Get Answer: Year Arrives With Question Guide

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Original Question

An 86-year-old man arrives with a burn he got on his right hand when he was burning trash in his yard. When he realized that he had tossed an old trophy in the pile, he reached into the fire to save it. The metal surface was hot enough to burn the skin from his palm. He had a second-degree burn on the palm and each of the phalange’s palmar surface, sparing the joints. He tells you that he already has trouble with his hands because of arthritis, and now this. He ties fishing flies as a hobby and asks you if he will retain the ability to do this task. Evaluate the situation, and determine how you would respond to his situation. There is no need to annoy this man by performing a mental status exam as a baseline. The burn sparing the joints will mean that he should be able to use his hands just as well as before because he is unlikely to have contractures. He should have his burned hand plunged into a basin of ice water and left submerged for at least 20 minutes to ensure that the burn is not extended. He would receive no benefit from holding the hand up higher than the level of his heart during the first 24 hours after the burn.

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