Epithelialization Phase

Question 1

Periwound Skin
Acute Epithelialization Phase
3

Answer 1

Early phase is same as acute inflammation (unblanchable erythema, discolored skin, ecchymosis)
Normal ethnic color returns as inflammation subsides.
Hemosiderin staining if chronic wound.

Question 2

Peirwound Skin
Chronic Epithelialization Phase
6

Answer 2

Same as chronic inflammatory or absence inflammatory.
Ischemic (pale) or ashen.
Purplish w dependency.
Dry, Flaky, (kyperkeratotic–due to desiccation or aging skin)
Maceration: pale, wrinkled, soft, thin.
Hemosiderin staining.

Question 3

Periwound Skin
Absense of Epithelialization Phase
3

Answer 3

Scar tissue
Same as chronic or absence inflammatory.
Dry w/ hyperkeratosis or lipodermatosclerosis.

Question 4

Wound Tissue
Acute Epithelialization Phase
3

Answer 4

Even with round edges
Pink/red granulation
Reduction in wound surface area

Question 5

Wound Tissue
Chronic Epithelialization Phase
2

Answer 5

Not connected with wound edge

Hypergranulation

Question 6

Wound Tissue
Absence of Epithelialization Phase
3

Answer 6

Absense of resurfacing from edges or dermal appendages.
Hypogranulation
Presence of scab or necrotic tissue.

Question 7

Undermining/Tunneling
Acute Epithelialization Phase
1

Answer 7

Steep walls limit migration

Question 8

Undermining/Tunneling
Chronic Epithelialization Phase
1

Answer 8

Steep walls limit migration

Question 9

Undermining/Tunneling
Absence of Epithelialization Phase
1

Answer 9

Steep walls limit migration

Question 10

Wound Edges
Acute Epithelialization Phase
3

Answer 10

New skin moves out from wound edge and dermal appendages in irregular pattern
Bright pink color, regardless of usual skin pigmentation.
Texture is soft to firm and flexible to touch, thin

Question 11

Wound Edges
Chronic Epithelialization Phase
4

Answer 11

Epithelial ridge
Rolled under or thickend
Dry, flaky skin
Rounding off of wound shape

Question 12

Wound Edges
Absense of Epithelialization Phase
4

Answer 12

Fibrotic wound ede
Rounding off of wound shape and edges.
Macerated.
Dry, flaky skin

Question 13

Wound Drainage
Acute Epithelialization Phase
1

Answer 13

Minimal to scant serous or serosanguineous

Question 14

Wound Drainage
Chronic Epithelialization Phase
1

Answer 14

Absent, dry, if hypergranulation, minimal/moderate

Question 15

Wound Drainage
Absence of Epithelialization Phase
1

Answer 15

Absent, Dry

Question 16

Scar Tissue
Acute Epithelialization Phase
3

Answer 16

Thin layers of scar tissue
Thickens over time
Deep pink color initially; changes to bright pink color, regardless of normal skin pigmentation

Question 17

Scar Tissue
Chronic Epithelialization Phase
3

Answer 17

Hypertrophic scarring
Keloid scarring
Hyperkeratotic scarring

Question 18

Scar Tissue
Absense of Epithelialization Phase
2

Answer 18

Weak, friable epithelial tissue.

Breaks or washes out.