421
8254107815011060120
wound8515960128101171242311382
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contaminated1790596012863133203241303413450521583621684754
with25815960128101138178247
virulent2864596012870109156226264327396435
organisms3335596012870117186249318357411521573
or3944596012871118
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open4621596012870140202273
for4929596012848117164
several5128596012855117186249296358396
hours,851783012870141210258311347
you1233783012878146217
should1485783012862132202271311381
pack1901783012877140201271
it220878301284685
open2328783012878147210279
and2643783012870139209
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several3217783012861124194256303365403
days3656783012877139210263
later,3954783012847110148211257292
when42897830128102170233302
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that5306783012847117179217
infection851967012839110157218280319358428498
will13859670128101139178216
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develop.1850967012870133202264303374443479
Lacerated8511158012686155218281335405443506575
wounds14621158012693164242320389443
Lacerated9561338012885147209272318381420483552
wounds154313380128119189260329399454
are20321338012879126188
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by26891338012888159
blunt28811338012888127198268306
instruments32231338012856127181220266337446506577616670
or39291338012888135
by40991338012888158
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which467913380128119188227289359
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the53371338012855126188
tissues.851152301283978133188257320373409
The12961523012885155218
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and37281523012863133203
there39661523012840111173219282
is4283152301284094
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the53531523012840109171
tissues851170801283978133188257320373
than12601708012851120183252
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wounds.215817080128101171241311381436471
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and53171708012874143212
the8511893012839110172
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to18381893012839109
infection19831893012837107154217279317356426496
is2514189301283993
greater.26421893012871117179241280342389424
You95620790128101170241
should12332079012861131200271309379
cut16472079012870139177
away18602079012869170231301
flaps2194207901285493156226281
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skin33232079012861131170239
if3598207901284692
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blood39372079012877115185256325
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is47102079012846101
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You85122630128101171242
should11282263012878149219288328397
remove15612263012871134243311381444
all20402263012886125165
foreign22402263012872141188250288358428
material270422630128134194233296342381444482
and32222263012886156225
control34832263012887157227265312383421
bleeding.39402263012895133196258327366436506540
The451622630128110179242
treatment47932263012864111174236274384444514553
of53822263012895142
lacerated8512448012839102164226273335374436505
wounds139224480128101171240310381435
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identical19902448012839109171240280318381443481
to25072448012839108
incised26512448012840110173211266329398
wounds.308424480128102171241311381435470
Puncture8512640012686163241304343421476537
wound.14242640012693163241319389424
Puncture9562819012877148218281319390436498
wounds148928190128128197267337407461
are19862819012888134196
wounds221728190128128197268338407462
inflicted27152819012863133180219258321358421490
by32412819012895165
pointed34402819012896166206276314377447
instruments39232819012863133188226274343452512584623677
such46362819012880150213282
as49532819012889142
a51312819012888
nail.52542819012895158196235271
They8513004012886155218288
require11733004012849111181252291337400
no16083004012872142
surgical17853004012857127174243282344406445
treatment2266300401284187150212250360420490529
unless28313004012872143181244297352
important32193004012840148216287334373436506544
structures3799300401285795142211274313383430492546
have43803004012872134204267
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damaged.49833004012872135244304374437508542
But8513189012894164203
it1090318901283777
is1202318901283893
necessary13293189012870133195256311365428474545
to19073189012839109
immobilize20523189012838147255323394433473512575636
the27233189012839108171
part.29293189012871132179218253
In9563375012846116
puncture11083375012871141211274312381429491
wounds163533750128101171241310382436
of21063375012871118
the22593375012840109172
foot24663375012848117187226
the27273375012840110172
patient29343375012871134171210273343381
should33513375012855125195265304374
use37613375012870124186
crutches.39833375012863109179218280350413466502
If4518337501284895
he46483375012871134
walks481733750128102164202272326
on51793375012871140
the53553375012839109171
foot,8513560012847117188226262
infection11483560012845116163224287326364434504
will169635600128101139178216
occur.19483560012877139201271319354
A234435600128102
tetanus24803560012846109148210280350405
antitoxin29203560012869139178216256325395434504
should34603560012861132201271310380
be38753560012877140
given.40503560012878117187249318354
If44393560012855101
infection45753560012847117164227289327366436506
occurs,51163560012878140203273319374409
it851374401283978
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necessary10923744012870132195257311366428474545
to16703744012839109
open18153744012870140202271
the21223744012839108171
patient’s23283744012870132171209272341380428481
wound284537440128101170240310380
without326037440128101139179249319389428
delay.37223744012870133171234304337
Puncture9563930012877148218281319390436498
wounds148939300128123192262333402457
through19823930012859128176246315385456
the24733930012859130192
soft27003930012876145192231
tissues2967393001285998152206277339393
if33963930012864111
the35423930012859130191
arm37683930012884131240
or40413930012891138
leg42143930012861123194
may444339300128131192263
be47393930012892154
treated49293930012860107169232271334403
by53673930012890161
immobilization8514115012839149257324395435474513576637676715786855
of17404115012870118
the18934115012839108171
extremity20984115012862132171219280389426465536
and26674115012863133203
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of35634115012870117
a37154115012863
