Burns and Other Skin Lesions

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Presentation transcript:

Burns and Other Skin Lesions

Classification

First Degree Burn: Epidermis only

First Degree Burn

Second Degree Burn

Second Degree Burn: Epidermis and upper layers of the dermis

Second Degree Burn

Second-Degree Burns

Third Degree Burn: Complete destruction of the epidermis & dermis

Estimating percentages

Regeneration

Regeneration/Scarring

Scar Occurs whenever wound/ulcer has occurred; reflects healing Keloid: Abnl formation of CT; form w/ dermal tissue damage; initially are thick but may w/ time become white and atrophic

Skin graft donor site: about halfway through the initial healing stage

Papule Firm, raised lesion (less than 1cm in diameter)

Papule

Plaque Large, raised lesion (greater than 1 cm in diameter)

Plaque - Psoriasis

Vesicle Thin-walled blister filled w/ fluid, <1cm Between Epi/Derm junction or within dermis Clinically significant

Vesicle

Pustule Elevated lesion filled w/ pus

Pustule

Crust Hardened deposits of serum and cellular debris result when serum, blood, or purulent (pus) exudates dries on skin surface “scab”

Wheal Firm, raised area of irregular shape/light center

Wheal

Cyst Nodule that contains fluid or semisolid material

Macule Distinguished from surrounding skin by color

Macule

Abrasion Epidermis removed, revealing dermis

Excoriation Epidermis is missing, dermis is exposed Linear “scratch”

Ulcer Craterlike lesion caused by disintegration of the skin (epidermis and dermis) Heals w/ scarring

Bed Sore Compression of skin between bony prominence and other surface Cuts off circulation  leads to necrosis of tissue - Lack of blood supply prevents proper healing promotes infection

Fissure Linear crack or break from epidermis to dermis