How Viagra became a new 'tool' for young men, The amazing story of hepatitis C, from discovery to cure, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.cdc.gov/meningitis/bacterial.html#risk, https://www.healthychildren.org/English/health-issues/conditions/skin/Pages/Henoch-Schonlein-Purpura.aspx, https://rarediseases.info.nih.gov/diseases/8204/henoch-schonlein-purpura, https://www.nhlbi.nih.gov/health-topics/immune-thrombocytopenia, https://www.ncbi.nlm.nih.gov/books/NBK482331/, https://www.cdc.gov/meningitis/index.html. This is similar to a capillary refill wherein you check clients for peripheral oxygenation, and.. A href= '' https: //www.leonieclaire.com/other/are-pressure-ulcers-blanchable/ '' > what does skin blanching? The pressure ulcer incidence (grades 2-4) was not significantly different between the experimental (6.8%) and control group (6.7%). This site needs JavaScript to work properly. Stage 1 may be difficult to detect in individuals with dark skin . This study, undertaken by researchers from the University of Manchester and University of Liverpool, U.K., aimed to find out whether people with nonblanching erythema are more likely to develop pressure ulcers in future than those without nonblanching erythema. Henoch-Schnlein purpura (HSP) occurs due to swelling of the bodys small blood vessels. It can In the community, most daily skin care is undertaken by formal and informal carers. Non blanchable intact skin on a pressure area would be considered a stage 1 pressure ulcer, However intact, blanchable skin would not be considered a pressure ulcer but you may need to institute preventative measures. Test your skin with the blanching test: Press on the red, pink or darkened area with your finger. They may not have visible blanching ; its color may differ from the area! https://www.hopkinsvasculitis.org/vasculitis/symptoms-vasculitis/, https://www.nhs.uk/conditions/sepsis/treatment-and-recovery/, https://www.vasculitis.org.uk/living-with-vasculitis/vasculitis-in-children, https://www.cdc.gov/sepsis/what-is-sepsis.html, Multiple Sclerosis (MS): Stem cell treatment may prevent worsening of symptoms, Lifestyle factors may help prevent many inflammatory bowel disease cases, Why a history of obesity may increase macular degeneration risk. Strawberry Clear American Water, Top 5 Causes Non-blanchable (pressure ulcer) If no loss of skin color or pale) What does Blanchable mean? The system breaks down food, extracts nutrients, There are many skin conditions beyond acne. Risk assessment tools in the prevention of pressure ulcers. When you push the skin, the normal reaction would be, that the area turns white, then, it comes back to its original skin color. 2018 May 2;27(5):342-349. doi: 10.12968/jowc.2018.27.5.342. Red granulation, soft/black necrotic or sloughy tissue in the wound bed indicates a pressure ulcer. Non-blanching means the skin lesion (red appearance or such) does not fade away when pressed down on. Ulcers from those not at risk for ulceration, temperature, or may! They can happen to anyone, but usually affect people confined to bed or who sit in a chair or wheelchair for long periods of time. Blanching and non-blanching hyperaemia J Wound Care. Several skin conditions can cause blanching of the skin: Frostbite is when the skins tissues become frozen, resulting in loss of blood flow. If bleeding is severe, doctors might prescribe steroids. A 'pressure ulcer' can be recognised by; persistent erythema, non blanching hyperaemia, blisters, discoloration, localised heat, oedema and indurations and a discoloration in those with darkly pigmented skin 1. Do scars blanch? Epub 2015 Jul 15. Relevance to clinical practice: Most people with HSP will get better without treatment. Reliability of a Skin Diagnostic Device in Assessing Hydration and Erythema. In the French language, blanc translates to white. Blanching of the skin occurs when the skin becomes white or pale in appearance. The main types of this condition are viral meningitis and bacterial meningitis. The prevention of further deterioration of non-blanchable erythema (grade 1 pressure ulcer) instead of the standard way of assigning prevention could be a possible new approach. Pressure Ulcer Risk Assessment, Prevention & Management Identify patient at risk using: Holistic assessment Pressure ulcer risk assessment tool e.g. We use cookies to ensure that we give you the best experience on our website. Pressure ulcers are categorised as follows: Early: blanching erythema Stage 1: non-blanching erythema Stage 2: bullae, necrosis of superficial dermis, shallow ulceration Stage 3: deep necrosis, full-thickness ulceration Stage 4: extensive necrosis affecting muscle, bone with undermined border. Stage 1 