Description of Event or Problem · 0
(B)(6) L LATERAL LEG WOUND. WOUND BED REMAINS PRIMARILY PINK BUT AGAIN SEEMS TO HAVE A BIT MORE PALE SUBCUTANEOUS TISSUE/ FASCIA PRESENT, THE TENDON APPEARS TO BE A BIT MORE COVERED. DEBRIDEMENT PERFORMED TODAY PRIOR TO PLACEMENT OF PRIMATRIX DERMAL MATRIX GRAFT. SMALL DRAINAGE. PRIMATRIX #1 PLACED: GRAFT SIZE: 6CMX 6CM GRAFT LOT#: 1811102 EXPIRATION DATE: 02/28/2023 SALINE LOT#: 8362826 EXPIRATION DATE: 12/31/2021 6/6: NO SIGN OF INFECTION. WOUND IS APPEARS TO BE MORE COVERED WITH GRANULATION BUDS. PRIMATRIX #2 PLACED GRAFT SIZE: 6CM X 6CM GRAFT LOT#:1811102 EXPIRATION DATE: 2023-02-28 SALINE LOT#: 9018542 EXPIRATION DATE: 2022-01-31 6/13: NO SIGNS OF INFECTION. THERE IS REMAINING GRAFT IN THE WOUND. NEGATIVE FOR CHILLS AND FEVER. 6/20: NO SIGNS OF INFECTION. GRAFT INCORPORATED, NO GRAFT AVAILABLE. COLLAGEN GEL PLACED 6/27: NO SIGNS OF INFECTION. PRIMATRIX #3 PLACED. GRAFT SIZE: 6X6 GRAFT LOT#: 1903124 EXPIRATION DATE: 06/30/2023 SALINE LOT#: 9074617 EXPIRATION DATE: (B)(6) 2022 (B)(6): PRIMATRIX GRAFT - LARGE PORTION REMAINS INTACT TODAY. NO SIGNS OF INFECTION. NEGATIVE FOR FEVER AND CHILLS(B)(6): THERE IS WHAT APPEARS TO BE MOIST LAYER OF GRAFT PRESENT IN SOME LOCATIONS TODAY. NO SIGNS OF INFECTION. CONTINUES TO PROGRESS. NEGATIVE FOR FEVER AND CHILLS (B)(6): HIS WOUND WAS CLEANED TODAY AND IS SOMEWHAT HYPERGRANULAR, NONE OF HIS GRAFT REMAINS. NO SIGNS OF INFECTION. LOWER LEG/ANKLE INCREASED WITH SWELLING FROM LAST VISIT. SHARP DEBRIDEMENT PERFORMED. NEGATIVE FOR FEVER AND CHILLS. (B)(6): HIS WOUND IS NO LONGER HYPERGRANULAR. NO SIGNS OF INFECTION. NEGATIVE FOR FEVER/CHILLS (B)(6): HE FEELS THAT HE HAD INCREASED DRAINAGE IN THE BEGINNING OF THE WEEK THAT WAS SEROUS AND IT DECREASED OVER THE LAST 2 DAYS. INITIAL WOUND HAS IMPROVED IN SIZE BUT THE NEW AREA OF ULCERATION IS LARGER AND LOOKS MORE LIKE A BOGGY GRANULOMA. I THINK THE NEW LESION MAY BE ANOTHER SKIN MANIFESTATION OF HIS SCLERODERMA. NEGATIVE FOR FEVER/CHILLS. NO REDNESS OR ERYTHEMA. AREA PROTRUDES 4MM FROM SURROUNDING SKIN. .(B)(6): : NO HYPERGRANULAR TISSUE; DRAINAGE IS IMPROVED. NEGATIVE FOR FEVER/CHILLS. NO REDNESS OR ERYTHEMA.(B)(6): IT IS PALE PINK WITH FLAT GRANULATION BED - WILL TREAT WITH SHARP DEBRIDEMENT TODAY TO STIMULATE. NEGATIVE FOR FEVER/CHILLS. TACHYCARDIC. .(B)(6): SHARP DEBRIDEMENT. NEGATIVE FOR CHILLS/FEVER. (B)(6): THERE IS ONLY A SMALL OPEN ULCER REMAINING. IT IS PALE PINK WITH FLAT GRANULATION BED - GOOD EPITHELIALIZATION FROM THE PERIPHERY. NEGATIVE FOR CHILLS/FEVER. TACHYCARDIC. .(B)(6): WOUND IS HEALED. NEGATIVE FOR FEVER/CHILLS. TACHYCARDIC. NO FOLLOW UP WITH WOUND CARE FROM THIS POINT ON. RECALL OF PRIMATRIX 5/2023. REFERENCE REPORTS: #MW5148666, #MW5148667.