Burns and Burn Injury Q 37 - Gyan Darpan : Learning Portal
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Thursday 31 March 2022

Burns and Burn Injury Q 37

A client sustained burns on the back. These areas appear dry, blotchy cherry red, blistering, doesn’t blanch, no capillary refill, and reduced or absent sensation. This type of burn depth is classified as?
    A. Superficial partial-thickness burn
    B. Superficial dermal
    C. Deep partial-thickness burn
    D. Full-thickness burn

Correct Answer: C. Deep partial-thickness burn

Deep partial-thickness burn: blistering, dry, blotchy cherry red, doesn’t blanch, no capillary refill, and reduced or absent sensation. Generally, heals in 3-6 weeks, but scar formation results and skin grafting may be required.

Option A: Superficial partial-thickness: red, glistening, pain, absence of blisters, and brisk capillary refill. Not life-threatening and normally heals within a week, without scarring. Superficial burns (first degree) involve only the epidermis and are warm, painful, red, soft, and blanch when touched. Usually, there is no blistering. A typical example is a sunburn.
Option B: Pale pink or mottled appearance with associated swelling and small blisters. A wet, shiny, and weeping surface is also a characteristic. Brisk capillary refill.
Option D: Full-thickness: dry, white, or black, no blisters, absent capillary refill, and absent sensation. Requires surgical repair and grafting. Full-thickness burns (third degree) extend through both the epidermis and dermis and into the subcutaneous fat or deeper. These burns have little or no pain, can be white, brown, or charred, and feel firm and leathery to palpation with no blanching.

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