Wound Care 509465.An 18-year-old woman presents to the ED with a lower lip laceration
secondary to a fall. The patient reports she fell forward after her heel caught
in a storm drain. In addition to small facial abrasions, she has a 3-cm-deep
laceration on the inner aspect of the lower lip. You plan to close the laceration
to control bleeding and prevent food impaction. Which of the following suture
material is the best choice in this patient?
a. 2-0 nylon
b. 6-0 nylon
c. 3-0 monofilament absorbable
d. 1-0 absorbable chromic gut
e. 5-0 absorbable chromic gut
466.A 50-year-old man presents to the ED for suture removal. When he was
on vacation in Jamaica, 2 days ago, he sustained a 4-cm right calf laceration
from a piece of glass. At that time, the laceration was irrigated, radiographed
to rule out a foreign body, and repaired. Currently, there is good wound edge
approximation and no surrounding erythema or discharge from the wound.
What is the next best step in management?
a. Have the patient return in 3 days for suture removal.
b. Have the patient return in 8 days for suture removal.
c. Have the patient return in 14 days for suture removal.
d. Remove the sutures.
e. Remove the sutures then replace them to prevent infection.