Healing

This week we present two mnemonics related to non-healing. “FETID” provides a differential for a non-healing fistula and “TIME” is handy mnemonic to know when dealing with a chronic wound.

FETID for fistula*

F = Foreign body

E = Epithelialization if the fistulas tract

T = Tumor

I = Infection/Inflammation

D = Distal Obstruction

TIME for non-healing wound*:

T = Tissue is non-viable or deficient

I = Infection or Inflammation

M = Moisture imbalance (i.e. too dry or too wet)

E = Edge of is wound is non-advancing or undermining

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FETID was taken from Pestana’s surgical notes and TIME was taken from the following link.

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Melanoma

The WM is back from summer break and weekly mnemonics will be coming your way. As summer becomes fall and the hours and intensity of sunshine decrease, here’s a reminder of the ABCDE mnemonic for melanoma.

A = Asymmetry

B = Borders are irregular/uneven

C = Colours are variegated within one lesion

D = Diameter is greater than 0.5 cm

E = Evolving; that is, changing in shape or size, or new symptoms such as bleeding, pain or itching

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Have a wonderful week!

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