Skin - Stack #194831
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| show | Contact agents (infection, toxic chemicals), Heredity factors, Allergens, Systemic diseases
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| show | Bulla
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| A small area of color change often less than 1.5cm width with a smooth surface | show 🗑
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| show | Papule
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| A large area of color change with a smooth surface (macule greater than 1 pinky width | show 🗑
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| show | Plaque
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| An oedematous papule or plaque caused by swelling in the dermis (ring) | show 🗑
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| A small fluid-filled blister less than 0.5cm diameter (clear fluid) | show 🗑
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| show | Pustule
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| show | Primary
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| show | Scale (irregular), Crust (scab), Lichenification (thick skin), Excoriation (abrasion, scratch), Fissure (crack)
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| show | Diaper Dermatitis
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| ___% of young children suffer from diaper rash | show 🗑
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| show | 9-12 mo
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| 5% of children have ____ ____ with diaper dermatitis | show 🗑
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| show | bottle-fed babies b/c feces from breast-fed babies has lowe fecal enzyme activity and lower pH
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| show | Prolonged/repetitive contact with irritants (feces, urine, soap, or friction)
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| Why does urine cause diaper dermatitis (dipper rash)? | show 🗑
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| show | Candida albicans - it causes painful, bright red lesions with raised borders
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| What are the clinical manifestations of diaper rash? | show 🗑
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| show | change diaper as soon as it is wet or soiled; expose area to air; use protective barrier (zinc oxide); if fungal, use mycostatin powder; use other diaper pastes (butt balm, super dooper diaper do)
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| T/F Petrollium Jelly can be used to treat diaper dermatitits? | show 🗑
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| show | Superabsorbent disposable diapers
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| show | Cornstarch
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| show | Talc or (baby powder)
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| What ever powder is used it should be shaken into the ____ first and then applied? | show 🗑
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| ___ is a chronic recurrent inflammatory reaction of the skin? | show 🗑
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| Seborrehic Dermatitisoccurs on the scalp as ____ but can also occur on the eyelids _____ or external ear canal _____? | show 🗑
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| show | The cause is UNKNOWN
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| show | sebum production is increased
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| How do you treat cradle cap? | show 🗑
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| show | True parents can be fearful of shampooing the "soft spots"
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| show | seborrheic dermatitis or craddle cap
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| show | Eczema
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| show | Eczema
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| ____ is a common chronic, relapsing pruritic type of eczema and usually occurs in individuals who have allergies or a family Hx of such? | show 🗑
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| ___ refers to an allergy with a hereditary tendency? | show 🗑
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| What are the 3 forms of Atopic Dermatitis? | show 🗑
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| Infantile atopic dermatitis occurs ___ months with spontaneous remission by __ years of age? | show 🗑
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| show | Childhood atopic dermatitis 2-3 years of age. 90% manifest disease by 5 years of age
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| Preadolescent and adolescent atopic dermatitis begins about ___ years of age and continues into ____? | show 🗑
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| What are the manifestations of infantile atopic dermatitis? | show 🗑
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| show | Generalized cheeks, scalp, trunk, extermeitites !!!!Mainly extensor surfaces, face elbows and knees!!!!!
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| show | Clusters of papules, dry, may be hyperpigmented, lichenification with thickened skin especially in creases
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| How is the adolescent form of atopic dermatitis manifested? | show 🗑
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| How is the adolescent atopic dermatitis unaffected skin appear? | show 🗑
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| What is the cause of atopic dermatitis? | show 🗑
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| ___ is better in humid weather and worse in fall and winter when homes are heated? | show 🗑
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| show | atopic dermatitis
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| ___% of children with atopic dermatitis (AD) develop asthma? | show 🗑
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| show | True
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| What are some nursing management of atopic dermatitis? | show 🗑
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| Tepid baths w/ mild soap (Dove,___) or no soap, or ___ oil; Once/twice a day, no bubble bath; Lotions such as aquaphor,__,__; nightime bath followed by emollient (__is good)& ___ pjs help alleviate nighttime itching are all ways to hydrate skin? | show 🗑
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| For puritis of Atopic Dermatitis, __ __ such as __ and Benadryl may be helpful at night | show 🗑
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| During the day, for puritis of atopic dermatitis, it can be helpful to use __ __ such as Claritin and __ or topical __; for secondary infections, use systemic __ | show 🗑
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| show | Wet wraps:corticosteroid ointment followed by cool, wet wrap 4 10min followed by ointment and moisturizer
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| Another method for reducing flarups of Atopic Dermatitis? | show 🗑
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| show | short, clean nails; cotton gloves to prevent scratching; avoid wool materials and irritating soaps/detergents; dress for the climate; watch lesions for infection; cleanse skin with neutral pH
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| show | True
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| show | False; diets take time b/4 effects are seen, education important for parents to read labels. Parents need reassurance/support
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| show | Airborne allergens & emotional stress
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| show | secondary infection
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| Parents may want to do what to their houses if they have a child with atopic dermatitis? | show 🗑
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| Impetigo is a common contagious superficial skin disorder caused by? | show 🗑
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| T/F Impetigo is minimally contagious? | show 🗑
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| show | Impetigo is common in toddlers and preschool
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| What are the areas of the body that can be infected with impetigo? | show 🗑
