Examination of integumentary integrity Flashcards Preview

NPTE Integumentary PT > Examination of integumentary integrity > Flashcards

Flashcards in Examination of integumentary integrity Deck (22):
1

Pruritis

itching
common in diabetes, drug hypersensitivy, hyperthyroidism

2

Urticaria

smooth, red, elevated patches of skin, hives
indicative of an allergic response to drugs or infection

3

Rash

local redness and eruption on the skin
typically accompanied by itching
Seen in inflammation, skin diseases, chronic alcoholism, vasomotor disturbances, pyrexia, medications

4

Xeroderma

Excessive dryness of skin with shedding of epithelium
can indicate deficiency of thyroid function, diabetes

5

Edema can indicate

anemia, venous or lymphatic obstruction, inflammation - cardiac, circulatory, or renal decompensation

6

Changes in nails - clubbing

Thickened and rounded nail end with spongy proximal fold

7

Changes in nails - clubbing can be indicative of what

Can be indicative of Crohn's or cardiac cyanosis, lung pathology, ulcerative colitis, biliary cirrhosis, neoplasm, GI involvement

8

Changes in nails - clubbing - schamroth's window test

loss of diamond shape space when nails are placed back to back of opposite hands
often positive with clubbing

9

Changes in nails - splinter hemorrhages

small areas of bleeding under nails that look like splinters
Potential for cardiac or renal signs

10

Changes in skin color - cherry red could indicate (palmar)

palmar erythema could indicate liver or renal issues

11

Changes in skin color - cyanosis

slightly bluish, grayish, slate colored discoloration
Indicative of lack of oxygen - can indicate CHF, advanced lung disease, venous obstruction

12

Changes in skin color - pallor

lack of color, paleness
Can indicate anemia, internal hemorrhage, lack of exposure to sunlight
Temporary pallor seen with arterial insufficiency and syncope, chills, shock, vasomotor instability, or nervousness

13

Changes in skin color - yellow

indicates jaundice, liver disease
look for yellow in sclera of eyes, lips, and skin
Orange yellow occurs with increased carotene intake

14

Changes in skin - liver spots

Brownish, yellow spots may be due to aging, uterine and liver malignancies, pregnancy

15

Changes in skin - brown

increased pigmentation sometimes associated with venous insufficiency

16

Changes in hair - alopecia

hair loss

17

Changes in hair - hypothyroidism

thinning hair

18

Changes in hair - hyperthyroidism

silky hair

19

Changes in hair - hirsutism

male pattern hair growth in women
can indicate polycystic ovary syndrome, cushing's tumor or an inherited trait

20

Presence of lesions, unusual growth - Flat spot

macule (small - up to 1 cm)
patch (1cm or greater)

21

Presence of lesions, unusual growth - Palpable elevated solid mass

papule (small, up to 1 cm)
plaque (elevated, 1 cm or larger)
nodule (marble like lesion)
wheal (irregular, localized skin edema like hives)

22

Presence of lesions, unusual growth - Elevated lesions with fluid cavities

vesicle (up to 1 cm, contains serous fluid)
bulla or blister (1 cm or greater, contains serous fluid)
pustule (contains pus)