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Additionally, the rough surface of rusty metal provides crevices for dirt containing C. tetani, while a nail affords a means to puncture the skin and deliver endospores deep within the body at the site of the wound. [28]
A laceration of the nail bed causes bleeding into the constricted area underneath the hard nail plate. [1] The blood pools under the nail, giving a reddish, brownish, blueish, or grey/blackish discoloration. The blood puts pressure to the nailbed causing pain which can be throbbing in quality and disappears when the pressure on the nail bed is ...
In deep wounds, such as those from a puncture or contaminated needle injection the combination of tissue death and limited exposure to surface air can result in a very low-oxygen environment, allowing C. tetani spores to germinate and grow. [2] As C. tetani grows at the wound site, it releases the toxins tetanolysin and tetanospasmin as cells ...
Puncture wounds – caused by an object puncturing the skin, such as a splinter, nail, knife or sharp tooth. [10] Penetration wounds – caused by an object such as a knife entering and coming out from the skin. [citation needed] Gunshot wounds – caused by a bullet or similar projectile driving into or through the body. There may be two ...
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
The International Red Cross wound classification system is a system whereby certain features of a wound are scored: the size of the skin wound(s); whether there is a cavity, fracture or vital structure injured; the presence or absence of metallic foreign bodies. A numerical value is given to each feature (E, X, C, F, V, and M).
Martin Duque Anguiano, 14, appeared to try to shield himself, based on defensive wounds to the hands, Boiko said. The teen was shot eight times and would have stayed alive for a short time.
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches , staples or sutures .