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Skin Pathologies
Pathology
| Question | Answer |
|---|---|
| what virus causes cold sores and fever blisters? | herpes simplex virus |
| what virus causes chickenpox and shingles? | varicella-zoster virus |
| what chronic disease is characterized by hardening and tightening of the skin and connective tissues? | scleroderma |
| what chronic autoimmune disease causes accelerated skin cell turnover, leading to itchy, scaly plaques? | psoriasis |
| what common premalignant skin condition occurs on sunlight-exposed areas? | actinic keratosis |
| what deep bacterial infection of hair follicles causes painful, pus-filled lumps? | furuncle (boil/carbuncle) |
| what marks are left on the skin after the body repairs wounds caused by surgery, injuries, or disease? | scars |
| what virus causes warts? | human papillomavirus (HPV) |
| what term describes a condition that resolves on its own without treatment? | self-limiting |
| what condition involves a hyperactive immune response leading to a hypersensitive skin barrier, redness, itching, and cracked skin? | eczema / atopic dermatits |
| what progressive inflammatory skin condition causes facial redness? | rosacea |
| what bacterial infection clogs hair follicles and sebaceous glands, producing comedones? | acne |
| what chronic inflammatory condition affects skin with numerous sebaceous glands (scalp, face, axillae, chest, groin)? | seborrheic dermatitis |
| what type of swelling occurs when fluid moves from blood vessels into interstitial spaces, with intact lymphatics? | edema |
| what swelling occurs due to removed or damaged lymphatic structures? | lymphedema |
| what method uses gravity to stimulate fluid movement from a higher to a lower area? | dependent drainage |
| what type of edema leaves an indentation after firm pressure for 2-3 seconds? | pitting edema |
| what cancer affects the lymphatic system? | non-Hdgkin lymphoma |
| what bacterial infection affects the skin and underlying tissues, often as a complication of lymphedema? | cellulitis |
| what bacterial infection affects the lymph vessels? | lymphangitis |
| what type of edema affects the upper or lower extremities? | peripheral edema |
| what swelling of subcutaneous tissues is associated with allergic reactions? | angioedema |
| what extreme generalized edema occurs with serious conditions like preeclampsia, liver, renal, or heart failure? | anasarca |
| what abdominal swelling is caused by fluid accumulation in the peritoneal cavity? | ascites |
| what measured body temperature indicates fever? | 38 degrees celsius |
| what is the body's response to demands placed on it by stressors, triggering sympathetic arousal? | stress |
| what is an overwhelming, irrational fear of an object or situation with no real danger? | specific phobia |
| what defense mechanism suppresses memories that cause anxiety from conflicting values, seen in PTSD? | compartmentalization |
| what term describes disturbances in cognition, emotional regulation, or behavior due to dysfunctional processes? | mental disorder |
| what abnormal movements, behaviors, emotions, or dreams occur during sleep or waking transitions? | parasomnia |
| what condition involves fear of open/enclosed spaces, crowds, or being away from home due to panic risk? | agoraphobia |
| what late-stage anxiety disorder involves distress after experiencing or witnessing traumatic events? | post traumatic stress disorder |
| what term describes personal emotional expressions such as anger, fear, joy, sadness, surprise? | affect |
| what state allows individuals to recognize potential, cope with stress, work productively, and contribute to community? | mental health |
| what disorder involves persistent upsetting thoughts and uncontrollable repetitive behaviors to relieve anxiety? | obsessive compulsive disorder |
| what sudden, vivid memory of past events produces extreme anxiety or panic? | flashback |
| what term describes thinking about, considering, or planning suicide? | suicidal ideations |
| what severe anxiety occurs immediately or within 1 month after traumatic events? | acute stress disorder |
| what eating disorder involves abnormally low weight through self-starvation to prevent weight gain? | anorexia nervosa |
| what disorder involves binge eating with distress, without compensatory behaviors? | binge eating disorder |
| what mood disorder involves episodes of depression and mania? | bipolar disorder |
| what eating disorder involves binge eating followed by purging behaviors like vomiting? | bulimia nervosa |
| what mild bipolar disorder involves depressive and hypomanic symptoms lasting 2 or more years in adults, 1 in adolescents? | cyclothymic disorder |
| what emotional disturbances involve prolonged sadness, emptiness, or mania impairing function? | mood disorders |
