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Integumentary
Health Assessment
| Question | Answer |
|---|---|
| Lanugo | Fine downy hair |
| Vernix Caseosa | Thick, cheesy substance |
| Milia | "baby acne"; tiny white papules on face from sebum that occludes the opening of follicles |
| Confluent Legions | lesions run together ; hives |
| Annular legions | circular, begins in center and spreads to periphery ; ring worm |
| Zosteriform legions | linear arrangement alone unilateral nerve route ; shingles |
| Macule | flat, circumscribed, < 1 cm lesion ; freckles |
| Papule | sold, elevated, circumscribed, < 1 cm legion caused by superficial thickening of epidermis ; elevated nevus |
| Nodule | solid, elevated, hard or soft, > 1 cm, chalazion |
| Plaque | Papules that coalesce to form surface elevation, > 1 cm, plateau like, disk-shaped legion ; psoriasis |
| Vesicle | elevated cavity containing free fluid ; blister |
| Bulla | > 1 cm, superficial in epidermis, thin walled and ruptures easily ; pemphigous vulgaris |
| Pustule | turbid fluid in the cavity, circumscribed and elevated ; acne |
| wheal | superficial, raised, transient, and erythematous, slightly irregular shape from edema ; mosquito bite, allergic rxn, |
| Keloid | hypertrophic scarring that extends beyond the borders of initiating injury |
| Basal cell carcinoma | slow growing, initial translucent nodule spreads, leaving depressed center and firm, elevated border |
| Squamous cell carcinoma | grows faster than BCC, firmer, looks redder, usually on sun-exposed skin ; face and back of hand |
| Melanoma | often arises from preexisting nevus, usually irregular borders, varying colors, and bleeds easily |
| Stage I PU | non-blanchable erythema w/ intact skin |
| Stage II PU | partial thickness skin loss, wound bed is viable pink, or red, moist |
| Stage III PU | full thickness skin loss, adipose visible, granulation tissue and rolled edges, slough and/or eschar may be visible |
| Stage IV PU | full thickness tissue loss, exposed fascia, muscle, tendon, ligament, cartilage, or bone. rolled edges, tunneling |
| Unstageable PU | obscured full thickness skin and tissue loss, typically when the ulcer is covered by slough or eschar |
| Deep tissue injury | persistent, non blanchable deep red, maroon, or purple |
| Patch | macules that are > 1 cm ; cafe au lait spot |
| seborrheic keratoses | dark, greasy, "stuck on" , cancerous |
| Actinic keratoses | red/tan scaly plaques, raised and roughened, premalignant |
| senile lentigines | flat, small, brown macules ; liver spots |
| Xerosis | dry skin |
| Acrochordons | skin tags, overgrowths of normal skin that form stalk |
| Petechia | tiny punctate hemorrhages, 1-3 mm round and discrete |
| Tinea Capitis | rounded, patchy hair loss on scalp caused by fungal infection |
| Folliculitis | inflammation of hair follicles, red, pus-filled bumps on skin |
| Seborrheic dermatitis | "cradle cap" thick, yellow to white greasy, adherent scales w/ mild erythema on scalp and forehead ; very common during infancy |
| Angiomas | benign growths made up of small, dilated blood vessels |
| Kaposi sarcoma | cancer that forms in linings of blood vessels and lymph nodes |
| Clubbing | enlargement and rounding of fingernails |
Created by:
julie.russell