RT Book, Section A1 Hamm, Rose A1 Carey, Joseph N. SR Print(0) ID 1179739115 T1 Venous Wounds T2 Essential Elements of Wound Diagnosis YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260460476 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1179739115 RD 2023/11/29 AB Edema in the interstitial tissue around any wound, regardless of etiology, inhibits the healing process by trapping necrotic cells and debris and thereby preventing access of red blood cells to the injured tissue, which in turn decreases the supply of oxygen and nutrients needed for the wound to heal. Management of the edema around a wound depends on the etiology, the location, and the arterial perfusion of the periwound tissue. Determining the etiology of the edema requires a medical and pharmacologic history, surgical history (including type and access points), and joint range of motion and muscle strength in the involved extremities. In addition, evaluation of any lower extremity with edema includes a comprehensive vascular assessment. This chapter discusses wounds caused by or associated with edema, primarily in the lower extremities.