types of exudates + wound terminology
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Last updated 3:39 PM on 3/3/23
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87 Terms
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Serous
Clear straw-colored
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Serous, Fibrinous, Serosanguinous, Sanguinous
Thin watery (4)
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Serous, Fibrinous
Significance: Normal (2)
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Fibrinous
Cloudy
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Fibrinous
May indicate fibrin strands present.
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Serosanguinous
Opaque / pink
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Serosanguinous
Significance: May indicate the presence of red blood cells and capillary damage from, e.g. traumatic dressing removal or surgery
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Sanguinous
Red
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Sanguinous
Significance: May indicate trauma to blood vessels.
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Sanguinous
Significance: May indicate low protein content d/t malnutrition
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Sanguinous
Significance: Venous or congestive cardiac failure.
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Sanguinous
Significance: May indicate presence of fistula
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Seropurulent
Murky yellow / cream / coffee
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Seropurulent
Thicker / sticky / creamy
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Seropurulent
Significance: May indicate a bacterial infection and/ presence of necrotic liquid / tissue
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Purulent
Yellow / grey / green
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Purulent, Hemorrhagic
Thicky / sticky
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Purulent
Significance: May indicate infection.
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Purulent
Significance: Contains pyogenic (pus generating) organisms and other inflammatory cells
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Purulent
Significance: Consequent damage to dermal capillaries leads to blood leakage
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Haemopurulent
Dark, blood-stained
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Haemopurulent
Viscous / stick
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Haemopurulent
Significance: Will indicate an infection and will contain neutrophils, dead/dying bacteria and inflammatory cells.
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Haemopurulent
Significance: Consequent damage to dermal capillaries leads to blood leakage.
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Hemorrhagic
Dark red
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Hemorrhagic
Significance: Indicates infection and/ trauma.
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Hemorrhagic
Significance: Capillaries are so friable they readily break down and spontaneous bleeding occurs.
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Hemorrhagic
Significance: Not to be confused with bloody exudate produced by over-enthusiastic debridement.
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wound base
Bottom of the wound (deepest)
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wound depth
Vertical distance from the visible surface to the deepest area
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wound depth
The distance from the top layer of the periwound area to the deepest layer of the wound
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wound edges / margins
aka Periwound Area
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wound edges / margins
normal skin around the wound
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wound edges / marguns
Inside the perimeter of the wound
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macerated
This is when skin is exposed to moisture for a prolonged period of time
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epibole
rolled edge
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epibole
Wound edge is curled under/inwards, preventing wound closure
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callused wound
Fibrotic, hyper-keratotic, an excess in production of skin
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periwound area
Skin surrounding the wound
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4 cm
periwound area has a minimum of
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erythema (red)
color of periwound area when there’s infection, trauma, inflammation
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white
color of periwound area when there’s moisture (maceration)
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blue / purple cyanotic
color of periwound area when there’s poor blood flow, trauma
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denuded
Loss of epidermis, caused by exposure to urine,
feces, body fluids, wound exudate or friction
feces, body fluids, wound exudate or friction
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erosion
loss of epidermis
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Excoriated
linear erosion
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Excoriated
destruction of skin by mechanical means (stretch)
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tunneling
Channel or pathway that extends in any direction from the wound through the subcutaneous tissue
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undermining
Tissue destruction underlying intact skin along the wound margins
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undermining
caused by shearing forces
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necrotic tissue
Non-viable, dead tissue
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slough
type of necrotic tissue that is yellow, greek grey
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slough
type of necrotic tissue that is lighter, thin, wet
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slough
type of necrotic tissue that is stingy
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slough
type of necrotic tissue that is by -product of infection
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eschar
type of necrotic tissue that is black, brown grey
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eschar
type of necrotic tissue that is darker, thicker
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eschar
type of necrotic tissue that is hard
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eschar
type of necrotic tissue that is shell like on top of wound
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epithelial tissue
outermost layer of skin
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epithelial tissue
deep pink to pearly pink
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epithelial tissue
closure of the wound, healing
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granulation tissue
new tissue that replaces dead tissue
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granulation tissue
beefy, red color
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granulation tissue
puffy and mounded
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granulation tissue
grows from the base of the wound
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hyperganulation tissue
forms above the surface of the wound
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hyperganulation tissue
delays epithelialization
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muscle tissue
pink to dark red
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muscle tissue
highly vascularized
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muscle tissue
striated, grooved, or ridged
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muscle tissue
usual striations
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tendon
attaches muscle to bone
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tendon
shiny when healthy
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tendon, fascia
shiny and white
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fascia
hypodermal area
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fascia
covering over the muscles
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fascia
great organizer
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bony
shiny and smooth
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wound base color
dictates if wound is healing properly
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beefy red
color if tissue is healthy and has good blood flow
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pale pink
color if there is poor blood flow, anemia
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purple
color if there is engorned, swelling, high baterial levels, trauma
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black/brown
color if there is non-viable, necrotic tissue
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yellow
color if there is non-viable tissue, slough
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green
color if there is non-viable tissue, active infection
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white
color if it is macerated, poor blood flow
Note 
Flashcards (44)