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MedSurg: 70:5
Skin: Other Skin Disorders
| Question | Answer |
|---|---|
| Acne | Red Pustular eruption that affects the sebaceous glands of the skin; increased sebum production; debris collection promotes bacterial growth and rupture of the gland into the surrounding dermis with inflammation |
| Acne Skin Lesions | Non-inflammatory comedones(blackheads and whiteheads); Inflammatory papules, pustules, and cysts; present only on the face and upper trunk |
| Isotretinoin(Accutane)(Retonoic Acid) | Used in Client with severe acne; Side effects: Elevated liver function test; dry, chapped skin; depresion in some clients; A pregnancy test is required before therapy and strict birth control measures must be used during therapy |
| Lichen Planus | Common Skin disorder of purple, flattopped papules that are itchy; Etiology not known; Can be chronic or resolve spontaneously. |
| Lichen Planus Lesions | Occur over the wrists and the inner surfaces of the forearms, lower legs, genitalia, and other body areas; Oral lesions have a white lacelike appearance ofter confused with thrush |
| Pemphigus Vulgaris | Rare, chronic blistering disease with high morbidity and mortality; Caused by an Autoimmune disorder that occurs most often during middle and old age; Initial lesions usually occur on the oral mucosa and later lesions on the trunk |
| Acute Pemphigus Vulgaris | Occur on normal-appearing skin or mucous membrane surfaces as fragile, flaccid bullae. breaking the bullae leaves partial-thickness wounds that bleed, weep, and eventually form crust |
| Toxic Epidermal Necrolysis(TEN) | Rare, acute drug reaction of the skin resulting in diffuse erythema and large blister formation; Systemic toxicity; |
| Causative Agents for TEN | Sulfonamides, pyrazolones, barbiturates, and antibiotics; Removal of the drug is usually followed by gradual healing in 2 to 3 weekis, with widespread peeling of the epidermis |
| TEN Clients | Admitted to burn units, where fluid and electrolyte balance, caloric intake, and hypothermia can be closely monitored; Systemic steroids are avoided because ofthe increased risk for infection |
| Stevens-Johnson Syndrome | Drug-induced skin reaction through an immunologic mechanisms; Client may have a mix of vesicles, erosions, and crusts; SEVERE: Clients may have respiratory problems, excessive fluid loss, renal failure and blindess |
| Leprosy(Hnsen's Disease) | Chronic, contagious, systemic mycobacterial infection of the peripheral nervous system with skin involvement |
| Localized (High Immunity) Leprosy | One or two isolated, red, anesthetic, hairless plaques that are sometimes scaly |
| Generalized(Low-Immunity) Leprosy | Leprosy-widespread, faintly red macules, papules, nodules, and plaques |
Created by:
keisha12_18
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