Case study 2
(courtesy of
Rosie Callaghan)
Mrs M is a 72-year-old woman with a
history of heart and renal failure. She
has also suffered for some years with
swollen oedematous legs that ‘weep’ on
occasions. She is mobile with the aid of a
Zimmer frame and at the time of writing
was on warfarin following a deep vein
thrombosis some months previously.
The injury featured here was caused
when Mrs M banged her shin on
the Zimmer frame, resulting in a
haematoma that ran almost the full
length of her shin (Figure 4).
One option was to transfer Mrs M
to A&E to have the wound debrided.
However, this would have been costly
and traumatic, with increased risk of
infection. Also, to use conventional
debriding methods involves
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