COMLEX Osteopathic Medicine

Category - Tissue Trauma

Wound healing is a complex process. Which of the following will affect the speed at which a wound heals?
  1. Anti-coagulation medication (Coumadin, Heparin)
  2. Corticosteroids
  3. Both A and B
  4. Neither A nor B
Explanation
Answer - C - During the first moments of injury to soft tissue, the body starts the process of coagulation. If the wounded person is on an anti-coagulant, the process of coagulation, even in appropriate instances, is impeded. Corticosteroids cause a reduction in the body’s immune response and a reduction in the response of macrophages or white blood cells, which help with the wound healing process. It is important for patients on these types of medications to obtain care for wounds, even if the wounds would ordinarily be considered minor.
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