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?

Based on the video shown in class, “Why Tesco Failed in the United States,” which of the following is NOT a reason Tesco failed in the U.S.?

You are asked to evaluate a patient with a vertical abdominal wound after having a hemicolectomy for colon cancer. The surgery was 12 days ago.  The wound measures 15.0 cms x 2.5 x 5.6 cms.  The wound is 80% yellow slough and 20% granular (but more on the pink than red side).  There is minimal odor, no erythema, minimal edema.  There is moderate drainage on the dressings.  What is the biggest impairment (limitation) to wound healing for this gentleman? 

Which compression plan is best for the patient above?

Jax Inc, a U.S.-based firm, has recently started exporting cosmetics to India. Jax Inc. has introduced a new range of mineral-based makeup products for the first time in the Indian market. As Jax Inc. has no competitors in this segment of the Indian cosmetics market, it has set a very high price for its products in order to reach the premium, price insensitive segment of the market. This is an example of______.

25(1).png What is 47 pointing at?