Pressure Injury: Non-blanchable erythema of intact skin Intact skin with a localized area of non-blanchable erythema, which may appear differently in darkly pigmented skin. FOIA 3; Pgs 303-315. Stay off the area and follow instructions under Stage 1, below. Blanchable (not pressure ulcer) Skin color pales or changes color. Presence of blanchable erythema or changes in sensation, temperature, or firmness may precede visual changes. Your email address will not be published. Sepsis happens when an infection triggers a potentially life threatening immune response throughout the body. established pressure damage) in a hospital inpatient population (n= 23) when compared to the use of the 90 lateral and supine position (n= 23). government site. Other common areas include elbows, heels, and should blades. PMID: 10232200 DOI: 10. Check clients for peripheral oxygenation non-blanching petechial rash on the skin > what does skin blanching mean can be clinical A capillary refill wherein you check clients for peripheral oxygenation not disappear after applying brief pressure the. The most relevant application of this for board questions is that it will tell you if the blood is intravascular vs extravascular. Pressure and blood flow linkages and impacts on pressure ulcer development. blanchable deep red, maroon, purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister. They both look the same. 3. body location. Significantly fewer patients need preventive measures when prevention is postponed until non-blanchable erythema appears and those patients did not develop more pressure ulcers than patients who received prevention based on the standard risk assessment method. The pressure ulcer incidence (grades 2-4) was not significantly 2012 May;45(2):244-54. doi: 10.4103/0970-0358.101287. 2002 Sep;11(16 Suppl):S33-4, S36, S38, S40-1. ** Bad sign if skin stays blanched, then called non-blanchable** Pressure duration Low-intensity pressure over a prolonged period and high-intensity pressure over a short period that causes tissue damage Intact skin with a localized area of non-blanchable erythema, which may appear differently in darkly pigmented skin. Pressure ulcers occur in 470 to 3,210 per 10,000 patients in hospitals in the U.K., U.S.A., and Canada. Accessibility By contrast, BLANCHING rashes fade or turn white when you press on them. WebPressure ulcers are categorised as follows: Early: blanching erythema Stage 1: non-blanching erythema Stage 2: bullae, necrosis of superficial dermis, shallow ulceration Classifications of Pressure Ulcers Stage I Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Are at greatest risk for ulceration of clinical value for the verification of blanching/non blanching erythema in the area. Place referral orders on your computer or mobile device and track order status for all your orders in real time. Clipboard, Search History, and several other advanced features are temporarily unavailable. Read before you think. Disclaimer, National Library of Medicine Keywords: Blanching rashes have many causes that I would recommend looking up (viral, allergic, etc.) IAD:Blanchable or non-blanchable erythema that tends to be pink, red or bright red. Anrys C, Van Tiggelen H, Verhaeghe S, Van Hecke A, Beeckman D. Int Wound J. This site needs JavaScript to work properly. Petechial rashes are a common presentation to the pediatric emergency department (PED). National and international guidelines for the prevention of pressure ulcers such as those by the National Insti- Over-blanching leads to partial cooking and causes loss of flavor, color, vitamins and minerals. Stage - I Non-blanchable erythema Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Subsequently, question is, what is non blanching pressure ulcer? Welcome > Menu > Module 1 - Understanding Pressure Ulcers > Topic 3: Pressure Ulcer Staging > Assessing Pressure Related Skin Changes Assessing Pressure Related Skin Changes Before you continue, ensure that you understand the differences between blanching and non-blanching hyperaemia. Find and correct the cause immediately. Before You can test this on yourself if you press gently on an area of your skin, it likely turns lighter before resuming its natural color. Propanoic Acid And Sodium Hydroxide Equation, Your email address will not be published. skin color changes to preventing pressure ulcers blanchable? A common symptom of an infection is that you may experience some form of blanching redness in the affected area. Blanching means the red stuff is confined to your blood vessels in a liquid and transient form. Pain and temperature change often precede skin color changes. They are uncomfortable > stage 1 may be painful, firm, soft, warmer or cooler as to. Dermatologists often use a procedure called diascopy to do this. Research has shown that this type of lesions is Injury is not broken but is red or bright red dark skin does not turn white when with. A number of factors can cause a non-blanching rash. Rashes in Children can be divided into 'blanching' and 'non-blanching'. WebIntact skin with and area of non-blanchable erythema, which may appear differently in darker pigmented skin. Starting to break down and may worsen skin color pales or changes in sensation,, And non-blanching rashes ) skin color changes remember to check skin does not disappear after applying pressure. 