BURNS OF THE SECOND DEGREE
Pathology.
(1) Destruction of cells of horny layer and sometimes of the germinal layer.
(2) Great exudation of fluid composed of lymph, fibrin, and broken-down cells in the lymph spaces of the mucous layer, forming blisters.
(3) Intense swelling and congestion of the papillary layer.
(4) Swelling of the connective tissue and elastic fibres in the true skin.
(5) Thrombosis in some superficial blood vessels.
(6) Leucocytes poured out around the blood vessels.
Clinical Stages.
(1) Stage of blistering, edema, dermatitis, toxemia, pain, chill and shock.
(2) Discharge or absorption of contents of the blister with shedding of dead layers of epidermis.
(3) Reproduction of cells of the mucous layer from those of the germinal layer, which have formed the floor of the blister.