Derm Flashcards
sebaceous glands
- fatty substance secreted onto the skin surface through hair follicules
- all skin except palms and soles
2 types of sweat glands
- eccrine
- apocrine
widely distributed glands that open directly onto skin surface & helps control body temp
eccrine gland
glands primarily in the axillary and genital area that open directly onto skin surface & are stimulated by emotional stress
apocrine glands
what causes body ordor
bacterial decomposition of apocrine sweat
function of skin
- vitamin D synthesis
- barrier and immunologic fxn
- melanin production
- sensation
- temp regulation
- protection from trauma
- aesthetrics
skin color determined by
- melanin
- carotene
- bilirubin
- hemoglobin
Fitzpatrick skin type classification scale
- very fair
- fair
- light brown
- moderate/olive
- dark brown
- deeply pigmeneted dark brown
- lesions
- pruritis
- hair loss & nail change
are
concerning symptoms
what to note about new lesions
- type, location, onset, changes, associated sx
- family history
- date of last skin check
- sunscreen use
- immunosuppression
generalized itching w/o rash can be due to
- dry skin
- pregnancy
- uremia
- hyperbilirubemia
- leukemia
- drug reactions
- polycythemia vera
- thryoid dx
what to inspect and palpate the skin for?
- color
- moisture
- temperature
- texture
- mobility/turgor
- lesions
- rashes
what do you examine with the patient seated?
- hair/scalp
- head/neck
- back/posterior neck
- shoulder, arms , hands
- chest & abdomen
- thighs, lower legs, feet & toes
what part of the examine do you have the pt stand for?
lower back, butt, posterior thighs
What is the order of examination w/ pt lying supine
- hair/scalp
- head and neck
- shoulder, arms, hands
- chest abd.
- lower legs feet, toes, thighs
- have pt turn over to inspect posterior
what 8 things should the description of a lesion include
- primary lesion name
- number
- size
- shape
- color
- texture
- location
- configuration
circumbscribed flat area of change in the color of skin <1cm
macule
circumscribed flat area of change in the color of skin >1cm
patch
small, raised, solid elevation of skin <1cm
papule
larger, raised, flatter elevated of skin >1cm
plaque
Solid elevation of skin >1cm that extends into deeper skin layers
nodules
small, sircumscribed elevation of epidermis filled with purulent fluid appearing white
pustule
small, circumscribed elevation of epidermis filled with clear fluid <1cm
vesicle