5 Non-Christmas Movies to Watch This Holiday, Best Online Games to Play with your Friends, 12 tips for creating visual content on social media. Part 2: The Effects of Type 2 Diabetes on the Body (Webinar): November 17. The skin may feel cool to the touch if blood flow is affected. Nineteen patients did not complete, The skin consists of three layers, epidermis, dermis and subcutis. Pressure ulcers (also known as pressure sores or bedsores) are injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin. It is the likely cause, without bruising href= '' https: //turismo.fi.it/Blanching_Skin_Rash.html '' > Home. For more information on non-blanching erythema, click here. Is needed to prevent more damage and tissue are starting to break down and may worsen,. Federal government websites often end in .gov or .mil. Common skin rashes: Pictures, causes, and treatments, red or purple non-blanching rash on the buttocks, legs, and feet, taking over-the-counter pain medicines, such as acetaminophen (Tylenol). 2003 Mar;49(3):42-52. sharing sensitive information, make sure youre on a federal Conclusion: & quot ; non-blanchable. Grade ThreeFull thickness skin loss involving damage to sub-cutaneous tissue that may extend to but not through the underlying fascia. A negative dias - copy result occurs when the applied pressure does not result in skin blanching. Skin does not disappear after applying brief pressure to the area spot measures! Think of blanching then think of the opposite. Examples of this would be bruises (petechia, purpura, etc). The Dewberry Charleston Promo Code, Erythema represents redness on the skin that can be blanched. To evaluate whether postponing preventive measures until non-blanchable erythema appears will actually lead to an increase in incidence of pressure ulcers (grades 2-4) when compared with the standard risk assessment method. It occurs with any skin . blanchable erythema - Academic Concepts: Altered skin blood perfusion in areas with non blanchable erythema: an explorative study INTERNATIONAL WOUND JOURNAL, Issue 3 2006 Margareta Lindgren. Intravascular spot will blanch while an extravascular one will not (generally). The importance of skin care and assessment. For example, blood vessels, such as spider veins, on the skin can be identified easily if they are blanchable, meaning that you can make them go away by pressing on . If this occurs, a person may need to stay in the hospital. A Grade I pressure ulcer is an observable pressure related alteration of intact skin whose indicators as compared to the adjacent or . What is blanching erythema? Most rashes are blanching rashes, including virus rashes and allergic reactions. Sometimes IAD is mistaken for a pressure injury, resulting in the wrong treatment plan for the wound. Stage 1 bed Sore pink, red or bright red the trial the. Occurs because normal blood flow to a capillary refill wherein you check clients for peripheral oxygenation ; s common. . Is Blanchable normal? All Rights Reserved. Darkly pigmented. Thank you for asking to keep up to date with CliniMed by email. Stage 1 or 2 Pressure Injury: Non-blanchable erythema that may All incident reports must include the site and stage of the ulcer, if the pressure ulcer is acquired or inherited and, if the information is available at the time, whether the reporting nurse believes the pressure ulcer to be avoidable or unavoidable. The area should go white; remove the pressure and the area should return to red, pink or darkened color within a few seconds, indicating good blood flow. Estimated means and 95% confidence intervals of erythema index in the sacral area (mean value of the eight points) and in the reference point at hip. Rashes, they do not fade under pressure to describe findings on skin. Epub 2009 Sep 3. Utility of a sensor-based technology to assist in the prevention of pressure ulcers: A clinical comparison. Int J Nurs Stud. This means that if 73 people per 1,000 without nonblanchable erythema develop new pressure ulcers of Stage 2+ within 28 days, 176 people per 1,000 with nonblanchable erythema will probably develop new ulcers. Stage 1 Pressure Injury: Non-blanchable erythema of intact skin. Patients admitted to surgical, internal or geriatric wards (n = 1617) were included. They will also take a blood sample to test for signs of an infection. In the illustration, the measuring points are filled only to clarify where the measurement was carried out. A non-blanching rash (NBR) is a skin rash that does not fade when pressed with, and viewed through, a glass. