00:00 / 00:00
0 / 11 complete
0 / 3 complete
acute gastric ulcer p. 729
child abuse sign p. 579
classification p. 496
inhalational injuries and p. 701
shock with p. 321
sunburn p. 496
testosterone/methyltestosterone for p. 681
A burn is the damage that happens after something really hot like a fire, hot water or steam, or even a hot object comes into contact with skin.
But burn injuries can also be caused by extreme cold; electricity; some chemicals, like strong acids; or radiation, like from the sun or medical treatments.
Ultimately burns cause damage and inflammation of the skin.
The skin plays an important role in protecting underlying muscles, bones, ligaments and internal organs; forming a barrier to infectious pathogens; and preventing water loss from the body.
The epidermis forms the thin outermost layer of skin, and it’s made up of several layers of keratinocytes - which make and secrete glycolipids, which help to prevent water from easily seeping into and out of the body.
Underneath the epidermis is the thicker dermis layer that contains the nerves and blood vessels.
But the dermis is divided into two layers - a thin papillary layer just below the epidermis, and a deeper reticular layer.
The papillary layer contains fibroblasts which produce a connective tissue protein called collagen.
The fibroblasts are arranged in finger-like projections called papillae; each of which contains blood vessels and nerve endings.
Nerve endings found in this layer sense pain and fine touch, which allows you to feel something like a feather touching your arm.
The reticular layer of the dermis is even thicker than the papillary layer.
The collagen in the reticular layer is packed very tightly together, making it excellent tissue support.
In addition, fibroblasts in the reticular layer secrete elastin--which is a stretchy protein that gives skin its flexibility.
The reticular layer also contains the skin’s accessory structures like oil and sweat glands, hair follicles, lymphatic vessels, and nerves - and all of the blood vessels that serve these tissues. A type of nerve ending found here detects pressure or vibration, which allows you to feel someone grabbing your arm.
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