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dressing.43124115012871118179234289327397468503
Puncture9564300012877148218281319390436498
wounds150543000128101169240310379434
of19744300012885131
the21404300012855124187
abdomen23624300012876147216286396456526
should29234300012870141210280320389
be33484300012884147
explored35304300012876146216255325372433504
if40684300012854101
there42034300012855124187234295
is45334300012854108
any46774300012877146217
possibility49274300012886156210264304373412451490529600
that8514485012839110172210
the10974485012839108171
peritoneal13024485012870133179217257326396459521559
cavity18964485012863125194233272342
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entered.27954485012862131169232279341410446
Abrasion.8514677012694164219289343382452530565
Abrasions95648560128101170218280335374444513569
are15604856012865111173
caused17684856012864126195250312382
by21864856012872143
friction.2362485601284996135198237275345415451
The28504856012885155217
epidermis31024856012864134173243306352461498553
and36904856012865135206
some39314856012855126236296
of42624856012872119
the44164856012841111174
deeper46254856012872134196266328375
layers50354856012841104174235281336
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the8515041012839110172
skin10595041012865134174243
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The18395041012897167230
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a39695041012874
second40785041012865128190259329398
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burn.49315041012882152199268304
You528150410128101171242
should8515225012855125195265304374
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these15445225012840110173226289
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as23385225012863117
burns,24905225012871141188257312347
wash287352250128101163217286
clean31955225012863101163226295
to35255225012840110
remove36705225012848109218286357419
any41245225012864134205
dirt43635225012870109155194
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cover48305225012863133203266313
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a54625225012862
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gauze23835411012871134203266328
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bandage39255411012873134205274337406469
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immobilization46685411012840150258326396436475515576639678716786856
will85155960128101140179219
hasten11045596012886148202240303372
healing.15125596012885148209248287356427462
If20095596012862108
there21525596012854125186233295
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no26265596012884154
infection28165596012854123171233294333372442512
of33635596012886132
the35305596012854124187
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the42175596012854124187
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should49555596012869139209279318388
be53785596012884146
left8515781012839102149186
in10735781012841111
place12195781012872111174235297
for15515781012849118165
ten17515781012841103173
days19605781012871133203256
by22515781012873143
which242957810128102171211274344
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complete30935781012864134244312351414453516
epithelization36445781012864134173211282345383421484546584623693763
will444357810128101140179219
have46965781012872135204267
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The8515967012886155218
early11045967012879141188226297
removal14345967012863126236304374437476
of19465967012886133
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painful27795967012887149188257305374413
and32285967012877147217
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the39765967012855125188
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epithelium,44835967012879149189227298359398437507616649
which516859670128118187227289358
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to13146152012839108
the14586152012839108171
dressing.16636152012870117179233288326397467502
Avulsion8516343012694156234273327366436515
When95665220128133202264335
pieces13266522012881120182244307360
of17226522012881128
skin18856522012865135174244
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subcutaneous24126522012866136206268337377440509571640710765
tissues3212652201285089144198268330385
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the43586522012849119181
defect45746522012882144190252315353
should49626522012865136205275315384
be53826522012880143
closed8516708012862101172226289358
by12446708012885155
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suture19256708012868139178248295357
or23176708012884131
covered24836708012877147216279326387457
with299067080128101140178249
a32746708012875
skin33856708012868139177248
graft.36686708012885131193240279314
A403167080128102
skin41676708012869139178247
graft44506708012884131193240278
will477867080128101140179217
grow50316708012884131200302
on53686708012884154
periosteum,8516893012870133180218288342382444514624656
tendon15426893012846109179248319389
sheath,19666893012860130193255293364399
fat,24006893012852115154189
or26246893012876123
fascia27826893012852115169231270333
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it3392689301284684
should35126893012860131200270310379
be39276893012876138
applied41006893012870139208248286348418
even45546893012869138201270
if4859689301284592
the49866893012845116177
blood51986893012878116186256326
supply8517077012855125195265304375
to12597077012855126
the14197077012856126188
base16427077012886149202265
of19427077012885132
the21087077012856127188
wound233170770128118188257327398
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not29087077012886156195
very31387077012886148194264
promising.34367077012886133204313350405445515585620
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the53367077012856126188
lymph8517263012839110218286357
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will148272630128101140178216
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well218172630128102163202241
if2457726301283986
not25777263012870140179
much279272630128109176239309
contamination31377263012862131202240303412449519582621660729800
is3973726301283792
present.40997263012870117180233296365405440
3.8517639012670106
Fill9917639012694133171211
in12377639012638116
the13887639012639117179
table16027639012639108179217280
using19177639012678131170250320
the22727639012638116179
information24867639012637116162233287394466505543613692
from3213763901264699170277
the35287639012637116178
text37417639012638100170209