1 Nadia runs a fast food shop. One friday she spilled hot oil on
her hand. she did not take a day off and only used painkiller
1.1 the next day she went to health care, the doctor found she have a
burn and pain persistent, unable to use hands and swollen, tender
and red, blisters, bullae, necrotic cells.
1.1.1 doctor informed her she have 2nd degree burn
184.108.40.206 degree of burn injury
220.127.116.11.1 1st degree
18.104.22.168.1.1 erythema , pain , absence of blisters , not life
threatening , do not require IV fluid replacement ,
totally heal in few days
22.214.171.124.2 2nd degree
126.96.36.199.2.1 red or mottled appearance , swelling , blister formation , the
surface may have weeping , wet appearance , painfully
hypersensitive even to air current .
188.8.131.52.3 3rd degree
184.108.40.206.3.1 appear dark & leathery , the skin may appear translucent , mottled , or
waxy white , the surface may be red & does not blanch with pressure , the
surface is painful & generally dry , healing may be from edge but mostly
needs skin graft .
220.127.116.11.4 4th degree
18.104.22.168.4.1 involves the subcutaneous tissues , fat , tendon , muscles ,
fascia ,nerves , vessels & bones
22.214.171.124 after few days, the pain increased all the way to her armpits. she had
fever. she went to doctor and he found her temp was 38 C
126.96.36.199.1 doctor told her: the burn appears infected that is caused by pathogenic
188.8.131.52.1.1 Burn wounds are dynamic and need reassessment in the first
24-72 Hours, otherwise bacteria invasion will occur.
184.108.40.206.1.1.1 Impaired cellular immunity also humoral immunity defect , leading to
local infection if severe can leads to sepsis & septic shock .
220.127.116.11.1.2 doctor took a wound swab from infected site to determine the cause of infection.
18.104.22.168.1.2.1 why we do wound swab?
22.214.171.124.126.96.36.199 To identify organisms in wounds known or suspected to be infected.
188.8.131.52.184.108.40.206 As part of screening programmes to identify patients who may be carrying infections without
displaying any signs or symptoms.
220.127.116.11.1.2.2 he recommended antibiotics to her. And gave her penicillin injection based on
18.104.22.168.22.214.171.124 what are antibiotics
126.96.36.199.188.8.131.52.1 of antimicrobial drug used in the
treatment and prevention of
bacterial infections. They may
either kill or inhibit the growth of
184.108.40.206.220.127.116.11.2 they don't treat infections caused by viuses.
18.104.22.168.22.214.171.124.4 antibacterial resistance?
126.96.36.199.188.8.131.52 one week later nadia got better
184.108.40.206.220.127.116.11.1 6 months later, the doctor noticed the site of burn is elevated, thick, and itchy, and the
doctor told her thats the normal body response to a burn and gave her an ointment
18.104.22.168.22.214.171.124.1.1 management and assessment
126.96.36.199.188.8.131.52.1.1.1 to assess amount of fluid loss
184.108.40.206.220.127.116.11.1.1.2 first Aid for burns
1.1.2 what is burn?
18.104.22.168 cell death caused by
intense by many factors
22.214.171.124.1 its effect:
126.96.36.199.1.1.1 body image disorder
188.8.131.52.1.1.2 avoiding coping or -ve coping
184.108.40.206.1.1.3 sexual issues
220.127.116.11.1.2.1 scar formation
18.104.22.168.1.1 fire, boiling water or oil
22.214.171.124.2.1 acids and alkaline
126.96.36.199.3.1 by high voltage or Low voltage
188.8.131.52.5.1 depends on dose and type of radiation.
184.108.40.206 necrosis vs apoptosis
1.1.3 what is blister?
220.127.116.11 a small sac containing liquid or gas with
diameter 0.5 cm or less