Describe how burn wounds are classified. Identify and describe ...

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Describe how burn wounds are classified. Identify and describe Mr. Angelo's burn injuries.
 
  What will be an ideal response?

Question 2

What did you find in Mr. Page's history and physical that is consistent with his diagnosis of Crohn's? Explain.
 
  What will be an ideal response?

[trog]

Answer to Question 1

Burn wounds are classified according to the tissue layers involved:
 First degree: Epidermis
 Second degree (superficial partial thickness): Extends into superficial (papillary) dermis
 Second degree (deep partial thickness): Extends into deep (reticular) dermis
 Third degree (full thickness): Extends through entire dermis
 Fourth degree: Extends through skin, subcutaneous tissue & into underlying muscle & bone
Mr. Angelo has an estimated 40 BSA burns. These are a combination of first degree (involving epidermis) and partial thickness second degree burns, which would involve the superficial dermis. It is also noted that he has an inhalation injury as well.

Answer to Question 2

There are multiple aspects of Mr. Page's history and physical that are consistent with his diagnosis of Crohn's. Mr. Page had a fever, which is common in Crohn's; his fever is most likely due to the infection and inflammation that he is experiencing and can indicate the period of exacerbation of the disease. Mr. Page presented with abdominal pain, which can be due to increased air in the GI tract as well as the bowel obstruction. Abdominal pain and cramping are common in patients with Crohn's. Diarrhea is also common in patients with Crohn's, and Mr. Page reported that he is experiencing increased diarrhea. The weight loss of 26-28 pounds is also consistent with Mr. Page's diagnosis of Crohn's and is most likely due to his increased requirements and decreased oral intake as well as the constant diarrhea.