|
Tag: Redirect target changed |
| (2 intermediate revisions by 2 users not shown) |
| Line 1: |
Line 1: |
| ==Background==
| | #REDIRECT[[Caustic burn]] |
| {{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==
| |
| *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]]
| |
