A 35-year-old male is brought to the emergency department after sustaining a thermal burn from a grease fire while cooking. The burn affects his entire left arm, appearing dry and leathery with areas of white, brown, and charred skin. He reports no feeling in the affected arm. What is the most appropriate classification for this type of burn?
The description of the burn as dry, leathery, with areas of white, brown, and charred skin and no sensation indicates that it is a full-thickness burn, which extends through all layers of the skin and may affect underlying tissues. Full-thickness burns are often painless due to nerve destruction. A superficial burn is incorrect because it would be painful and would involve only the top layer of skin, typically presenting with redness and swelling. A superficial partial-thickness burn is also characterized by pain and would present with blisters and be pink to red in color, which is not consistent with the burn described. Lastly, a deep partial-thickness burn would have intense pain and possibly blisters, unlike the painless and leathery appearance described.
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BCEN CEN
Environment and Toxicology Emergencies, and Communicable Diseases
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