Burn and Storm

I presented a case of two guys in a enclosed room found unconsious, sprawling in a pool of ...... paint thinner. Both of them were painting the bathroom, enjoying each other companion while inhaling the fume from the thinner. Presented to emergency department, GCS regained full. One of them sustained 6% deep partial thickness (2nd degree burn) and the other one 3% deep partial thickness burn.

Imp : chemical burn

Q - "Give me example of chemical burn?" - Prof Razman

A - "acid, alkaline, solvent i.e. organic or non organic" - myself

Q - "elaborate on acid and alkaline burn, which is more severe?" - Prof Razman

A - "alkaline burn is more severe than acid burn.... because it 'eats' up the body fat layers i.e. saphonication and makes the wound deeper.......... (can't remember what I mumble further)" - myself

Zamry presented a case of a lady with a known case of grave's disease presented with signs and symptoms of thyroid storm. Surgical was called because pt complain of abdominal pain which was clinically soft.

Q - "Pt with thyroid storm, which antithyroid do you give and why?" - Prof Jasmi

A - "in thyroid storm most of the conversion to T3, is peripheral conversion so PTU acts there" - Dr. Johann

* - "Pt presented with pyrexia in thyroid storm should be given paracetamol rather than aspirin which will make it worse" - Mr. Azim

Zairul

Surgical Family Day 2008

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