click below
click below
Normal Size Small Size show me how
Skin Disorders
Integumentary disorders med surg mod 1
| Term | Definition |
|---|---|
| macule | flat, circumscribed area that is changed in color and <1cm. i.e. freckles, flat moles, measles, scarlet fever, petechiae |
| papule | elevated, firm circumscribed area <1cm i.e. warts, elevated moles, lichens planus |
| patch | flat, nonpalpable, irregularly shaped macule >1cm i.e. port wine stains, vitiligo, Mongolian spots, café-au-lait spots |
| plaque | elevated, firm, rough lesion with flat topped surface >1cm i.e. psoriasis, sebhorreic keratosis, actinic keratosis |
| wheal | elevated, irregularly shaped area of cutaneous edema; solid, transient, variable diameter i.e. insect bites, urticarial, allergic reactions |
| nodule | Elevated, firm, circumscribed lesion; deeper in dermis than a papule; 1-2 cm i.e. Erythema nodosum, lipomas |
| tumor | Elevated and solid lesion; may or may not be clearly demarcated; deeper in dermis; >2 cm in diameter Neoplasms, benign tumor, lipoma, hemangioma |
| vesicle | Elevated, circumscribed, superficial, not into dermis; filled with serous fluid; <1 cm in diameter Varicella (chickenpox), herpes zoster (shingles) |
| bulla | Vesicle >1 cm in diameter Blister, pemphigus vulgaris |
| pustule | superficial lesion; similar to a vesicle but filled with purulent fluid Impetigo, acne |
| Cyst | Elevated, circumscribed, encapsulated lesion; in dermis or subcutaneous layer; filled with liquid or semisolid material Sebaceous cyst, cystic acne |
| lichenification | rough, thickened epidermis secondary to persistent rubbing, itching, skin irritation; often involves flexor surface of extremity i.e. chronic dermatitis |
| scale | Heaped-up keratinized cells; flaky skin; irregular; thick or thin; dry or oily; variation in size Flaking of skin with seborrheic dermatitis after scarlet fever, or flaking of skin following a drug reaction; dry skin |
| keloid | Irregularly shaped, elevated, progressively enlarging scar; grows beyond the boundaries of the wound; caused by excessive collagen formation during healing |
| scar | Thin to thick fibrous tissue that replaces normal skin after injury or laceration to the dermis i.e. healed wound or surgical incision |
| excoriation | Loss of the epidermis; linear hollowed-out crusted area Abrasion or scratch, scabies |
| fissure | Linear crack or break from the epidermis to the dermis; may be moist or dry Athlete’s foot, cracks at the corner of the mouth |
| erosion | Loss of part of the epidermis; depressed, moist, glistening; follows rupture of a vesicle or bulla Varicella, variola after rupture |
| ulcer | Loss of epidermis and dermis; concave; varies in size Pressure sores, stasis ulcers |
| crust | Dried serum, blood, or purulent exudate; slightly elevated; size varies: brown, red, black, or tan Scab on abrasion, eczema |
| atrophy | Thinning of skin surface and loss of skin markings; skin translucent and paper-like Striae; aged skin |
| functions of the skin | protection, temperature regulation, fluid retention, vitamin D synthesis |
| skin assessment | P-provocative and palliative factors (what caused it?) Q-quality and quantity of the problem (size & characteristics) R-region of the body S-severity of s/s T- time (the patient has had disorder) |
| mole assessment | A-assymetrical? B-borders irregular? C- color uneven or irregular? D-diameter of growth changed recently? E-has surface become elevated? |