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Skin Assessment

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Question
Answer
Skin Assessment: Flushing; What is the associated disoder?   Increased permeability of the peripheral capillaries, as with fever. *Flushing may be normal with exercise.  
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Skin Assessment: Pallor; What is the associated disorder?   Decreased arterial blood flow of arterial insufficiency.  
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Skin Assessment: Rubor and brawny skin; What is the associated disorder?   Decreased venous return in venous insufficiency. *Skin is cool or cold over areas of decreased circulation.  
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Skin Assessment: Cyanosis; What is the associated disorder?   Circumoral cyanosis in congestive heart failure or chronic obstructive pulmonary disease. Peripheral cyanosis in areas of impaired circulation w/oxygenated blood. *Cyanosis in dark-skinned pts can be assessed in buccal mucosa or conjunctivae.  
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Nail Assessment: Fingernail clubbing; What is the associated disorder?   Disease states with prolonged hypoxia (i.e. emphysema)  
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Assessment: Thinning of the skin, hair, and nails and hair loss; What is the associated disorder?   Nutritional deficiencies, inadequate absorption of vitamins A, B6 (riboflavin), and C  
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Assessment: Jaundice (yellow discoloration of the skin, sclera, or buccal mucosa); What is the associated disorder?   Liver disease  
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Assessment: Pigmented macules; What is the associated disorder?   Peutz-Jeghers' disease. *Pigmented areas may be onhands, lips, or buccal mucosa.  
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Assessment: Facial flushing; What is the associated disorder?   Gastrointestinal cancers  
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Assessment: Uremic frost; What is the associated disorder?   Marked renal failure. *Results from precipitation of renal urea and nitrogen waste products through sweat onto skin.  
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Assessment: Hirsutism; What is the associated disorder?   Polycystic ovarian syndrome. *Affected women show male-pattern hair distribution, usually on face, chest, abdomen, or genital area.  
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Assessment: Thick, coarse hair, dry skin, and cool skin temp.; What is the associated disorder?   Hypothyroidism  
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Assessment: Smooth skin, thin, silky hair, and brittle nails; What is the associated disorder?   Hyperthyroidism  
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Assessment: Excessive hair growth or thinning - development of or worsening of acne; What is the associated disorder?   Androgen disorders  
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Assessment: Striae; What is the associated disorder?   Cushing's syndrome  
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Assessment: Hyperpigmentation of skin and mucous membranes - nevi; What is the associated disorder?   Addison's disease  
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Assessment: Flushing; What is the associated disorder?   Pheochromocytoma  
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Assessment: Thickened skin; What is the associated disorder?   Pituitary tumor  
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Assessment: Decreased sweating (hypohidrosis), frequent cutaneous yeast infections, and hair loss on distal extremeties; What is the associated disorder?   Diabetes mellitus  
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Assessment: Acanthosis nigricans (hyperpigmentation); What is the associated disorder?   Peripheral neuropathy in diabetes. *Decreased sensation of any body area increases risk of injury, including burns and pressure ulcers.  
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Assessment: Cafe au lait macules; What is the associated disorder?   Neurofibromatosis  
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Assessment: Photosensitivity, malar rash (red macular lesions on forehead, cheeks, & chin - like a butterfly), coin-shaped lesions on trunk & extremities, and apthous ulcers on buccal mucosa; What is the associated disorder?   Systemic lupus erythematosus  
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Assessment: Annular erythema; What is the associated disease?   Sjorgen's syndrome  
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Assessment: Pallor of fingers and toes in response to cold; What is the associated disease?   Raynaud's phenomenon  
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Assessment: Erythema and increased temp. over a joint; What is the associated disease?   Sepsis or acute inflammation of the joint  
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Assessment: Generalized pallor; What is the associated disease?   Anemia  
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Assessment: Pruritis; What is the associated disorder?   Polycythemia, mastocytosis, lymphoma, or leukemia  
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Assessment: Spooning of nails; What is the associated disorder?   Iron deficiency states  
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Assessment: Patchy alopecia on the scalp or body, as well as missing or sparse eyelashes and eyebrows; What is the associated disorder?   Trichotillomania (compulsive hair pulling?  
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Assessment: Small linear cuts on patient's arms, legs, or anterior torso; What is the associated disorder?   "Cutting:. *This self-injury coping method occurs in patients w/borderline personality disorder, depression, and other psychiatric states.  
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Macule   Flat, circumscribed, discolored, <1 cm diameter; Ex = freckles, tattoo, stork bite  
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Patch   Flat, circumscribed, discolored, >1 cm diameter; Ex = vitiligo, melasma, tinea versicolor  
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Papule   Raised, defined, any color, <1 cm diameter; Ex = wart, insect bite, molluscum contagiosum  
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Plaque   Raised, defined, any color, >1 cm diameter; Ex = psoriasis, lichen sclerosus  
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Wheal   Raised, flesh-colored or red edematous papules or plaquesm vary in size and shape; Ex = urticaria  
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Nodule   Solid, palpable >1 cm diameter, often w/some depth; Ex = basal cell carcinoma  
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Tumor   Large nodule; Ex = large nevus, basal cell carcinoma, lipoma  
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Bulla   Fluid-filled, >1 cm diameter; Ex = second-degree burns, bullous impetigo  
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Pustule   Purulent, fluid-filled, raised of any size; Ex = pustular acne, folliculitis  
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Cyst   Distinct and walled-off, containing fluid or semi-solid material, varied in size; Ex = epidermal cysts, cystic acne  
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Vesicle   Fluid-filled, <1 cm diameter; Ex = Herpes simplex, chicken pox  
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