According to “Rule of 9 of Wallace” for an adult multiple-Burns patient, Percentage of burns in perineum is considered to be __% of Body Surface Area :

## **Core Concept**
The "Rule of 9 of Wallace" is a method used to estimate the percentage of body surface area (BSA) affected by burns in adults. This rule divides the body into sections, each representing 9% of the BSA. However, certain areas, like the perineum, require special consideration due to their smaller size and the rule's specificity.

## **Why the Correct Answer is Right**
The perineum represents a small area of the body surface. According to the Rule of 9 of Wallace, the genitalia and perineum together are considered to be 1% of the BSA. This estimation helps in the initial assessment and fluid resuscitation planning for burn patients.

## **Why Each Wrong Option is Incorrect**
- **Option A:** 5% - This is too high for the perineum, as it does not align with the Rule of 9's specifications for such a small area.
- **Option B:** 2% - Similarly, this is higher than what is generally accepted for the perineum.
- **Option D:** 9% - This is incorrect because 9% would be the value for a larger body section according to the Rule of 9.

## **Clinical Pearl / High-Yield Fact**
A key point to remember is that while the Rule of 9 is useful for quick estimations in adults, children have different body proportions, and the Lund-Browder chart is often used for more accurate assessments in pediatric patients. For adults, however, the Rule of 9, including the consideration of 1% for the genitalia and perineum, is a valuable tool.

## **Correct Answer:** C. 1%