Examination of scars

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Chapter 40 Examination of scars


Edmund Fitzgerald O’Connor, Yezen Sheena and Henk Giele




Checklist



WIPER



Physiological parameters



Look




Anatomy: Site, Orientation, Length, Colour, Contracture



Healing status: fresh, healing, healed, mature



Healing method: primary or secondary intention



Pathological scarring: hypertrophic or keloid changes, scar widening or stretching



Infection: sinuses, fistulas, granulation or discharge



Signs of surgical correction (e.g. z-plasty)



Feel




Tenderness



Thickness, pliability



Adherence



Evidence of malignant occurrence or recurrence



Move




Mobility of scar



Mobility and laxity of surrounding skin



Associated functional impairment (test related muscles, joints and nerves)

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Feb 18, 2017 | Posted by in GENERAL SURGERY | Comments Off on Examination of scars

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