Burns: Types, Symptoms, and Treatments

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Questions and Answers

Which degree of burn is characterized by red and swollen skin without blisters?

  • Second degree
  • First degree (correct)
  • Fourth degree
  • Third degree

What is a sign that indicates a second degree burn?

  • Charring of the skin
  • Loss of sensation
  • Skin blisters (correct)
  • Blackened tissue

Which burn degree leads to loss of sensation due to nerve involvement?

  • Only second degree burns
  • Both second and third degree burns
  • Only third degree burns (correct)
  • Only first degree burns

What distinguishes a third degree burn from a second degree burn?

<p>Involvement of nerve tissue (A)</p> Signup and view all the answers

What physical appearance can be expected with a third degree burn?

<p>Carbonized black skin (B)</p> Signup and view all the answers

Which burn degree involves the entire epidermis and causes skin blisters?

<p>Second degree (D)</p> Signup and view all the answers

What is a common characteristic of a third degree burn?

<p>Charring of the skin (D)</p> Signup and view all the answers

What can be expected from a third degree burn in terms of sensation?

<p>Loss of sensation (D)</p> Signup and view all the answers

Which degree of burn can be described as only affecting the epidermis?

<p>First degree (A)</p> Signup and view all the answers

Which statement about second degree burns is true?

<p>They penetrate both the epidermis and superficial dermis. (D)</p> Signup and view all the answers

Flashcards

First-degree burn

Damages only the outer layer of skin (epidermis).

Second-degree burn

Damages the epidermis and part of the dermis.

Third-degree burn

Destroys epidermis, dermis, and deeper tissues, including nerves.

Burn severity - epidermis

Outermost skin layer. Affected in first degree burns

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Burn severity - dermis

Skin layer beneath epidermis which includes nerves. Deeply damaged in third degree burns.

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What are signs of a second-degree burn?

Second-degree burns affect the epidermis and superficial dermis causing blistering of the skin.

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What happens to the skin with a third-degree burn?

Third-degree burns destroy the dermis and deeper tissues, including nerves, leading to charring and loss of sensation.

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Why does a third-degree burn cause a loss of sensation?

Third-degree burns destroy nerve tissue, which is responsible for transmitting sensory information, resulting in loss of sensation in the affected area.

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What is the difference between a second and third-degree burn?

A second-degree burn affects the epidermis and superficial dermis, while a third-degree burn destroys deeper tissues, including the dermis and nerves.

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Study Notes

Burns

  • First degree: Affects only the epidermis (outermost skin layer).
  • Signs: Redness and swelling of the skin.
  • Second degree: Epidermis and superficial dermis are affected.
  • Signs: Skin blisters.
  • Third degree: Destroys the dermis and deeper nerve tissue.
  • Signs: Charring (black skin) indicates extensive damage; loss of sensation due to nerve involvement.

Symptoms of Burns

  • Pain (lack of pain): Indicates deeper damage (typically third-degree burns).
  • Loss of sensation: Can be indicative of nerve damage.
  • Visual impairment (VA loss): Possible internal damage.

Thermal Burns (types)

  • Chemical burns: Caused by acids or alkalis (lye, cement, ammonia, etc).
  • Thermal burns: Caused by heat, such as flames, hot liquids or steam.

Treatment of Burns

  • Treatment plan: Cold compresses immediately after injury to help reduce further damage.
  • Bacterial prophylaxis: (e.g., Bacitracin, Polymyxin B) to prevent infection.
  • No fluorinated steroids: Use topical antifungals such as Polymyxin B or other similar topical agents.

Blunt Trauma

  • Signs: Ecchymosis (bruising), edema (swelling), sub-conjunctival hemorrhages
  • Symptoms: Discomfort, tenderness, and pain
  • Critical symptoms: Decreased visual acuity (decreased VA), double vision (diplopia).

Foreign Bodies on Lid Tarsus

  • Signs: Conjunctival injection, eyelid edema, "Corneal tracking", tearing.
  • Management: Irrigation, wet cotton swab to remove foreign body, prophylactic antibiotic (e.g., Bacitracin, Bacitracin/Polymyxin B).

Eyelid Lacerations

  • Signs: Superficial or deep lacerations
  • Symptoms: Mild periorbital pain and tearing.
  • Management: Clean wounds using hydrogen peroxide or Zephiran, and apply antibiotic ointment, dressing.

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