Critically Burned Patient, 1st degree burn on forehead, 2nd degree on arms, 3rd degree burn on chest and abdomen
Direct upstream causes
hot oil spill on arms
hot oil spill on forehead
hot oil spill on chest
hot oil spill on abdomen
hot oil spill on hands
Indirect upstream caues
allow time for skin regeneration,
2nd degree arm burn
3rd degree burn on chest and abdomen
Injury in the Epidermis
injure the epidermis
injure the upper region of the dermis
redness
Pain
Blisters
1st degree
injures the epidermis
localized redness
swelling
pain
injury in the Dermis
nerve endings have been destroyed
appears grey-white
burned area not painful
Background information
Normal Physiology and homeostatic set points
Burns
1st degree
3rd degree
2nd Degree
damages epidermis
damages epidermis
damages Dermis
damages epidermis
damages upper range of dermis
rules of nine
divides the body into 11 areas
each accounting for 9%
1 additional area counts for 1%
critical burns
over 25% of the body with 2nd degree burns
over 10%of the body has 3rd degree burns
3rd degree burns of the face, hands, or feet
Integumentary system
Epidermis
Dermis
Thick skin
Thin skin
5 layers
stratum basale
stratum Spinosum
stratum lucidum
stratum granulosum
stratum corneum
4 layers
stratum basale
stratum spinosum
stratum granulosum
stratum cornium
papillary layer
tissue type
Keratinized Stratified Squamous Epitheleal Tissue
tissue type: Areolar connective tissue
Reticular layer
tissue type: dense irregular connective tissue
skin
color pigment
melanocytes
carotene
Tyrosine
Melanin
vitamin A
hemoglobin
skin
disorders/diseases
cyanosis
pallor
erythema
yellowness
ecchymoses
hair (pili)
hair structure
types of hair
in dermis
hair bulb
hair follicle
hair matrix
hair follicle receptor
hair follicle plexus
hair root
hair shaft
dead keratonized cells
vellus hair
terminal hair
hair
homeostatic imbalance
allopecia
albinism
vitiligo
male pattern baldness
cancer
basal cell carcinoma
squamous cell carcinoma
melanoma
skin infections
boils
cold sores
skin allergies
eczema
contact dermatitis
nails
glands
oil glands
sebaceous gland
sebum
holocrine glands
bactericidal
sweat glands
merocrine sweat glands
apocrine sweat gland
sudoriferous glands
mammary glands
ceruminous glands
axillary and anogenital areas
dermcidin
nail folds
nail matrix
nail bed
root
nail plate
free edge
nail
imbalances
fungal infection
koilonnychia
yellow tinged nails
respiratory disorder
thyroid gland disorder
iron deficiency