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Chapter 7

Misc Integumentray System Flash Cards

How many stages of pressure ulcers: Four
Stage one pressure ulcer Persistent focal erythema
Stage two pressure ulcer Partial thickness skin loss involving epidermis, dermis, or both
Stage three pressure ulcer Full thickness skin loss extending through subcutaneous tissue
Stage four pressure ulcer Necrosis of soft tissue extending to muscle and bone
How many degrees of burns: Three
First degree burn involves the epidermis, and can be superficial (such as a sunburn)
Second degree burn involves the epidermis, dermis, and subcutaneous tissue and its partial thickness
Third degree burns involves the epidermis, dermis, subcutaneous tissue, muscle, and sometimes bone.
Avascular A lack in blood supply, devitalized, necrotic, and nonviable. Specific types includes slough and eschar.
Clean Wound Wound is free of devitalized tissue, purulent drainage, foreign material, or debris
Clean Wound Edges Edges of top layers of epidermis have rolled down to cover lower edges of the epidermis, so epithelial cells cannot migrate from wound edges; also described as epibole.
Dehisced/Dehiscence To split apart or open along natural or sutured lines
Epidermis Outermost layer of the skin
Epithelization Regeneration of epidermis across a wound surface
Eschar Balck or brown necrotic, devitalized tissue, tissue can be loose or firmly adherent, hard, soft, or soggy
Full Thickness Tissue damage involving total loss of epidermis and dermis and extending into the subcutaneous tissue and possibly into muscle or bone
Granulation Tissue The pink/red, moist tissue comprised of new blood vessels, connective tissue, fibroblasts, & inflammatory cells, fill an open wound when it starts to heal. Typically appears dark pink or red with an irregular, berry-like surface.
Healing Ridge Palpatory finding is indicative of new collagen synthesis. Evident between 5-9 days. Persists until about 15 days. Expected positive sign.
Infection The presence of bacteria or other microorganisms is in sufficient quantity to damage tissue or impair healing. Classifed when contain 105 or more microorganisms per gram of tissue. signs - purulent exudates, odor, erythema, warmth, tenderness, edema, pain
Nongranulating Absence of granulation tissue, wound surface appears smooth as opposed to granular.
Partial -Thickness Damage does not penetrate below the dermis and may be limited to epidermal layers only.
Sinus Tract Course of tissue destruction. Also called tunneling.
Slough Soft, moist avascular (devitalized) tissue may be white, yellow, tan, or green; may be loose or firmly adherent.
Undermining Area of tissue destruction extends under the intact skin along the periphery of a wound; commonly seen in shear injuries.
Electrodesiccation This process destroys tissue using a small instrument with a cautery needle connected to a monopolar electric source. Electricity is the source of heat as it passed through cautery blade or needle.
Electrofulguration This process destroys tissue using high frequency electrical current. (insulated electrode with metal point held above surface lesion.)
Elliptical Excision The physician usually marks the skin externally before the first incision is made. The length is of the ellipse is usually 2 to 3 times the required with. Incision is made through the dermis with some subcutaneous fatty tissue is visible when the tissue i
Nail Root The portion of the nail under the skin
Nail body The visible pink portion of the nail- white crescent of nail at the base of nail is the luna; hyponychium secures nail to finger; cuticle(epionychium) is a narrow band around the proximal edge of the nail.
Free Edge The white end extending past the finger.
Advancement Flap Undermining or freeing up tissue (from underlying fibrous attachments) surrounding a defect creates an advancement flap.
Allograft The skin graft is transplanted from one person to another, who are not genetically identical, also called allogenic skin graft.
Autograft Skin is harvested from another healthy part of the patient's own body.
Composite Graft This term refers to skin grafts including more than one type of tissue. Multiple tissues aligned and used to plug defect. Usually done for both structural and cosmetic reasons.
Derma-Fascia-Fat Grafts This service is performed to smooth out blemishes created secondary to surgically created defects or atrophy.
Double Pedicle Flap An incision is made in the skin the skin along the length of the defect to be closed and the tissue between the incision and the edge of the defect is freed, leaving the ends of the flaps attached.
Free Fascia Graft This type of graft requires the elevation and transfer of fascia with microvascular anastomosis.
Full-Thickness Graft Graft is composed of epidermis and layers of the dermis. This graft is cut with a scalpel, placed over the defect, and sutured into place.
Heterograft This type of graft is synonyms with a xenograft, which is a graft transferred between species.
Homograft This graft material originates from two individuals of the same species who are not genetically identical. Commonly used only about 10 days though may last four to five weeks. Usually for large burns and stimulate growth(ex harvested from cadaver)
Rotation Flap A skin incision is made to create a curvilinear flap contiguous with the defect.
Split-thickness Graft This graft is composed of epidermis and a small portion of the dermis.
Skin Depth Method Indicative of its name. Partial-thickness burn damages the epidermis and/or part of the dermis. A full thickness burn damages the epidermis, dermis, and extends into the subcutaneous tissue.
Rule of Nines The most commonly used, and evaluates the percentage of the body surface burned by allocating a percentage to each of the following body surfaced; head, each upper extremity, and the front and back halves of each lower extremity.
Grandular Tissue Produces Milk and is organized into 15 to 20 lobes surrounding the nipple.
Fibrous Tissue Supports the glandular tissue
Fat Surrounds the breast
Complete The breast tissue as well as the skin, nipple, and areola are removed. Use for CPT code 19303
Gynecomastia The term describes the abnormal enlargement of one breast or both breasts in men. Excess fat & breast tissue are removed from the breast area, generally by dissecting the tissue away from the pectoralis fascia. The skin, nipple, & areola remain intact. CP
Modified Radical This procedure describes removal of breast tissue & includes skin, nipple, areola, & axillary lymph nodes, w/ or w/o the pectoralis minor muscle. Differs form radical mastectomy, because pectoralis major muscle is not removed. CPT 19307
Partial A portion of the breast tissue, which involves more than removal of a lesion or tumor, is described by this term. Some normal tissue in addition maybe removed. Codes 19296-19298 are reported separately for placement of radiotherapy afterloading balloon/br
Radical Breast Tissue associated with the skin, nipple, areola, axillary lymph nodes, pectoralis major,and minor muscles are removed. Use CPT code 19305.
Simple See the definition for "complete"
Urban This type is similar to radical mastectomy but includes the internal mammary lymph nodes. Use CPT 19306.
G0127 Trimming of dystrophic nails, any number
G0168 Wound disclosure utilizing tissue adhesive (s) only
G0295 Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses
G0329 Electromagentic therapy, to one or more areas for chronic stage III & Stage IV pressure ulcers, arterial ulcers, diabetic & venous stasis ulcers not demonstrating measurable signs of healing after30 days of conventional care as part of a therapy pla of ca
Created by: BBracha