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Male with severe burns from shoulders to fingers, forehead, chest and…

- - - - Thoracic and abdominal regions (chest and abdomen) (about 18%)
        
        Second or Third Degree Burns. Symptoms include: pale gray-white in color, with
        little swelling or pain
        
        Swelling is due to capillaries becoming more permeable or leaking, and fluid can collect in localized tissues which increases the overall fluid loss in the circulation.
        
        Patient may need an escharotomy performed to lessen the constriction caused by the swelling.
    - - Frontal Region (forehead) (about 9%)
        
        First Degree burns due to red and tender but not blistered skin.
        
        Dead tissue would be removed
        
        Possible skin graft needed
      - Right and left upper extremities, form digital region distal to deltoid region (arms and hands) (about 18%)
        
        Second Degree burns due to the blisters present.
        
        Dead tissue would be removed
        
        Possible skin graft needed
- - - - Two main layers: Epidermis and Dermis.
        
        Epidermis: is a keratinized, stratified squamous epithelium. Its layers or strata are (from deep to superficial) stratum basale, stratum spinosum, stratum granulosum, stratum lucidum (thick skin only), stratum corneum. Also elastic and reticular fibers are present.
        
        Dermis: deep to the epidermis, composed of connective tissue proper and contains primarily collagen fibers (elastic and reticular fibers), dendritic cells, blood vessels, sweat glands, sebaceous glands, hair follicles, nail roots, sensory nerve endings, and smooth muscle tissue associated with hair follicles (errector pili). Two major regions are superficial papillary layer, and a deeper reticular layer.
        
        Subcutaneous Layer: deep to the integument and not part of it. Consists of both areolar connective tissue and adipose connective tissue; in some parts adipose C.T. is predominant thus its also called subcutanous fat. The C.T. fibers of the reticular layer of the dermis are interwoven with those of the subcutaneous layer to stabilize the position of the skin and bind it to the underlying structures. The subcutaneous layer pads and protects the body, acts as an energy reservoir, and provides thermal insulation. Note: normally this layer is thicker in women than in men, and its regional distribution differs between the sexes.