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.