Puncture - blunt or sharp instrument puncturing the skin. Intentional (such as venipuncture) or accidental, Penetrating - Foreign object entering the skin or mucous membrane and lodging in underlying tissue. Fragments possibly scattering throughout tissues, Avulsion - Tearing a structure from normal anatomic position. Possible damage to blood vessels, nerves, and other structures, Lacerations - Tearing of skin and tissue with blunt or irregular instrument, tissue is not aligned, often loose flaps surrounding skin and tissue, Contusions - Blunt instrument, overlying skin remains intact, with injury to underlying soft tissue. Possible resultant bruising and/or hematoma, Irradiation - Ultraviolet light or radiation exposure,

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