BURPING
BYSSINOSIS
B
of the skin and affects only the epider-
mis, the top layer of the skin. A
2
nd-degree burn damages the skin more
deeply, extending into the dermis and
causing blister formation. A 3rd-degree
burn destroys the full skin thickness
and may extend to the muscle layer
beneath the skin. Specialist treatment,
and possibly skin grafts, is necessary for
3rd-degree burns. Electrical burns can
cause extensive tissue damage with
minimal external skin damage. A 2nd-
or 3rd-degree burn that affects more
than
10
per cent of the body surface
causes
shock
due to massive fluid loss.
A burn is covered with a non-stick
dressing to keep the area moist. If nec-
essary,
analgesic drugs
are given, and
antibiotic drugs
are prescribed if there is
any sign of infection. For extensive
2
nd-
degree burns, when there may be slow
healing or a fear of infection, a topical
antibacterial
agent such as silver sul-
phadiazine is used.
Skin grafts
are used
early in treatment to minimize scarring.
3rd-degree burns always require skin
grafting. Extensive burns may require
repeated plastic surgery.
burping
Another term for
belching
.
burr hole
A hole made in the skull by a
special drill with a rounded tip (burr). A
hole is made to relieve the pressure on
the brain that often results from bleed-
ing inside the skull, usually following a
head injury
. Burr holes may be made as
part of a
craniotomy
and may be life-
saving procedures.
bursa
A fluid-filled sac that acts as a
cushion at a pressure point in the body,
often near a joint, where a tendon or
muscle crosses bone or other muscles.
The important bursae are around the
knee, elbow, and shoulder.
bursitis
Inflammation of a
bursa
,
causing
pain and swelling. Bursitis may result
from pressure, friction, or slight injury
to the membrane surrounding the joint,
or to infection. For example, prepatellar
bursitis (“housemaid's knee”) is caused
by prolonged kneeling on a hard surface.
Avoiding further pressure and taking
nonsteroidal anti-inflammatory drugs
are
usually all the treatment needed. Occa-
sionally, a
ntibiotic drugs
may be needed
if the bu rsa is infected.
bypass operations
Procedures to by-
pass the blockage or narrowing of an
artery or vein or any part of the digestive
system. Arteries can become blocked or
narrowed in
atherosclerosis.
Obstructions
can be bypassed using sections of
healthy artery or vein from elsewhere in
the body or using synthetic tubing. Veins
are bypassed most often in patients with
diseases of the liver that cause portal
hypertension and bleeding oesophageal
varices. This kind of bypass is called a
shunt
. Intestinal bypasses are employed
most commonly in patients with cancer
in which tumour growth is too extensive
to be removed. An obstructed bile duct
can be bypassed by constructing a new
opening into the digestive tract. (See
also
coronary artery bypass
.)
byssinosis
A lung disease caused by an
unknown agent in the dust produced
during the processing of flax, cotton,
hemp, or sisal. Byssinosis produces a
feeling of tightness in the chest and
shortness of breath that may become
chronic if exposure continues.
Broncho-
dilator drugs
and other drugs used to
treat asthma may relieve symptoms,
but adequate ventilation and personal
protective equipment such
as dust
masks will reduce the risk.
102
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