Abnormal Skin FIndings

Question 1

Stage 1 Pressure Ulcer

Answer 1

• Intact skin with nonblanchable redness of a localized area usually over a bony prominence
• may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue
• may be difficult to detect in individuals with darker skin tones

Question 2

Stage 2 Pressure Ulcer

Answer 2

partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed

Question 3

Stage 3 Pressure Ulcer

Answer 3

• full thickness tissue loss

- subcutaneous fat may be visible but bone, tendon, or muscle is not exposed

Question 4

Stage 4 Pressure Ulcer

Answer 4

• full thickness tissue loss with exposed bone, tendon, or muscle

Question 5

Unstageable Pressure Ulcer

Answer 5

full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown)

Question 6

Macule and Patch

Answer 6

• small, flat, nonpalpable skin color change

- freckles, flat moles, petechiae, rubella, vitiligo, port wine stains, and ecchymosis

Question 7

Papule and Plaque

Answer 7

• elevated, palpable, solid mass
• elevated nevi, warts, and lichen planus
• psoriasis, actinic keratosis

Question 8

Nodule and Tumor

Answer 8

• elevated, solid, palpable mass that extends deeper into dermis than a papule