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14816 Surgery

A 14 year old girl sustains a steam burn measuring 6 by 7 inches over the ulnar aspect of her right forearm. Blisters develop over the entire area of the burn wound, and by the time the patient is seen 6 hour after the injury, some of the blisters have ruptured spontaneously. In addition to debridement of the necrotic epithelium, all the following therapeutic regiments might be considered appropriate for this patient, except:

AApplication of silver sulfadiazine and daily washes, but no dressing
BApplication of Poly vinylpyrorolidone foam, daily washes and a light occlusive dressing changed daily
CApplication of mafenide acetate cream, but no daily washes or dressing
DHeterograft application with sutures to secure it in place and daily washes, but no dressing
Surgery
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