|Sets 1-8 (sets are available on 2 CD-ROMS:
|>> CD Image Set 1 contains Sets #1 – #4|
|>> CD Image Set 2 contains Sets #5 – #8)|
All image sets may be ordered by mail, fax or the internet – see following the image set descriptions.
The AAWC Educational Slide Set Series is designed and has been successfully used to assist healthcare providers and educators in teaching, learning and lecturing about wound and skin care.
These images contain no logos or identification markers on the picture. Their publication is made possible in part by the Contributors to the AAWC Annual Giving Campaign to whom we are all most grateful.
CD Image Set 1
AAWC IMAGE SET #1 TYPES OF WOUNDS
This set contains a variety of wounds as seen during a usual week in a wound care setting. We gratefully acknowledge the contributors to Slide Set #1 who were Dale Buchbinder, MD, FACS, Jan Cuzzell, MA, RN, Evonne Fowler, MN, RN,CETN, Dean Kane, MD, FACS, Jan Stanfield, RN, BS, CETN
Dot Weir, RN, CETN
1. Arterial ulcer at the metatarsal head.
2. Diabetic ulcer on plantar surface.
3. Fecal incontinence related skin breakdown.
4. Infected wounds in diabetic patient with cardinal signs.
5. Malignancy: Basal cell carcinoma on the cheek of an elderly woman.
6. Pressure ulcer stage IV.
7. Skin tear on the hand of an elderly patient.
8. Surgical wound: Dehisced incision in a morbidly obese patient.
9. Traumatic abrasion: “Road Rash” from a motor vehicle accident on the chest of a young woman.
10. Venous stasis ulcer on lateral lower leg with associated dermatitis.
AAWC IMAGE SET #2:ASSESSMENT OF THE INSENSATE FOOT AND TREATMENT OPTIONS
These images contain no logos or identification markers on the picture. Their publication is made possible by the Contributors to the 1997 AAWC Annual Giving Campaign to whom we are grateful.
AAWC Slide Set #2 focuses on the assessment of the insensate foot and treatment options. The image set includes eleven clinical images of outstanding quality, many of which were taken during a tour of the Gillis W. Long Hansen’s Disease Center in Carville, LA.
We are grateful to the staff and patients at the Gillis W. Long Hansen’s Disease Center for their support of this effort. We also thank contributors Susan Dorsey, RN, BS, Diane Krasner, PhD, RN, CETN, and Catherine Ratliff, RN, PhD, CETN.
1. Assessment of the dorsalis pedis pulse
2. Monofilament sensory testing on plantar surface
3. Foot deformity – dorsal view
4. Same foot as #3 – plantar surface with calluses
5. Charcot deformity, diabetic foot
6. Custom-made shoes for the diabetic man seen in Slide #7
7. Using crutches to reduce weight bearing
8. Contact casting: protecting ulcerated areas
9. Contact casting: applying plaster
10. Contact casting: including a walking surface
11. Contact casting: complete
12. Bonus: AAWC Logo image
AAWC IMAGE Set #3: Dermatological Conditions of the Lower Leg
These images contain no logos or identification markers on the picture. Their publication is made possible by the Contributors to the 1998 AAWC Annual Giving Campaign to whom we are grateful.
AAWC Slide Set #3 includes ten clinical images of outstanding quality and focuses on dermatological problems seen in a wound healing population. We are grateful Robert Kirsner, MD and to the staff and patients at the University of Miami, Department of Dermatology for their support of this effort.
1. Multiple, bilateral squamous cell and basal cell carcinomas of the lower extremities.
2. Superficial ulceration on the dorsum of the right foot in a neonate with dystrophic epidermolysis bullosa.
3. Necrotic ulcers on the medial aspect of right leg due to a leukocytoclastic vasculitis.
4. Red papules, and both clear and hemorrhagic vesicles in a dermatomal distribution at posterior right leg due to varicella-zoster virus (Herpes Zoster or Shingles).
5. Eroded pedunculated well-circumscribed papule on dorsum of toe, a pyogenic granuloma .
6. Red induration plaque on right thigh caused by bacterial cellulitis. Area outlined in purple marker to observe for progression or regression with therapy.
7. Planter aspect of right foot, eroded nodule caused by an amelanotic melanoma.
8. Indurated fibrotic plaques bilaterally on the medial aspect of the legs due to venous insufficiency, chronic lipodermatosclerosis.
9. Annular scaly patch on dorsum of left foot secondary to trichophyton rubrum infection (tinea pedis). Note dystrophic nails, a reservoir of fungus.
