Caustic dermal burn - Revision history

Rossdonaldson1: Changed redirect target from Caustic burns to Caustic burn

2021-11-27T01:40:48Z

Changed redirect target from Caustic burns to Caustic burn

← Older revision		Revision as of 01:40, 27 November 2021
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	#REDIRECT[[Caustic ~~burns~~]]		#REDIRECT[[Caustic burn]]

Mholtz: Redirected page to Caustic burns

2015-08-11T03:06:05Z

Redirected page to Caustic burns

← Older revision		Revision as of 03:06, 11 August 2015
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	~~==Background==~~		#REDIRECT[[Caustic burns]]
	~~{{Caustics background}}~~

	~~==Diagnosis==~~
	~~{{General approach to caustic burns}}~~

	~~==Differential Diagnosis==~~
	~~{{Caustic burn types}}~~

	~~==Work-Up==~~
	~~===Labs===~~
	~~Only necessary in patients with significant injury or volume of ingestion~~

	~~Consider:~~
	*CBC
	*Chemistry
	*Lactic Acid
	*Lactate
	*Calcium level (if [[Hydrofluoric acid]] exposure)
	*ECG
	**May show QT-prolongation if hypocalcemic secondary to HF acid
	*Screens for tylenol levels in suicidal patients at risk for congestions

	~~==Treatment==~~
	~~;First prevent personal exposure to the caustic agent by removing all clothing and decontaminating the patient~~

	~~===Acidic injuries (except [[Hydrofluoric acid]] acid)===~~
	~~May also have non-anion gap acidosis (e.g. HCl)~~
	*Respond well to copious saline or water irrigation

	~~===Alkali injuries===~~
	*May appear superficial but often are deeper w/ ongoing burn
	*Treat w/ copious irrigation and local wound debridement to remove residual compound

	~~==Disposition==~~
	*Admit the following:
	**Injuries that cross flexor or extensor surfaces
	**Facial injuries
	**Perineum injuries
	**Partial-thickness injuries >10-15% of BSA
	**All full-thickness burns

	~~==See Also==~~
	*[[Caustic burns]]
	*[[Burns]]

	~~==Source==~~
	~~<references/>~~

	~~[[Category:Derm]]~~
	~~[[Category:Tox~~]]

Rossdonaldson1: /* Source */

2014-12-22T22:47:43Z

Source

← Older revision		Revision as of 22:47, 22 December 2014
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	==Source==		==Source==
	*Riffat F, Cheng A. Pediatric caustic ingestion: 50 consecutive cases and a review of the literature. Dis Esophagus. 2009;22(1):89-94. 2008 Oct 1. PMID: 18847446
	*Zargar S et al. Ingestion of strong corrosive alkalis: spectrum of injury to upper gastrointestinal tract and natural history. The American Journal of Gastroenterology. 1992 87 (3), 337-41 PMID: 1539568
	<references/>		<references/>

	[[Category:GI]]		[[Category:Derm]]
	[[Category:Tox]]		[[Category:Tox]]

Rossdonaldson1: /* Diagnosis */

2014-12-22T22:32:01Z

Diagnosis

← Older revision		Revision as of 22:32, 22 December 2014
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	==Diagnosis==		==Diagnosis==
	*All pts w/ serious esophageal injuries have some initial sign or symptom		{{General approach to caustic burns}}
	**E.g. stridor, drooling, vomiting
	*Exam eyes and skin (splash and dribble injuries may easily be missed)
	*GI tract injury
	**Dysphagia, odynophagia, epigastric pain, vomiting
	*Laryngotracheal injury
	**Dysphonia, stridor, respiratory distress
	**Occurs via aspiration of caustic ~~or vomitus or inhalation of acidic fumes~~

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: Created page with "==Background== {{Caustics background}} ==Diagnosis== *All pts w/ serious esophageal injuries have some initial sign or symptom **E.g. stridor, drooling, vomiting *Exam eyes a..."

2014-12-22T22:28:26Z

Created page with "==Background== {{Caustics background}} ==Diagnosis== *All pts w/ serious esophageal injuries have some initial sign or symptom **E.g. stridor, drooling, vomiting *Exam eyes a..."

New page

==Background==
{{Caustics background}}

==Diagnosis==
*All pts w/ serious esophageal injuries have some initial sign or symptom
**E.g. stridor, drooling, vomiting
*Exam eyes and skin (splash and dribble injuries may easily be missed)
*GI tract injury
**Dysphagia, odynophagia, epigastric pain, vomiting
*Laryngotracheal injury
**Dysphonia, stridor, respiratory distress
**Occurs via aspiration of caustic or vomitus or inhalation of acidic fumes

==Differential Diagnosis==
{{Caustic burn types}}

==Work-Up==
===Labs===
Only necessary in patients with significant injury or volume of ingestion

Consider:
*CBC
*Chemistry
*Lactic Acid
*Lactate
*Calcium level (if [[Hydrofluoric acid]] exposure)
*ECG
**May show QT-prolongation if hypocalcemic secondary to HF acid
*Screens for tylenol levels in suicidal patients at risk for congestions

==Treatment==
;First prevent personal exposure to the caustic agent by removing all clothing and decontaminating the patient

===Acidic injuries (except [[Hydrofluoric acid]] acid)===
May also have non-anion gap acidosis (e.g. HCl)
*Respond well to copious saline or water irrigation

===Alkali injuries===
*May appear superficial but often are deeper w/ ongoing burn
*Treat w/ copious irrigation and local wound debridement to remove residual compound

==Disposition==
*Admit the following:
**Injuries that cross flexor or extensor surfaces
**Facial injuries
**Perineum injuries
**Partial-thickness injuries >10-15% of BSA
**All full-thickness burns

==See Also==
*[[Caustic burns]]
*[[Burns]]

==Source==
*Riffat F, Cheng A. Pediatric caustic ingestion: 50 consecutive cases and a review of the literature. Dis Esophagus. 2009;22(1):89-94. 2008 Oct 1. PMID: 18847446
*Zargar S et al. Ingestion of strong corrosive alkalis: spectrum of injury to upper gastrointestinal tract and natural history. The American Journal of Gastroenterology. 1992 87 (3), 337-41 PMID: 1539568
<references/>

[[Category:GI]]
[[Category:Tox]]