These have lost
all adnexal structures and if left can only heal by second intension with
scaring . Deep dermal burns may be blistered have a blotchy red appearance with
no capillary return on pressure and absent sensation to pin prick . Full
thickness burns have a white or charred appearance , again sensation is absent
. These charred layer consists of
denatured, contracted dermis and is called as eschar .
Decision making is easy where burns
are obviously superficial or obviously deep . With difficulties arising in the
distinction between deeper superficial burns and deep dermal burn .
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