10. Bilateral plantar aspect of feet, keratotic plaque and dystrophic nail due to severe infestation with sarcoptei scabei (scabies). This form is called crusted or Norwegian Scabies.
AAWC IMAGE Set # 4:Tissue Types
This set contains 13 high quality clinical images focusing on various tissue types donated by Mona M. Baharestani, PhD, NP, CETN, CWS.
1. Trochanteric pressure ulcer with eschar.
2. Patellar pressure ulcer with granulation and adherent epithelialization.
3. Wound to dermis over buttocks with identifying signs.
4. Calcaneal pressure ulcers.
5. Sacral and ischial pressure ulcers with necrotic tissue.
6. Healing sacral and trochanteric ulcers.
7. Subcutaneous fat necrosis.
8. Stage IV decubitus ulcer.
9. Sacralcoccygeal pressure ulcer with granulation.
10. Exuberant granulation tissue.
11. Abdominal wound with granulation through mesh.
12. Ischemic bulla.
13. Eschar, slough, granulation, dermis, epithelialization in a wound.
CD Image Set 2
AAWC IMAGE Set # 5:Arterial Wounds
This set contains 12 images of various wounds with an arterial etiology or complication (i.e. preventing satisfactory healing). Contributors were Stanley N. Carson MD FACS and Dot Weir, RN, CWOCN.
1. Classic arterial wounds.
2. Non-healing ischemic wound.
3. Arterial wound post long leg bypass, healed with wound care and skin graft.
4. Arthritic vasculopathic ulcer.
5. Pressure ulcer complicated by ischemia.
6. Progressive ischemic changes which are non-bypassable in active tobacco user.
7. Patient in 6, one week later.
8. Ischemic emboli, ulcers toe after bypass.
9. Trauma wounds complicated by ischemia, neuropathic patient secondary to ethanol use.
10. Damage from arterial emboli post cardiac bypass surgery.
11. Arterial disease patient with wound and normal hair pattern.
12. Non-healing ischemic traumatic wound.
AAWC Image Set # 6: Debridement
A set of 14 images about debridement. These were contributed by Lisa Madeira, RN, CWOCN, Walter Conlan, MD, Gary Chessman DPM, Mark Winstead, PA.
1. Ulcer before debridement.
2. Ulcer after debridement with a scalpel.
3. Ulcer after curettage.
4. Ulcer post debridement.
5. Diabetic foot ulcer callus pre-debridement.
6. #5 being debrided.
7. #5 with ulcer after debridement of callus.
8. #5 callus removed.
9. Autolytic debridement.
10. Use of silver nitrate.
11. Medical grade maggots.
12. Maggots on ulcer.
13. Drainage from maggot therapy.
14. Fat and happy (interpretive) maggots.
AAWC Image Set # 7:Venous and Other Wounds
Eighteen images of venous disease, edema and other wounds. These were contributed by Ted Tomter, RN, CWOCN, and Dot Weir, RN, CWOCN.
1. Small ulcer, hemosiderin staining.
2. Venous ulcer with dermatitis.
3. #2 after one week of growth factor and compression.
4. Lymphedema with ulcerations.
6. Lymphedema after compression.
7. Further lymphedema after compression.
8. Unna boot.
9. Unna boot with Coban.
10. Three layer wrap #1.
11. Three layer wrap #2.
12. Three layer wrap # 3.
13. Venous patient with irregular pattern of swelling secondary to bandage.
14. Acute spider bite.
15. Healing spider bite.
16. Brown recluse spider.
18. Ulcer in sickle cell disease.
AAWC Image Set # 8:Wounds in Patients with Diabetes and Neuropathy
This set has 14 images about wounds in patients with diabetes and neuropathy. Slides were contributed by Gary Chessman, DPM, Ted Tomter, RN CWOCN, and Dot Weir, RN, CWOCN.
1. Charcot foot deformity.
2. Charcot foot, another view.
3. Non-healing toe amputation with tendon and bone exposed.
4. Diabetic foot callus.
5. Infected diabetic ulcers with sinus tracts/fistula.
6. Diabetic with burn on foot not felt while occurring because of nerve dysfunction.
7. Wound in patient with idiopathic neuropathy.
8. Failed graft from walking on same.
9. Insensate foot with traumatic ulcer.
10. Post toe amputation complication.
11. #10 after wound care.
12. Wound from #11 said to recur from non-compliant behavior.
13. Stump ulceration.
14. Feet, dirty from obvious barefoot walking (ignoring necessary hygiene and prevention).
All AAWC image sets are copyrighted and may not be duplicated other than for use in educational programs.
For permission requests contact the AAWC at 866.229.2999 or submit your request to:
83 General Warren Blvd.,
Malvern, PA 19355