IMAGE SET #1 TYPES
This set contains a variety of wounds as seen during
a usual week in a wound care setting. We gratefully acknowledge the
contributors to Slide Set #1 who were Dale Buchbinder, MD, FACS, Jan
Cuzzell, MA, RN, Evonne Fowler, MN, RN,CETN, Dean Kane, MD, FACS, Jan
Stanfield, RN, BS, CETN
Weir, RN, CETN
1. Arterial ulcer at the metatarsal head.
Diabetic ulcer on plantar surface.
Fecal incontinence related skin breakdown.
Infected wounds in diabetic patient with cardinal signs.
Malignancy: Basal cell carcinoma on the cheek of an elderly woman.
Pressure ulcer stage IV.
Skin tear on the hand of an elderly patient.
Surgical wound: Dehisced incision in a morbidly obese patient.
Traumatic abrasion: "Road Rash" from a motor vehicle accident
on the chest of a young woman.
Venous stasis ulcer on lateral lower leg with associated dermatitis.
AAWC IMAGE SET #2:ASSESSMENT OF THE INSENSATE
FOOT AND TREATMENT OPTIONS
These images contain no logos or identification markers on the picture.
Their publication is made possible by the Contributors to the 1997
AAWC Annual Giving Campaign to whom we are grateful.
Slide Set #2 focuses on the assessment of the insensate foot and
treatment options. The image set includes eleven clinical images of
outstanding quality, many of which were taken during a tour of the Gillis
W. Long Hansen's Disease Center in Carville, LA.
are grateful to the staff and patients at the Gillis W. Long Hansen's
Disease Center for their support of this effort. We also thank contributors
Susan Dorsey, RN, BS, Diane Krasner, PhD, RN, CETN, and Catherine Ratliff,
RN, PhD, CETN.
Assessment of the dorsalis pedis pulse
Monofilament sensory testing on plantar surface
Foot deformity - dorsal view
Same foot as #3 - plantar surface with calluses
Charcot deformity, diabetic foot
Custom-made shoes for the diabetic man seen in Slide #7
Using crutches to reduce weight bearing
Contact casting: protecting ulcerated areas
Contact casting: applying plaster
Contact casting: including a walking surface
Contact casting: complete
Bonus: AAWC Logo image
contain no logos or identification markers on the picture. Their publication
is made possible by the Contributors to the 1998 AAWC Annual Giving Campaign
to whom we are grateful.
AAWC IMAGE Set #3: Dermatological
Conditions of the Lower Leg
Slide Set #3 includes ten clinical images of outstanding quality and
focuses on dermatological problems seen in a wound healing population.
We are grateful Robert Kirsner, MD and to the staff and patients at
the University of Miami, Department of Dermatology for their support
of this effort.
Multiple, bilateral squamous cell and basal cell carcinomas of the lower
Superficial ulceration on the dorsum of the right foot in a neonate
with dystrophic epidermolysis bullosa.
Necrotic ulcers on the medial aspect of right leg due to a leukocytoclastic
Red papules, and both clear and hemorrhagic vesicles in a dermatomal
distribution at posterior right leg due to varicella-zoster virus (Herpes
Zoster or Shingles).
Eroded pedunculated well-circumscribed papule on dorsum of toe, a pyogenic
Red induration plaque on right thigh caused by bacterial cellulitis.
Area outlined in purple marker to observe for progression or regression
Planter aspect of right foot, eroded nodule caused by an amelanotic
Indurated fibrotic plaques bilaterally on the medial aspect of the legs
due to venous insufficiency, chronic lipodermatosclerosis.
Annular scaly patch on dorsum of left foot secondary to trichophyton
rubrum infection (tinea pedis). Note dystrophic nails, a reservoir of
Bilateral plantar aspect of feet, keratotic plaque and dystrophic nail
due to severe infestation with sarcoptei scabei (scabies). This form
is called crusted or Norwegian Scabies.
