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15790341
Nadia Burns Her Hand (skin burns)
Descrição
Mapa Mental sobre Nadia Burns Her Hand (skin burns), criado por Abdelrahman Nouh em 29-10-2018.
Mapa Mental por
Abdelrahman Nouh
, atualizado more than 1 year ago
Mais
Menos
Criado por
Abdelrahman Nouh
mais de 5 anos atrás
53
0
0
Resumo de Recurso
Nadia Burns Her Hand (skin burns)
Types
radiation
contact burns
chemical
electrical
true high tension
current flows through individual
flash
heat from a high voltage current arc
current doesn't flow
fire
flame burns
usually inhalation
scalds
liquid
spill
immersion
steam
grease
demography
name: Nadia
incident
burned her hand with hot oil
age: 55
occupation: chef
marital status: married
skin
3 layers
epidermis
consists of 5 layers
from bottom to top
basale
spinosum
granulosum
lucidum
corneum
dermis
consists of 2 layers
reticular
papillary
subcutaneous layer
adipose tissue
Effects
Local
model of Jackson
outermost: zone of hyperemia
Inner region: zone of coagulation
2nd layer: zone of stasis
Systemic
metabolism
increased basal metabolic rate
immunity
down regulation
respiratory
ARDS
bronchoconstriction
cardiovascular
hypovolemia
hypotension
hypoperfusion
Severity
1st degree
only epidermis involved
pain - redness - dry & peeling skin
2nd degree
epidermis and part of dermis involved
pain - redness - blisters
3rd degree
all skin layers involved
charred skin - leathery texture - no pain
4th degree
subcutaneous layer lost
Coagulative necrosis
cell death
apoptosis
no inflammation
shrunken nucleus
physiological or pathological
intact nucleus
necrosis
inflammation
leads to
systemic fever
decrease availability of zinc and iron
bacteria cannot tolerate heat
caused by PGE2 bradykinins
stimulate hypothalamus
importance
fights infection
kills pathogens
by
by immune cells and reactions
mediates healing
by scar
permanent
ex: neurons
by normal tissue
stable
ex: liver
labile
ex: skin
repair
scar formation
VEGF & FGF-2
angiogenesis
FGF-2 / PDGF / TGF
granulation tissue formation
PDGF & TGF-B
deposition of connective tissue
MMPs & TIMPs
Remodeling
cardinal signs
redness & heat
due to increased vascular permeability (vasodilation)
swelling
due to accumulation of exudate in the interstitial spaces
exerts pressure on
pain receptors
pain
due to stimulation of
loss of function
caused by all other factors
causes
injury
autoimmune diseases
infections
entry & multiplication of a microorganism in the body
parasites
fungi
viruses
bacteria
ivading
normal flora
risks
opportunistic infections
nosocomial infections
indigenous infections
a swab is taken for investigation and to decide which antibiotic to use
investigations: lab tests
gram staining
+
catalase test
+
staph
coagulase test
+
aureus
-
epidermidis / saprophyticus / etc...
-
strept
hemolysis
alpha
pneumoniae viridans
Beta
pyogenes agalactiae
gamma
enterococcus
-
antibiotics
Mechanisms
cell membrane inhibitors
cell wall inhibitors
nucleic acid synthesis inhibitors
viral replication inhibitors
metabolites
protein synthesis inhibitors
favored characteristics
selective toxicity
microbicidal
stable
active in the presence of organic compounds
extensive distribution
can be taken orally or IV
functions
seal body space
mitigate pathogens
fermentation of fiber
tissue homeostasis
microorganisms present in the body
pathogenic
symbionts
commensals
swelled nucleus
pathological
disrupted group nucleus
complications
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