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Man burns himself frying a turkey (Background (Burns (Degree of burns…
Man burns himself frying a turkey
Indirect: The patient tried to fry a frozen turkey
Had the pot too full of hot oil
Not wearing a shirt
Background
Region and layers of the skin
Skin
Hair- protects from heat loss, hair on head protects from trauma, shields skin from sunlight. Made up of dead keratinized cells
Nails-contains hard keratin
Sweat glands- contains myoepithelial cells
Sebaceous glands- secretes oil
Medulla-core of large cells and air space
Cortex- several layers of flattened cells
Cuticle- outer layer
Epidermis- superficial region contains epithelial tissue and is avascular
Dermis-under epidermis, mostly fibrous connective tissue and is vascular
Hypodermis- mostly adipose tissue that absorbs shock and insulates
Functions of the integumentary system
Protection-
Chemical barrier-secretes chemicals such as sweat and sebum
Physical barrier-Flat, dead, keratinized cells of stratum corneum, surrounded by glycolipids, block most water and water-soluble substances. Helps protect the body from dangerous substances entering
Biological barrier-Epidermis containing phagocitic cells
Dermis containing macrophages
Regulating body temperature-Produces sweat and helps to keep the body from over heating.
Metabolic function - synthesizes vitamin D need for Ca absorption in the intestines
Blood reservoir-holds up to 5% of the bodies total blood volume
Excretion of waste-can secrete ammonia, urea,uric acid
Too much can cause dehydration
Cutaneous sensations- part of the nervous system let the body know when its hurt, responds to outside stimuli
Burns
Degree of burns
First- degree burns- epidermal layer only. localized redness, swelling and pain
Second-degree burn- epidermal and dermal damage. Blisters appear
First and second degree burns are considered partial thickness burns
Third-degree burns- Full thickness burns, skin color turns gray-white, cherry red, or blackened
There is no edema and its not painful because nerve endings are destroyed
Rule of nines
It assigns a percentage that is either nine or multiples of nine to determine how much of the body has been burned.
Head and neck 9%
Anterior and posterior upper limbs 18%
Anterior and posterior trunk 36%
Anterior and posterior lower limbs 36%
Genitals 1%
1 more item...
Areas burned
Forehead
red and tender but no blisters.
This would be considered first-degree burns
Arms and shoulders
They are painful and covered with painful blisters.
This area is covered in second- degree burns
Chest and abdomen
Pale gray-white in color, there is little swelling and pain in this area
This area is covered in third-degree burns
This area will probably need skin grafts
Since the skin is burned off the doctors should worry about fluid loss and and infection. An IV should be started to control fluid loss and antibiotics should be started
Direct: The patient was not wearing any type of protective clothing while attempting to fry a turkey