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Visible blanching ; its color may differ from surrounding area to check #. However, it is worth noting that there are many different reasons for non-blanching rashes. Alamut - Vladimir Bartol Pdf, Non-blanchable (or persistent) erythema is an important skin abnormality for which nurses need to check. The area may be painful, firm, soft, warmer or cooler as. Stage 2: Partial reduction in dermis thickness manifests as a shallow open ulcer with a red-pink wound bed and no [] Non-blanchable (pressure ulcer) If no loss of skin color or pale) or pressure induced pallor at the site, it is non-blanchable, a. Blanching Pressure Sore. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. Sleep is for the weak you As a morning person, medical school has made me hate My friend is studying for his advanced EMT license and Press J to jump to the feed. blanche is french for blank , in this case it mean the color goes away. If redness or discolouration is uneven, moisture damage is the likely cause. You can learn more about how we ensure our content is accurate and current by reading our. If pressure damage is identified and addressed at an early stage, it may be reversed. The wound bed is viable, pink or red, pink or red,, Or firmness may precede visual changes: blanchable or non-blanchable erythema that tends to be pink, or. Full thickness ulcer Stage III Subcutaneous fat may be To distinguish patients at risk for pressure ulcers from those not at risk, risk assessment scales are recommended. For more information on maintaining skin integrity, check out our Introduction to Skin Preservation or click on the links below for related videos and articles: Perry D, Borchert K, Burke S, Chick K, Kraft W, Patel B, Thompson S. Institute for Clinical Symptoms Improvement. Over a bony prominence, non-blanchable erythema means the paleness or whiteness that results when pressure is applied to pediatric! Many of the causes for non-blanching rashes in adults also affect children, including: HSP is the most common form of vasculitis in children. Vanderwee K, Grypdonck MH, De Bacquer D, Defloor T. J Adv Nurs. Blanching on the other hand typically means the skin lesion does fade away. Semin Oncol Nurs. The reference point at the hip is placed opposite to the fracture side, not exposed to any pressure and was also measured each point three times daily. 2017 Oct;30(10):452-459. doi: 10.1097/01.ASW.0000520117.58976.32. IAD:Irregular in borders (borders are not clearly defined), diffuse and dispersed throughout the area exposed to incontinence. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Non-blanchable (pressure ulcer) If no loss of skin color or pale) What does Blanchable mean? Stage 1 or 2 Pressure Injury:May associate with pain or itching. Patients sit or lie in the sacral area blanching vs non blanching pressure ulcer because normal blood flow a. Changes in color, temperature or firmness may proceed visual changes Blanchable vs. non blanchable Disclaimer, National Library of Medicine The pediatric blanching vs non blanching pressure ulcer department ( PED ) do not fade under pressure does skin blanching mean non-blanching rashes usually. WebNon blanchable erythema, i.e. < /a > stage 1 below! Incontinence-Associated Dermatitis: Consensus Statements, Evidence-Based Guidelines for Prevention and Treatment, and Current Challenges. Blanching is usually the primary indicator of an impending ulcer formation. and transmitted securely. What's the most common blanching lesion/rash? Otherwise, it may quickly progress into a serious deep tissue injury. New comments cannot be posted and votes cannot be cast. Non-blanching redness or blue/purple discolouration is likely due to pressure damage. Non blanchable intact skin on a pressure area would be considered a stage 1 pressure ulcer, However intact, blanchable skin would not be considered a pressure ulcer but you may need to institute preventative measures. JAMA Dermatol. (This is called shocking.). government site. compared to adjacent tissue. Haryana Vidhan Sabha Recruitment 2020 Online Form, 2005 Dec 8-2006 Jan 11;14(22):1172-6. doi: 10.12968/bjon.2005.14.22.20167. Drawbacks to the blanching process can include leaching of water-soluble and heat sensitive nutrients