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Flashcards in Exam 1 Material Deck (127)
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1

What is a SOAP note and what parts are the assessment?

S = subjective (what patient says)

O = Objective (what is observed)

A = assessment/diagnosis

P = plan

S&O are the assessment

2

What is OLDCARTS?

O = onset

L = location

D = duration

C = characteristics

A = aggravating/alleviating factors

R = Region/Radiation

T = timing

S = severity

3

What are the layers of the skin

Epidermis

Dermis

Subcutaneous

4

What layers make up the epidermis?

Horny cell layer

Basal cell layer

5

What does the dermis consist of?

Connective tissue

Elastic tissue

6

What is the subcutaneous layer?

Adipose tissue

7

What are epidermal appendages?

Hair

Sebaceous glands

Sweat glands (apocrine, eccrine)

Nails

8

Functions of the skin

Protection

Prevents penetration

Perception

Temperature regulation

Identification

Communication

Wound repair

Absorption and excretion

Production of vitamin D

9

What are the steps of wound healing?

Division of stratum basale cells and migration across wound

Thickening of epidermis

Inflammatory phase

Maturation phase

10

Pallor

Pale

11

Jaundice

Yellow

12

Cyanosis

Blue

13

Erythema

Red

14

Mottled

Blotchy red and purple

15

Necrosis

Black

16

Ecchymosis

Bruising (purple)

17

What are the ABCDE's when assessing skin?

A = asymmetry

B = border

C = color

D = diameter

E = evolution

18

What are types of primary lesions?

Macule

Patch

Papule

Plaque

Nodule

Tumor

Wheal

Urticaria

Vesicle

Bulla

Cyst

Pustule

19

What is a macule

Flat primary lesion

Color change

Flat and circumscribed Less than 1 cm

(Freckles)

20

What is a patch

Flat primary lesion

Macules larger than 1 cm

21

What is a papule?

Elevated primary lesion

Less than 1 cm

Superficial thickening in epidermis

(Elevated nevus [mole])

22

What is a plaque?

Elevated primary lesion

Papules coalesce to form surface elevation wider than 1 cm

(psoriasis)

23

What is a nodule?

Elevated primary lesion

Solid, elevated, hard or soft, larger than 1 cm

May extend deeper into dermis

24

What is a tumor?

Elevated primary lesion

Larger than a few cm in diameter

Deeper into dermis

Can be benign or malignant

(lipoma)

25

What is a wheal?

Elevated primary lesion

Superficial, raise, transient, and erythematous; slightly irregular shape from edema

(mosquito bites)

26

What is urticaria?

Elevated primary lesion

Hives

Wheals coalesce to form an extensive reaction

27

What is a vesicle?

Elevated, fluid-filled primary lesion

Elevated cavity containing free fluid Less than 1 cm

28

What is a bulla?

Elevated, fluid-filled primary lesion

Larger than 1 cm Blister

29

What is a cyst?

Elevated, fluid-filled primary lesion

Encapsulated fluid-filled cavity in dermis or SQ

30

What is a pustule?

Elevated, fluid-filled primary lesion T

urbud fluid (pus) in cavity