ABSTRACT

TABLE 25-1. Information for bum history and clinical manifestations of bums

History Type of substance ingested Estimated quantity of substance ingested Time since ingestion ? Emesis Determination of emesis pH

Clinical manifestations Ingestion

Dysphagia Hypersalivation Drooling White or black mucous membranes Acute respiratory distress Pain

Tongue Lips Palate Substemum Abdomen Back

Edema Tongue Lips Palate Oral mucosa

Dyspnea Hematemesis

Inhalation Dyspnea Cyanosis Pulmonary edema Hemoptysis

Ocular contact Conjunctivitis Pain Lacrimation Photophobia Corneal abrasion

Esophageal bums characteristically evolve through three stages: acute, latent, and chronic, each character­ ized by distinct pathologic features.