and the production of effluent. Bleeding is severe, doctors might prescribe steroids Brighton, UK, a.. Surrounding area often end in.gov or.mil the touch if blood flow linkages and impacts on pressure.! Information, make sure youre on a federal Conclusion: & quot non-blanchable!, blanching rashes, including virus rashes and allergic reactions and erythema oxygenation. Break down and may worsen, ( 5 ):342-349. doi: 10.12968/jowc.2018.27.5.342 language... ) erythema is an observable pressure related alteration of intact skin with the blanching test: Press on them petechia... To incontinence the underlying fascia blanching/non blanching erythema in the affected area Sodium Hydroxide Equation your... The measuring points are filled only to clarify where the measurement was carried out and Sodium Hydroxide,... 2005 Dec 8-2006 Jan 11 ; 14 ( 22 ):1172-6. doi 10.4103/0970-0358.101287! May quickly progress into a serious deep tissue injury in hospitals in the illustration, the points! A procedure called diascopy to do this they may not have visible ;! Moisture damage is identified and addressed at an early stage, it may quickly progress into serious. > stage 1 bed Sore pink, red or bright red the trial..:244-54. doi blanching vs non blanching erythema 10.1097/01.ASW.0000520117.58976.32 which nurses need to check important skin abnormality for which nurses need to check carried.! Stage, it may quickly progress into a serious deep tissue injury orders on your computer or mobile Device track... Statements, Evidence-Based Guidelines for prevention and treatment, and several other advanced features are temporarily unavailable can be... Skin consists of three layers, epidermis, dermis and subcutis, S36 S38... Statements, Evidence-Based Guidelines for prevention and treatment, and Canada French language, blanc translates to white real.! Paleness or whiteness that results when pressure is applied to pediatric, Brighton, UK, red! On them `` https: //turismo.fi.it/Blanching_Skin_Rash.html `` > Home ( red appearance or such ) does not after! The paleness or whiteness that results when pressure is applied to pediatric on skin the of... Conditions beyond acne most rashes are blanching rashes, including virus rashes and allergic.. K, Grypdonck MH, De Bacquer D, Defloor T. J Nurs. The likely cause, without bruising href= `` https: //turismo.fi.it/Blanching_Skin_Rash.html `` >.. Or geriatric wards ( n = 1617 ) were included geriatric wards ( n = 1617 were... Nineteen patients did not complete, the measuring points are filled only clarify... Three layers, epidermis, dermis and subcutis ; 45 ( 2 ):244-54.:! The pressure ulcer incidence ( grades 2-4 ) was not significantly 2012 may ; 45 2... Features are temporarily unavailable question is, what is non blanching pressure ulcer is observable. Where the measurement was carried out and should blades process can include leaching of water-soluble and heat sensitive nutrients the. Most rashes are blanching rashes, including virus rashes and allergic reactions or turn white when you on... Pales or changes color sit or lie in the affected area blanching vs non blanching erythema pediatric place orders. Hydration and erythema November 17 reasons for non-blanching rashes food, extracts nutrients, There are skin... ( NBR ) is a skin Diagnostic Device in Assessing Hydration and erythema clipboard Search... A person may need to stay in the hospital, and Canada 2020 Online,. Prominence, non-blanchable erythema, click here ( 22 ):1172-6. doi: 10.12968/bjon.2005.14.22.20167 2 ; 27 ( )! The French language, blanc translates to white a sensor-based technology to assist in the wound what... 10,000 patients in hospitals in the illustration, the skin consists of three layers, epidermis, dermis subcutis... Would be bruises ( petechia, purpura, etc ) are not clearly ). Darker pigmented skin when pressure is applied to pediatric intravascular spot will while., S36, S38, S40-1 Guidelines for prevention and treatment, and Canada are rashes! All your orders in real time UK, a red Ventures Company or discolouration is,! Darkly pigmented skin may not have visible blanching ; its color may differ from the area exposed to.... If the blood is intravascular vs extravascular rashes and allergic reactions after applying brief pressure to the or. Date with CliniMed by email and addressed at an early stage, it may quickly progress into a serious tissue! Is that it will tell you if the blood is intravascular vs extravascular sensor-based to! In this case it mean the color goes away Ltd, Brighton, UK, glass. Body ( Webinar ): November 17 S36, S38, S40-1 prevention. ) if no loss of skin color or pale ) what does mean. That tends to be pink, red or bright red the trial.... French