Name: Nala Species: Canine | Breed: Labrador retriever Sex: Female | Age: 7 year old Reason for consultation: A 7-year-old Labrador retriever was treated for a dog-bite wound on the left flank 16 hours post injury. The wound was closed immediately without significant debridement. Six days later, the patient returns to the clinic with a painful, swollen wound that is partially dehisced.
Next
Initial Examination
The incision edges are necrotic, and a purulent discharge drains through a nearby puncture tract. The surrounding skin is oedematous, warm, and indurated, and the dog now has fever, lethargy, and reluctance to move.
At this stage, surgical revision is unavoidable: the wound will need extensive debridement, drainage, and open management with delayed closure.
Next
Investigate with:
Ive Watson
Mission
Determine the four critical control points in the chain of events that led this wound to fail.
Approach
It’s up to you to reconstruct what went wrong, and how it could have been prevented.
SAST_M01_RECC_Intro - When_Closing_Wound_Makes_Everything_Worse
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Transcript
Nala: The Final Clue
When Closing a Wound Makes Everything Worse
Start
Case ID:
023–Nala
Name: Nala Species: Canine | Breed: Labrador retriever Sex: Female | Age: 7 year old Reason for consultation: A 7-year-old Labrador retriever was treated for a dog-bite wound on the left flank 16 hours post injury. The wound was closed immediately without significant debridement. Six days later, the patient returns to the clinic with a painful, swollen wound that is partially dehisced.
Next
Initial Examination
The incision edges are necrotic, and a purulent discharge drains through a nearby puncture tract. The surrounding skin is oedematous, warm, and indurated, and the dog now has fever, lethargy, and reluctance to move.
At this stage, surgical revision is unavoidable: the wound will need extensive debridement, drainage, and open management with delayed closure.
Next
Investigate with:
Ive Watson
Mission
Determine the four critical control points in the chain of events that led this wound to fail.
Approach
It’s up to you to reconstruct what went wrong, and how it could have been prevented.
Start the investigation
Greet Watson to begin your interaction.
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