Tertiary Intention – known as "belated" primary intention

Tertiary Intention – known as "belated" primary intention

1. the wound may be left open to allow for granulation tissue to form & then be closed by sutures. ie contaminated wound

2. it also can be from a primary intention wound that has become infected & re-opened to allow granulation & then can be sutured

3. the scar is deep & wide

Causes of the inflammatory response

1. initiated by a particular agent

2. initiated by non-particular agent

3. exogenous agent

4. endogenous agent

Causes of inflammation

1. mechanical injuries – cuts, abrasions

2. physical injuries – burns

3. chemical injuries – toxins, poisons

4. microorganisms – viruses, fungi, or bacteria

5. temperature extremes – heat / cold

6. immunologic responses – hypersensitivity reaction

7. ischemic damage or trauma ie. stroke or MI

Cardinal signs of inflammation:

1. erythema

2. hyperemia

3. swelling due to accumulated fluid at the site

4. pain from tissue damage

5. chemical irritation of nerves

6. loss of function from swelling & pain

7. degree of functional loss will depend on site of injury & degree of injury

Signs of systemic manifestations:

1. temperature 100.4

2. pulse 90

3. respirations 20

4. WBC 12,000 or greater than 10% bands (10,000 leukocytes)