21-Year-Old Female with Skeletal Injuries
While riding her bike to campus, 21-year-old Liliana Rose was struck by a car. Examination in the Emergency Department reveals several injuries. Relative to her integumentary system, the following comments are noted on her chart:
•Epidermal abrasions of the right lateral upper arm and anterior shoulder.
•A deep, 2-cm laceration extending vertically on right lateral cheek and a horizontal 1-cm laceration on the temple.
•Cyanosis is apparent in her nail beds and lips.
The lacerated areas are cleaned, sutured (stitched), and bandaged by the emergency room (ER) personnel.
2. Assuming that bacteria have penetrated the dermis in these areas, what remaining skin defenses might act to prevent further bacterial invasion?
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