Burns

Question 0

What is the most common site for heterotopic ossification in Burns?

Answer 0

The elbow.

-The risk increases if there is a burn on the posterior aspect of the elbow.

Question 1

Are Burns A Catabolic or anabolic state?

Answer 1

• Burns are a catabolic state.
• They require an increase of 5000 to 10,000 calories per day.
• sometimes they are treated with the addition of oxandrolone, an anabolic steroid

Question 2

What is the best range of motion in the setting of healing burns and scar tissue?

Answer 2

Active range of motion is better than passive against the contractile force of scarring tissue.

Question 3

What modalities are useful for healing burns?

Answer 3

Fluido therapy in paraffin wax can be helpful for scarring.

Ultrasound may be helpful in softening connective tissue.

Question 4

What long-term complications do electric burn put you at risk for?

Answer 4

Hearing loss and future Cataracts

Question 5

What exam needs to be done regularly for 3 years after electrical burns?

Answer 5

Yearly ophthalmologic exams due too long term Cataract risk

Question 6

What cell types lay down new collagen?

Answer 6

Fibroblasts

Question 7

What percentage of burns are scalds in the pediatric population?

Answer 7

40 to 50%

Question 8

Kind of range of motion is preferable in the setting of burn rehabilitation?

Answer 8

Active range of motion because it involves the patients muscles. Working against the contractile force of the healings Scar tissue will help keep the tissue loose.