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| show | Begins as a reddish macule and becomes a vesicle easily ruptured
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| show | Begins as a reddish macule and becomes a vesicle easily ruptured; supperficial moist erosion; exudates dry to form heavy crust; Itching common
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| In ____ you want to remove skin crusts & soften with burrow's solution compresses? | show 🗑
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| show | In impetigo apply topical bactericidal ointment; oral/parenteralantibiotics such as penicillin if severe; and will usually heal without scaring unless secondary infection is present
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| show | imperative
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| In what skin disorder is it importantto keep towels and washcloths separate from other family members and the clothes should be changed daily and washed in HOT water? | show 🗑
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| What does MRSA stand for? | show 🗑
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| Common to find colonization of MRSA in ___ and ___ of atopic children? | show 🗑
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| ___ is easiliy spread by self-inoculation; Nusing precautions are similar to Impetigo; and we are seeing increased hospital admissions with skin abscesses and other infections due to this orgnaism? | show 🗑
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| show | Cellulitis
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| In ____ streaking may be seen and there is invovlement of regional lymph nodes? | show 🗑
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| ___ is the inflammation of the skin and subutaneous tissues with severe redness, swelling and firm infiltration? | show 🗑
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| ___ may progress to form an abscess? | show 🗑
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| show | cellulitis
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| What is the treatment of cellulitis? | show 🗑
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| When is hospitalization required with cellulitis? | show 🗑
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| show | fungal infections
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| show | skin
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| show | tinea
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| show | ring worm/fungus in hair
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| What does tinea corporis mean? | show 🗑
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| What does tinea cruris mean? | show 🗑
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| What does tinea pedis mean? | show 🗑
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| Technicall all tineas are ringworm although this term is usually limited to __ and ___ infestations? | show 🗑
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| Fungal releases an enzyme that digest and hydrolyzes the keratin of hair, nails, etc. The dissolved hair breaks off to produce ___? | show 🗑
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| ___ are found on the edge of the inflamed border as they move outward from the inflammation? Diagnosis is made from ____ of scale on the periphery of the lesion? | show 🗑
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| show | Lesions are scaly circumscribed patches with areas of alopecia; lesions may extend to hairline or neck; pruritic
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| What is the clinical manifestions of tinea corporis? | show 🗑
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| show | True
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| In fungal infections is there permanet hair loss? | show 🗑
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| In fungal infections ___ individuals are more susceptible? | show 🗑
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| show | fungal infection
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| show | selenium sulfide
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| with fungal infections what is importnant to due with oral griseofulvin? | show 🗑
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| Name two types of topical antifungal treatments? | show 🗑
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| In applying antifungal treatments apply beyond the periphery of lesion and continue ___ weeks after lesion is gone? | show 🗑
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| show | Caused by the scabies mite (sarcoptes scabiei). The impregnated female mite burrows into the stratum corneum of the skin where she lays her eggs and feces. Eggs hatch and mites travel
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| In Scabies an inflammatory response occurs after the host becomes ___ to the mite approximately ___ days? | show 🗑
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| What are the clinical manifestations of scabies? | show 🗑
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| In ___ a black dot at the end of a thread like burrow is the mite? | show 🗑
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| show | prolonged contact
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| show | Diagnosis is made by microscopic exam of scrapings from the burrow
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| show | permethrin 5% cream
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| show | True- should be applied just like permethrin 5% cream
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| T/F Touching and holding constantly are good for scabies pts? | show 🗑
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| With scabies you need to wash previous worn clothing in ___ and dry on ___? | show 🗑
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| show | 2-3 weeks
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| show | lice
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| Children between ___ years of age and their families are infected most with pediculosis captititis? | show 🗑
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| show | 2:1 ratio
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| show | Probably because North american species cannot grip the oval-hair shaft characteristic of african americans
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| How is Pediculosis capitis transmitted? | show 🗑
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| Pediculus humanus capitis is a common infestation in ___ children? | show 🗑
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| ___ are small parasitic insect that resides on the scalp and neck hairs of a human host? | show 🗑
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| show | itching caused by insect saliva
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| How is pediculosis diagnosed? | show 🗑
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| show | viable nits are colored and empty cases are white
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| How is pediculosis capitis treated? | show 🗑
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| ___ cream rinse is drug of choice (Nix) (nonprescription drug) and ____ is a prescription drug that may be used for pediculosis capitis? | show 🗑
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| show | True
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| show | complete combing of the child's entire head of hair every day until no more nits are found; encourage parents to read instructions on shampoo label & follow carefully; nits can be removed with tweezers & fingernails also; avoid eye irritation
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| What is the psychological effect of pediculosis capitis? | show 🗑
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| show | Incidence of lice infection in shcools has become a serious concern for school nurses; school nurses coordinate prevention and control programs for lice; controversy over "no Nit" school policies
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| What is No Nits? | show 🗑
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Created by:
cgwayland
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