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Integumentary 2nd

2nd semester Integument TJB

QuestionAnswer
What is a primary lesion? Arises from skin itself, on previously unaltered skin
What is a secondary lesion? change with time or occur because of scratching or infection
Name the 4 appendages of the skin hair, nails, sebaceous glands, sweat glands
True or false: apocrine and eccrine glands produce sweat True
How long does hair grow in a month? 1 cm
True or false: nails grow from the matrix True
List 7 skin changes related to aging decreased turgor, thinning, drying, wrinkling, vascular lesions, inc. skin fragility, and benign neoplasms
pruritus itching
Describe and give an example of a Macule smaller, flat, change in skin color, freckle or petechiae
Describe and give an example of a Patch larger, flat, change in skin color, Vitiligo
Describe and give an example of a Papule smaller, palpable, solid, wart or mole
Describe and give an example of a Nodule larger, palpable, solid, lipoma or basal cell carcinoma
Describe and give an example of a Vesicle smaller, palpable, fluid filled, chicken pox or shingles
Describe and give an example of a Pustule size varies, palpable, pus filled, Acne
Describe and give an example of a Plaque Larger, solid, superficial, psoriasis
List the 7 primary lesions Macule, Patch, Papule, Vesicle, Pustule, Plaque
List the 7 Secondary lesions Scar, Keloid, Scale, Atrophy, Excoriation, Fissure, Ulcer
Describe and give an example of a Scar raised, connective tissue, site of trauma, Surgical incision
Describe a Keloid Overgrowth of scar tissue, shiny, benign
Describe and give an example of a Scale flaky, dead cells after epidermal event, Sunburn
Describe and give an example of a Atrophy Thinned skin, depression, Elderly skin
Describe and give an example of an Excoriation epidermis is missing, dermis exposed, Scratches or Abrasions
Describe and give an example of a Fissure linear crack in epidermis, Athlete's foot
Describe and give an example of an Ulcer Loss of epidermis extending into dermis, Pressure ulcer
Lentigo age spots or liver spots
When assessing darkly pigmented skin, which areas are more easily seen? lips, oral mucosa, nail beds, palms, protected areas
When assessing darkly pigmented skin, what light is best? Indirect lighting, otherwise there will be a glare.
When discussing skin lesion distributions, describe assymetric. On one side of body, but not on other
When discussing skin lesion distributions, describe confluent starts wide and merges together
When discussing skin lesion distributions, describe diffuse or generalized evenly distributed all over
When discussing skin lesion distributions, describe discrete hidden, not noticeable, separate
When discussing skin lesion distributions, describe localized in one area
When discussing skin lesion distributions, describe symmetric like a mirror image of pattern
When discussing skin lesion distributions, describe solitary one, alone, separate
When discussing skin lesion distributions, describe Zosteriform start at a specific place and follows a path
Chronic or Acute? Wounds due to neuropathy or circulatory changes Chronic
Describe a venous stasis ulcer blood pools and sits there
Describe an arterial insufficiency demarcated, skin shiny, blood does not get there
List 6 Benign skin abnormalities Acne, Mole, Psoriasis, Skin tags, Lentigo's, Wrinkles
List the 2 types of Malignant skin abnormalities Melanoma (less common but deadlier) and Non-melanoma (Basal cell or squamous cell carcinoma)
List the 3 Bacterial skin disorders Impetigo, Folliculitis, Cellulitis
List the 3 Fungal skin disorders Candidiasis, Tinea corporis, Tinea pedis
List the 3 Viral skin disorders Herpes simplex 1, Herpes simplex 2, Herpes Zoster
Which of these 3 skin disorders is the most common? Bacterial, Fungal, or viral? Bacterial
Which is the most predominant bacteria on skin? Staph
Which is the most common bacteria on skin? E. coli
Describe Impetigo and how to treat it honey, crusty, common with kids, very contagious, Treat with penicillin and anti-bacterial cream
Describe Folliculitis and how to treat it inflammation of a hair follicle (pustule), Treat with anti-staph soap
Describe Cellulitis and how to treat it Inflammation of the sub-q tissues, hot, tender, edema and red, Treat with moist heat- may lead to gangrene if severe
actinic keratosis A rough, sandpaper-textured, premalignant macule or papule caused by excess exposure to UV, Treat by liquid Nitrogen
alopecia absence or loss of hair, Treat by meds or surgery
Biopsy a tissue sample removed, usually to dx
configuration shape and appearance of something
cryosurgery extreme cold to destroy unwanted tissues
cyanosis bluish skin
ecchymosis superficial bleeding under the skin, Bruise
erythema reddening of the skin
full thickness burn 3rd and 4th degree burns, 3rd is through the dermis, burn nerve endings and it doesn't hurt. 4th is down to the bone
Partial thickness burn 1st and 2nd degree burns, 1st is superficial like sunburn. 2nd is deep, causing blisters and pain
hirsutism abnormal growth of hair, excessive or unusual places
Infestation invasion of the body by outsiders
jaundice Yellow skin and eyes, from excess bilirubin in the blood stream, liver problems
multiform having man forms or shapes
petechiae red spots from the bite of a flea
photosensitivity sensitivity to light either from a medication or and autoimmune illness
urticaria An allergic reaction marked by multiple discrete swellings on the skin (wheals) that are intensely itchy and last up to 24 hr. The wheals appear primarily on the chest, back, extremities, face, or scalp.
List the 4 types of burns Thermal, Chemical, Smoke Inhalation, Electrical
List some common photosensitizing drugs Furosemide, methotrexate, ciprofloxacin, diphenhydramine, hydrochlorothiazide, glipizide
How are integument changes diagnosed? Biopsy, clinical presentation, patch test, Wood's lamp (black light)
Is isolation required for Herpes Zoster? If you haven't had chicken pox or vaccine, stay away! If localized, covered and healed- Standard Precautions. If localized and open- Contact Precautions. If disseminated- Airborne precautions
Created by: tbauer20
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