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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)