| what sudden brief episode involves intense fear and anxiety without real danger? | panic attack |
| what depressive disorder begins after childbirth and lasts for 2 or more weeks? | postpartum depression |
| what depressive mood disorder occurs seasonally, usually in fall/winter? | seasonal affective disorder |
| what disorder involves persistent use of substances despite adverse consequences? | substance use disorder |
| what term describes death caused by self-directed injurious behavior with intent to die? | suicide |
| what causes eczema/atopic dermatitis? | chronic inflammatory skin condition due to overactive immune response, making skin sensitive to irritants |
| what are common symptoms of eczema? | itching, redness, dry/cracked skin |
| what are common triggers of eczema? | stress/anxiety, temperature changes, increased humidity |
| what is the massage contraindication for eczema? | local contraindication |
| what causes psoriasis | accelerated skin cell proliferation leading to thick patches forming |
| what condition can develop from moderate-severe psoriasis? | psoriatic arthritis |
| what precaution is needed for joint affected by psoriatic arthritis? | no PROM |
| what is the clinical course of psoriasis? | exacerbation and remission periods |
| what are common triggers of psoriasis? | trauma and stress |
| what is the massage contraindication for psoriasis? | local contraindication |
| what is contact dermatitis? | skin inflammation at site of contact with an agent |
| what causes irritant dermatits? | irritants such as bleach, detergents, soaps, shampoos; most common dermatitis |
| what causes allergic dermatitis: | allergens such as nickel, latex, plants |
| what is the massage contraindication for contact dermatitis? | local contraindication; essential oils increase risk |
| what is seborrheic dermatitis? | chronic inflammatory condition of skin with numerous sebaceous glands (scalp, face, axillae, chest, groin) |
| what is dandruff? | seborrheic dermatitis on the scalp; cradle cap in infants |
| what massage precautions apply to seborrheic dermatitis? | inquire about reaction triggers; use thin water-based lubricants |
| what is rosacea? | progressive inflammatory skin condition causing facial redness in the middle third of the face (nose, cheeks, chin) |
| who is most commonly affected by rosacea? | adults aged 30-50 with fair skin |
| what are common symptoms of rosacea? | redness, pus-filled bumps, skin thickening (esp. nose -> rhinophyma) |
| what are common triggers of rosacea? | spice, alcohol, caffeine, extreme temp, stress |
| what massage precautions apply to rosacea? | yellow flag; avoid heat; pustules = local contraindication |
| what is lichen planus? | chronic inflammatory condition of skin/mucous membranes with itchy, flat-topped purple lesions (trunk, forearms, wrists, legs, ankles) |
| what is common in healed areas of lichen planus? | post-inflammatory hyperpigmentation (dark spots) |
| what are triggers of lichen planus? | immune dysfunction, medications, infection, allergens |
| what is oral lichen planus? | lichen planus with white lacy patches in the mouth |
| what causes scleroderma? | chronic autoimmune disease with overproduction/accumulation of collagen -> fibrosis and inflammation of skin/connective tissue |
| what are the two types of scleroderma? | localized (skin/superficial fascia) and systemic (internal organs) |
| what are common symptoms of scleroderma? | skin hardening/tightening/thickening, joint pain/stiffness, digestive issues, shortness of breath |
| what phenomenon is associated with scleroderma? | Raynaud's phenomenon (phalanges turn white/blue in response to cold? |
| what massage precautions apply to scleroderma? | use slow, light pressure; keep client warm |
| what causes hives/urticaria? | allergic reactions, commonly affecting face, lips, eyelids, hands, feet |
| what are common symptoms of hives? | angioedema, itching, redness |
| what is the massage contraindication for hives? | contraindicated during allergic cases; local contraindication if chronic or stress-related |
| what are epidermoid cysts? | common, benign yellowish growths beneath skin, usually containing keratin |
| what causes epidermoid cysts? | blocked hair follicles/sebaceous glands, trauma, genetics, acne |
| what is the massage contraindication for epidermoid cysts? | local contraindication |
| what are skin tags? | benign skin growths resembling a flap of skin, found where skin rubs against material or other skin |
| what massage precaution applies to skin tags? | inquire about sensitivity over affected areas |
| what causes a bruise/contusion? | broken capillaries leading to discoloration |
| what are subcutaneous bruises? | bruises beneath the skin |
| what is senile purpura | bruising caused by blood disorders of fragile skin/blood vessels, common in older adults |
