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always included in wound assessment documentation

location, color, drainage, temperature, pain

approximated

wound edges brought close together

exudate

Fluid that accumulates in a wound

serous

clear to slight tint of clear yellow

sanguineous

bloody

serousanguineous

light pink or light red, combination of clear serous and bloody sanguineous

purulent

creamy yellow, tan, brown, green, greenish-blue, may be thick, with or without odor

dehiscence

total or partial separation of incision edges

evisceration

emergency where abdominal pleura opens and abdominal organs protrude onto abd. wall

primary intention

primary union of edges of wound progression to complete scar formation

secondary intention

wound healing where separated granulation tissue develops to fill in opening and epithelial tissue grows over granulation tissue filling in wound-- very pink and wide scar

tertiary intention

wound healing that occurs when surgical wounds intentionally left open 3-5 days to allow edema or infection to diminish before closing surgically

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