pointing at?