| what is the massage implication for bruises? | local contraindication if painful |
| what are scars? | marks left on skin from collagen fibers after a wound heals |
| what are adhesions? | bands of scar tissue binding two or more tissue layers together, common in surgical scars |
| what are effects of adhesions? | impaired mobility, pain, restricted movement, dysfunction |
| what are the phases of scar formation? | inflammation (swollen, warm, red, painful), proliferation (Red, Raised, Rigid), remodeling (soft, flat, less pliable, lacks pigment/glands/hair) |
| what are types of abnormal scars? | hypertrophic (elevated, within wound), keloid (elevated, beyond wound) contracture (skin tightens/contracts, common in burns) |
| what are massage implications for scars? | local contraindication until dry/remodeling (~8 weeks); use friction/skin rolling as tolerated, discontinue if red/warm/painful; refer to HCP if complications |
| what causes stretch marks? | rapid overexpansion of skin -> collagen buildup, thinning, atrophy |
| what areas are commonly affected by stretch marks? | breasts, hips, thighs, buttocks, abdomen |
| what colours can stretch marks appear as? | red, purple, pink, silver, white |
| what is the implication for stretch marks? | light pressure; massage will not reduce or minimize them |
| what causes burns | tissue damage from heat, radiation, sun, chemicals, electrical contact |
| what is debridement? | removal of dead/damaged tissue to prevent infection and promote healing |
| 1st degree burn affects: | epidermis only, no scar (e.g. mild sunburn) |
| 2nd degree burn affects: | epidermis + upper dermis, scar may remain |
| 3rd degree burn affects: | full thickness (epidermis, dermis, follicles, glands, may extend to subcutaneous tissue) |
| 4th degree burn affects: | full thickness extending to muscle or bone |
| what is massage implication for burns? | local contraindication until healed |
| what causes corns and calluses? | thick, hard skin formed in response to friction/pressure -> excess keratin |
| what are corns? | hard, glassy core surrounded by thickened skin, often on bony areas |
| what are calluses? | larger than corns, surrounded by dry/flaky skin, form on areas of repeated friction/pressure |
| what is the massage precaution for corn/calluses? | adjust pressure as tolerated |
| what are decubitus ulcers? | pressure injuries on skin and underlying tissues, often over bony prominences |
| stage I decubitus ulcers are characterized by: | nonblanchable intact red/dark skin |
| stage II decubitus ulcers are characterized by: | loss of epidermis and dermis |
| stage III decubitus ulcers are characterized by: | loss of hypodermis and fascia |
| stage IV decubitus ulcers are characterized by: | necrosis of muscle, bone, joints |
| what are complications of pressure ulcers? | infection risk (osteomyelitis, sepsis), may need debridement or reconstruction, impaired mobility/function |
| what are at-risk areas of decubitus ulcers for bedridden clients? | back of head, scapulae, elbows, sacrum, heels |
| what are at-risk areas for chair-bound clients? | scapulae, sacrum, ischial tuberosities, popliteal areas, plantar surface |
| what is the massage implication for pressure ulcers? | local contraindication at at-risk areas; complete contraindication if discharge/foul odor -> refer to HCP |
| what are lice? | tiny wingless insects contracted by direct contact, infesting scalp, body, pubic area |
| what are symptoms of lice? | intense itching, visible live/nits, red bumps |
| what are scabies? | microscopic mites burrowing into skin, contracted by prolonged direct contact, infesting hands, wrists, elbows, armpits, waistline, genitals, between fingers |
| what are symptoms of scabies? | intense itching, pimple-like rash, burrows, sores |
| What are hemangiomas? | Vascular growths caused by abnormal blood vessel development |
| what are examples of hemangiomas? | Cherry/strawberry hemangiomas, port wine stains, stork bites, Angel kisses |
| what causes age spots | excess melanin production due to sun exposure over time |
| who is most commonly affected by age spots | fair skinned individuals |
| what do age spots look like | flat brown-black patches on the skin |
| what is vitiligo / leukoderma? | a regular Milky white patches of depigmented skin due to loss of melanocytes |
| what is albinism? | rare congenital condition with partial or complete lack of melanin |
| What are features of albinism | strikingly pale skin, hair, pale blue or pink eyes (visible blood vessels) |
| what are tattoos? | indelible ink placed in the dermis to create permanent images, designs, or words |
| what causes birthmarks or moles? | dense collection of melanocytes (pigment-producing cells) |
| what are examples of bithmarks/moles? | blue spots, cafe au lait spots, hemangiomas |