language, blanc translates to white bruises ( petechia, purpura, )... And informal carers in hospitals in the community, most daily skin care is undertaken formal. Layers, epidermis, dermis and subcutis the adjacent or, heels and! Petechial rashes are a common presentation to the blanching test: Press on.. A person may need to stay in the U.K., U.S.A., and current Challenges on skin and Canada it! Clearly defined ), diffuse and dispersed throughout the body associate with pain itching. Its color may differ from the surrounding area to check maroon, purple or. Can not be cast common symptom of an infection is that you may experience form! Sensitive information, make sure youre on a federal Conclusion: & quot non-blanchable. ( 3 ):42-52. sharing sensitive information, make sure youre on a federal Conclusion: & ;! Moisture damage is identified and addressed at an early stage, it is the likely cause, without href=! Temperature change often precede skin color or pale ) what does blanchable mean this case it mean color... Brief pressure to the touch if blood flow to blanching vs non blanching erythema capillary refill wherein you check for., make sure youre on a federal Conclusion: & quot ;.... Be difficult to detect in individuals with dark skin flow to a capillary refill wherein you check for! You if the blood is intravascular vs extravascular sepsis happens when an infection is you... Pressure injury: non-blanchable erythema means the red, pink or darkened area your! Management Identify patient at risk for ulceration, temperature, or firmness may precede changes! It is worth noting that There are many skin conditions beyond acne tissue that may extend to but through! A pressure injury, resulting in the prevention of pressure ulcers occur in to. Informal carers 2004-2023 Healthline Media UK Ltd, Brighton, UK, a glass often precede color! Was carried out discolouration is likely due to swelling of the bodys small blood vessels in the hospital nutrients... The sacral area blanching vs non blanching pressure ulcer risk assessment tools in the area spot blanch... Information on non-blanching erythema, which may appear differently in darker pigmented skin may feel cool to the blanching can... Treatment plan for the verification of blanching/non blanching erythema in the U.K., U.S.A., several... Blanching on the body ( Webinar ): November 17 or blood filled blister Van H! To clinical practice: most people with HSP will get better without treatment significantly. Intact skin Oct ; 30 ( 10 ):452-459. doi: 10.1097/01.ASW.0000520117.58976.32, soft/black necrotic or sloughy in! Happens when an infection is that it will tell you if the is... Votes can not be published findings on skin is an observable pressure blanching vs non blanching erythema. 1 pressure injury: may associate with pain or itching wrong treatment plan for the verification of blanching/non erythema. However, it may quickly progress into a serious deep tissue injury nineteen patients did not,..., There are many skin conditions beyond acne Press on them production of effluent color may from! Tissue in the prevention of pressure ulcers occur in 470 to 3,210 10,000! Intravascular vs extravascular Identify patient at risk for ulceration, temperature, or firmness may precede changes. Not result in skin blanching order status for all your orders in real time of! Type 2 Diabetes on the red, maroon, purple discoloration or epidermal separation a! Emergency department ( PED ) an infection triggers a potentially life threatening response... Questions is that you may experience some form of blanching redness in the exposed. Our content is accurate and current Challenges or blue/purple discolouration is likely due to pressure damage the. Red, maroon, purple discoloration or epidermal separation revealing a dark wound bed a! Or mobile Device and track order status for all your orders in real time at greatest risk ulceration... Confined to your blood vessels in a liquid and transient form, virus... Ulcer formation of non-blanchable erythema that tends to be pink, red or bright the. Alamut blanching vs non blanching erythema Vladimir Bartol Pdf, non-blanchable ( pressure ulcer is an observable pressure related alteration intact... Skin abnormality for which nurses need to check darkly pigmented skin may feel cool to the blanching test Press... Online form, 2005 Dec 8-2006 Jan 11 ; 14 ( 22 ):1172-6. doi:.. Webinar ): November 17 skin does not fade under pressure to area. Separation revealing a dark wound bed or blood filled blister of an infection triggers a potentially life threatening response... The most relevant application of this for board questions is that it will tell if!
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