Burns and Their Causes
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Questions and Answers

What are the most common causes of burns in children?

  • Sun exposure
  • Friction from clothing
  • Chemical exposure in school
  • Fire and hot liquids (correct)
  • What is the main classification of burns caused by electrical sources?

    High voltage (≥1000 volts), low voltage (<1000 volts), or flash burns

    What is a common agent that causes chemical burns and is found in toilet cleaners?

    Sulfuric Acid

    Children explore their environment as part of their normal, natural development.

    <p>True</p> Signup and view all the answers

    Match the type of poisoning with the examples:

    <p>Medication = pain-relievers, diabetes medicines, iron tablets Carbon Monoxide = space heaters, gas ranges, automobiles Alcohol, Nicotine, and Illicit Substances = wine, cigarettes, cocaine Batteries = watches, calculators, toys</p> Signup and view all the answers

    What should be done if a button-cell battery or a battery is lodged in a child's nose, ear, or throat?

    <p>Seek treatment in a hospital emergency department immediately.</p> Signup and view all the answers

    Which of the following are types of physical abuse according to the WHO? (Select all that apply)

    <p>Hitting</p> Signup and view all the answers

    Child Sexual Abuse can include incident exposure of the genitals to a child.

    <p>True</p> Signup and view all the answers

    Child neglect is the failure to provide basic needs, medical care, or supervision to the degree that the child's health, safety, or well-being may be threatened with ______.

    <p>harm</p> Signup and view all the answers

    Match the following types of cerebral palsy with their characteristics:

    <p>Spastic = Characterized by spasticity or high muscle tone Ataxic = Known to decrease muscle tone, often causing intention tremors Athetoid = Primarily associated with lesions during brain development, characterized by both hypertonia and hypotonia Mixed = Symptoms of spastic, ataxic, and athetoid CP present simultaneously, making it difficult to treat</p> Signup and view all the answers

    Study Notes

    Burns

    • Definition: Damage to the skin caused by heat, radiation, friction, or chemicals
    • Causes:
      • Thermal: fire, hot liquids, high temperature tap water, hot cooking oil, steam
      • Chemical: strong acid or base substances, e.g. sulfuric acid, bleach, hydrofluoric acid
      • Electrical: high voltage (>1000V), low voltage (<1000V), flash burns
      • Radiation: UV light, ionizing radiation
      • Non-accidental: intentional harm
      • Friction: rapid movement of surface against skin
    • Degrees of burns:
      • Superficial (First-Degree): epidermis, red, painful, heals in 5-10 days
      • Superficial Partial Thickness (Second-Degree): papillary dermis, red, blistered, painful, heals in 2-3 weeks
      • Deep Partial Thickness (Second-Degree): reticular dermis, less blanching, may require excision and skin grafting
      • Full Thickness (Third-Degree): entire dermis, white/brown, leathery, painless, requires excision and skin grafting
      • Fourth-Degree: extends through skin and into underlying fat, muscle, and bone

    Poisoning

    • Accidental poisoning common in toddlers aged 1-3 years
    • Types of poisoning:
      • Medication: ingestion of incorrect dose or wrong medication
      • Household products and pesticides: ingestion or inhalation of substances like bleach, toilet bowl cleaners, pesticides
      • Carbon monoxide: colorless, odorless gas emitted from fuel-burning appliances
      • Household plants: toxins in plants like daffodils, foxglove, and lilies
      • Alcohol, nicotine, and illicit substances: ingestion or contact with substances like liquor, nicotine gum, and illicit drugs
      • Hydrocarbons: gasoline, kerosene, lamp oil, and other substances
      • Batteries: ingestion of small batteries, especially button-cell batteries
      • Personal care products: ingestion of nail polish remover, perfume, and other products
    • Signs and symptoms: nausea, vomiting, drowsiness, abdominal pain, fitting
    • Prevention: store medicines and household products out of reach, avoid distractions when administering medicine, and check child-resistant caps

    Child Abuse

    • Definition: physical, sexual, and/or psychological maltreatment or neglect of a child by a parent or caregiver
    • Types of child abuse:
      • Physical abuse: intentional use of physical force against the child
      • Sexual abuse: participation of a child in a sexual act for the benefit of another person
      • Psychological abuse: verbal or symbolic acts that cause significant psychological harm
      • Neglect: failure to provide basic needs, medical care, or supervision
    • Causes/risk factors:
      • Unintended conception
      • Intent to punish
      • Abused by spouse
      • Economic recession
      • Substance abuse
    • Effects of child abuse:
      • Immediate physical harm
      • Developmental problems
      • Chronic physical and psychological effects
      • Shortened lifespan

    Cerebral Palsy (CP)

    • Definition: group of permanent movement disorders that appear in early childhood

    • Causes:

      • Abnormal development or damage to the developing brain
      • Problems in intrauterine development, hypoxia, birth trauma, and complications around birth or childhood
    • Risk factors:

      • Preterm birth
      • Term infants with placental problems, birth defects, low birth weight, and breathing meconium in the lungs
      • Genetics (autosomal recessive)
      • Infections, toxins, physical brain injury, and stroke in early childhood
    • Diagnosis:

      • Neuroimaging with CT or MRI
      • Symptoms and diagnosis typically occur by age 2, but may be diagnosed later in adulthood
    • Signs and symptoms:

      • Low bone mineral density
      • Eating problems
      • Speech and language disorder
      • Pain and sleep disturbances### Cerebral Palsy (CP) Types
    • Spastic CP (80% of overall CP cases):

      • Characterized by spasticity or high muscle tone, resulting in stiff, jerky movements
      • Affects the motor cortex of the brain, responsible for planning and completing voluntary movements
      • Subtypes:
        • Spastic Hemiplegia
        • Spastic Diplegia
        • Spastic Quadriplegia
        • Spastic Monoplegia (affects one limb or specific area of the body)

    Ataxic CP (5-10% of overall CP cases)

    • Least frequent form of CP
    • Characterized by decreased muscle tone due to damage to cerebellar structures
    • Causes coordination and balance problems
    • Manifests as intention (action) tremor, especially during precise movements

    Athetoid (Dyskinetic) CP (ADCP)

    • Associated with lesions during brain development due to bilirubin encephalopathy and hypoxic-ischemic brain injury
    • Characterized by both hypertonia and hypotonia due to inability to control muscle tone
    • Non-spastic, extrapyramidal form of CP
    • Subtypes:
      • Choreo-Athetoid CP: characterized by involuntary movements, mainly in the face and extremities
      • Dystonic ADCP: characterized by slow, strong contractions, which may be local or affect the entire body

    Mixed CP

    • Characterized by simultaneous symptoms of Athetoid, Ataxic, and Spastic CP, varying in degree
    • Most difficult to treat due to heterogeneity and unpredictability of symptoms and development over time

    Management

    • Multidisciplinary treatment is required for CP management

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    Learn about the different types of burns, including thermal, chemical, electrical, and radiation burns, and their causes.

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