Case: Samuel Dawes Samuel Dawes is a 72-year-old, obese, white, diabetic male who underwent an emergency appendectomy five days ago. He had a small incision, approximately 6 cm in length, which was secured with staples. Eight days after the operation, the staples were removed, at which point, the wound opened and pus was visible. The wound margins were red, and the more internal portions of the wound appeared to be closed. 1. Identify and describe the type of healing that a surgical incision should undergo. 2. Explain what may have been the problems that caused this wound to rupture: a) local problem b) systemic problems and risk factors. 3. Describe the actions of neutrophils and macrophages during the inflammatory phase of the healing process, mentioning cytokines or other chemical mediators involved. 4. Describe granulation tissue and explain its function. 5. How is the growth of new skin epithelium on accomplished? 6. Describe changes that occur in scar tissue during the remodeling phase of the healing process. 7. What terms can be applied to the two problems that developed during the attempted healing of Mr. Dawes wound? Justify your choice by matching the definition of the terms with the final appearance of the wound. . Guide to write this case study 2- Answer the entire question precisely and properly pathophysiologically of the condition. 2- Length should be approximately 750-800 words of double spaced pages. 3- This source must be used: Porth, C., & Kunert, M. P. (2017). Pathophysiology: Concepts of altered health states. Philadelphia: Lippincott Williams & Wilkins. 4- Reference format as follow: Authors, (Year). Title. Journal Name and Volume (number): pages. For Example: Scherer K, Bedlack RS, Simel DL. (2005). “Does this patient have myasthenia gravis?. JAMA 293 (15): 190614. For books, use the format: Authors, (Year). Title. Publisher. Example: Porth, C., & Kunert, M. P. (2014). Pathophysiology: Concepts of altered health states. Philadelphia: Lippincott Williams & Wilkins. For websites, give reference and URL for exact page, not parent organization: . National Library of Medicine (2014). Multiple Sclerosis.Show more
