1.19 Burns 3

Question 1

What are the types of burns (with respect to layers)?

Answer 1

• superficial
• superficial partial
• deep partial
• full thickness

Question 2

superficial burn: layers damaged

Answer 2

epidermis

Question 3

superficial partial burn: layers damaged

Answer 3

• complete epidermis

- down to papillary

Question 4

deep partial burn: layers damaged

Answer 4

• complete epidermis

- down to reticular layer

Question 5

full thickness burn: layers damaged

Answer 5

• complete epidermis and dermis

- maybe subcutaneous

Question 6

superficial burn: color

Answer 6

pink/red

Question 7

superficial partial burn: color

Answer 7

bright red

Question 8

deep partial burn: color

Answer 8

mix of red and waxy white

Question 9

full thickness burn: color

Answer 9

• white

- can get black and deep red (blood)

Question 10

superficial burn: edema

Answer 10

minimal

Question 11

superficial partial burn: edema

Answer 11

• moderate

- may have blister

Question 12

deep partial burn: edema

Answer 12

marked edema

Question 13

full thickness burn: edema

Answer 13

• marked edema

- circumferential

Question 14

superficial burn: pressure

Answer 14

• blanches

- capillary refill

Question 15

superficial partial burn: pressure

Answer 15

• blanches

- capillary refill

Question 16

deep partial burn: pressure

Answer 16

• sluggish capillary refill

- not good blood flow

Question 17

full thickness burn: pressure

Answer 17

• no blanching

- concerned with blood flow to the extremities

Question 18

superficial burn: moist/dry

Answer 18

dry

Question 19

superficial partial burn: moist/dry

Answer 19

• dry if blister intact

- moist if popped

Question 20

deep partial burn: moist/dry

Answer 20

• moist (blisters immediately pop)

- oozy

Question 21

full thickness burn: moist/dry

Answer 21

• top dry (parchment-like)

- only moisture at deepest points

Question 22

superficial burn: sensation

Answer 22

• may have hypersensitivity

- normal sensory input

Question 23

superficial partial burn: sensation

Answer 23

highly sensitive to temp and light touch

Question 24

deep partial burn: sensation

Answer 24

• lose sensation to light touch

- retain deep pressure sensation

Question 25

full thickness burn: sensation

Answer 25

none

Question 26

superficial burn: healing (How? How long?)

Answer 26

• inflammatory response
• spontaneous
• 2-3 days (epidermis will peel)

Question 27

superficial partial burn: healing (How? How long?)

Answer 27

• 3 phases

- 7-10 days to heal

Question 28

deep partial burn: healing (How? How long?)

Answer 28

• 3 phases

- extensive re-epithelialization time, 3-5 weeks

Question 29

full thickness burn: healing (How? How long?)

Answer 29

• escharotomy (?)

- 3-6 months or more

Question 30

superficial burn: scar

Answer 30

no

Question 31

superficial partial burn: scar

Answer 31

yes, but typically not noticeable

Question 32

deep partial burn: scar

Answer 32

yes

Question 33

full thickness burn: scar

Answer 33

yes

Question 34

superficial burn: grafting

Answer 34

no

Question 35

superficial partial burn: grafting

Answer 35

no

Question 36

deep partial burn: grafting

Answer 36

no

Question 37

full thickness burn: grafting

Answer 37

yes - nothing to grow skin back

Question 38

Why do you not need grafts for a deep partial burn?

Answer 38

basement membrane of the dermis is intact to create more epidermis