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Lecture 4_Bahasa Inggris

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Lecture 4_Bahasa Inggris

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Lecture 4:Physiotheraphy physical examination (general and spesific),describing signs and symptoms,and

determine the diagnosis:the integumentary system

Pert of skin,hair,sebaceous gland,sensory nerve ending,epidermis,dermis,subcutaneus


tissue,arteriole,muscle,sweet gland,capillaries. A burn is an injury to the skin or other organic tissue
primarily caused by heat or due to radiation,radioactivity, electricity, friction or contact with
chemicals.Types of injury Thermal burns. These burns are due to heat sources which raise the
temperature of the skin and tissues and cause tissue cell death or charring. Hot metals, scalding liquids,
steam, and flames, when coming into contact with the skin, can cause thermal burns. • Radiation burns.
These burns are due to prolonged exposure to ultraviolet rays of the sun, or to other sources of radiation
such as X-ray. • Chemical burns. These burns are due to strong acids, alkalies, detergents, or solvents
coming into contact with the skin or eyes. • Electrical burns. These burns are from electrical current,
either alternating current (AC) or direct current (DC).Burn clasification first degree burn affect only the
epidermis,or outer layer of skin. Long-term tissue damage is rare and usually involves an increase or
decrease in the skin color.Burn clasification Second-degree (partial thickness) burns Second-degree
burns involve the epidermis and part of the dermis layer of skin. • The burn site appears red, blistered,
and may be swollen and painful. Third-degree (full thickness) burns Third-degree burns destroy the
epidermis and dermis. Third-degree burns may also damage the underlying bones, muscles, and
tendons. • When bones, muscles, or tendons are also burned, this may be referred to as a fourth-degree
burn. The burn site appears white or charred. There is no feeling in the area since the nerve endings are
destroyed. • Symptom : • no pain in the zone of coagulation but painful at surrounding tissues • Dry and
leathery skin. • Black, white, brown, or yellow skin. • Swelling. • Lack of pain because nerve endings
have been destroyed.The interpretaion of braden score: • No risk (19 – 23) • Mild risk (15 – 18) •
Moderate risk (13 – 14) • High risk ( 10 – 12) • Severe risk (9 or less)

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