AAWC IMAGE Set # 4:Tissue Types
This set contains 13 high quality
clinical images focusing on various tissue types donated by Mona M.
Baharestani, PhD, NP, CETN, CWS.
Trochanteric pressure ulcer with eschar.
Patellar pressure ulcer with granulation and adherent epithelialization.
Wound to dermis over buttocks with identifying signs.
Calcaneal pressure ulcers.
Sacral and ischial pressure ulcers with necrotic tissue.
Healing sacral and trochanteric ulcers.
Subcutaneous fat necrosis.
Stage IV decubitus ulcer.
Sacralcoccygeal pressure ulcer with granulation.
Exuberant granulation tissue.
Abdominal wound with granulation through mesh.
Eschar, slough, granulation, dermis, epithelialization in a wound.
IMAGE Set # 5:Arterial Wounds
This set contains 12 images of various wounds
with an arterial etiology or complication (i.e. preventing satisfactory
healing). Contributors were Stanley N. Carson MD FACS and Dot Weir,
Classic arterial wounds.
Non-healing ischemic wound.
Arterial wound post long leg bypass, healed with wound care and skin
Arthritic vasculopathic ulcer.
Pressure ulcer complicated by ischemia.
Progressive ischemic changes which are non-bypassable in active tobacco
Patient in 6, one week later.
Ischemic emboli, ulcers toe after bypass.
Trauma wounds complicated by ischemia, neuropathic patient secondary
to ethanol use.
Damage from arterial emboli post cardiac bypass surgery.
Arterial disease patient with wound and normal hair pattern.
Non-healing ischemic traumatic wound.
AAWC Image Set # 6: Debridement
A set of 14 images about debridement. These were
contributed by Lisa Madeira, RN, CWOCN, Walter Conlan, MD, Gary Chessman
DPM, Mark Winstead, PA.
1. Ulcer before debridement.
Ulcer after debridement with a scalpel.
Ulcer after curettage.
Ulcer post debridement.
Diabetic foot ulcer callus pre-debridement.
#5 being debrided.
#5 with ulcer after debridement of callus.
#5 callus removed.
Use of silver nitrate.
Medical grade maggots.
Maggots on ulcer.
Drainage from maggot therapy.
Fat and happy (interpretive) maggots.
AAWC Image Set # 7:Venous and Other Wounds
Eighteen images of venous disease, edema and other
wounds. These were contributed by Ted Tomter, RN, CWOCN, and Dot Weir,
Small ulcer, hemosiderin staining.
Venous ulcer with dermatitis.
#2 after one week of growth factor and compression.
Lymphedema with ulcerations.
Lymphedema after compression.
Further lymphedema after compression.
Unna boot with Coban.
Three layer wrap #1.
Three layer wrap #2.
Three layer wrap # 3.
Venous patient with irregular pattern of swelling secondary to bandage.
Acute spider bite.
Healing spider bite.
Brown recluse spider.
Ulcer in sickle cell disease.
AAWC Image Set # 8:Wounds in Patients
with Diabetes and Neuropathy
This set has 14 images about wounds in patients
with diabetes and neuropathy. Slides were contributed by Gary Chessman,
DPM, Ted Tomter, RN CWOCN, and Dot Weir, RN, CWOCN.
Charcot foot deformity.
Charcot foot, another view.
Non-healing toe amputation with tendon and bone exposed.
Diabetic foot callus.
Infected diabetic ulcers with sinus tracts/fistula.
Diabetic with burn on foot not felt while occurring because of nerve
Wound in patient with idiopathic neuropathy.
Failed graft from walking on same.
Insensate foot with traumatic ulcer.
Post toe amputation complication.
#10 after wound care.
Wound from #11 said to recur from non-compliant behavior.
Feet, dirty from obvious barefoot walking (ignoring necessary hygiene
AAWC image sets are copyrighted and may not be duplicated other than
for use in educational programs.
requests contact the AAWC at 866.229.2999 or submit your request to:
83 General Warren Blvd.,
Malvern, PA 19355
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