Integumentary

Question 1

Central cyanosis

Answer 1

Blue lips, gums, tongue

Maybe result from advanced lung disease, congenital heart disease, abnormal hemoglobin, pulmonary edema

Question 2

Peripheral cyanosis

Answer 2

Blue fingertips, hands, feet

May be a sign of congestive heart failure, pulmonary edema, venous obstruction.

Question 3

Jaundice

Answer 3

Yellow sclera, lips, conjunctiva, etc.

Liver disease or excess hemolysis

Question 4

Carotenemia

Answer 4

Yellow palms, soles, face

Question 5

Integumentary signs of hypothyroidism

Answer 5

Dry, rough skin
Cool to touch
Sparse hair

Question 6

Integumentary signs of hyperthyroidism

Answer 6

Warm to touch
Velvety texture
Fine, silky hair

Question 7

Decreased mobility of skin

Answer 7

Skin doesn’t lift easily

Sign of edema

Question 8

Decreased turgor of skin

Answer 8

Skin doesn’t spring back when stretched

Sign of dehydration

Question 9

Typical distribution of acne

Answer 9

Face
Back
Upper chest

Question 10

Typical distribution of psoriasis

Answer 10

Elbows and knees

Question 11

Alopecia

Answer 11

Diffuse patchy hair loss

Question 12

Warning signs of malignant melanoma

Answer 12

Asymmetry
Borders
Colour
Diameter

Question 13

Herpes Simples

Answer 13

Viral
Fluid filled blisters
Very contagious
Local CI

Question 14

Chicken Pox

Answer 14

Viral
Itchy vesicles on trunk, face, limbs
Contagious
Absolute CI

Question 15

Herpes zoster

Answer 15

Shingles
Itch, lesions along dermatome; pain
Mildly contagious
Local CI

Question 16

Verruca

Answer 16

Warts
Viral
Papules on hands, feet, face
Contagious
Local CI

Question 17

Impetigo

Answer 17

Bacterial
Crusty itchy honey coloured scabs on face
Contagious
local CI (gloves during Tx; bag and launder sheets immediately after)

Question 18

Cellulitis

Answer 18

Bacterial
Painful, swollen, red
Not contagious
Local CI

Question 19

Ringworm

Answer 19

Fungal infection
Contagious
Local CI. Wash sheets etc immediately

Question 20

Candidiasis

Answer 20

Yeast infection
Blech
Somewhat contagious
Local CI

Question 21

Scabies

Answer 21

Mites
Itchy ridges, papules
Very contagious
Absolute CI (wash linens in hot!)

Question 22

Dermatitis & Eczema

Answer 22

Itchy red rash
Itchy vesicles, bullae, scaling plaques
Not contagious
Avoid open lesions; gently massage with oil over closed lesions

Question 23

Venous eczema

Answer 23

AKA stasis dematitis
Hyperpigmented friable skin in calf area; burning scale patches; vesicular and crusty
Not contagious
Massage proximal to decrease edema and facilitate venous return

Question 24

Psoriasis vulgaris

Answer 24

Chronic recurrent inflammatory scaling condition
Erythemous papules; silver scaly plaques
Not contagious
Local CI if open lesions, or due to client discomfort

Question 25

Cherry angioma

Answer 25

Benign neoplasm with superficial capillary proliferation Red dome shaped papule Not contagious Avoid stretching skin, and vigorous techniques

Question 26

Venous lake

Answer 26

Benign neoplasm Dilated capillaries on lips, face, ears of elderly Dark blue, soft compressible spots Not contagious Avoid stretching skin, and vigorous techniques

Question 27

Dermatofibroma

Answer 27

Benign neoplasm; proliferation of fibroblasts Hyperpigmented discrete papules; dimples when surrounding skin pinched Not contagious Not CI'd

Question 28

Epidermal inclusion cyst

Answer 28

``` Benign neoplasm Idiopathic, possibly trauma related Raised nodule filled with smelly goo Not contagious Not CI'd. ```

Question 29

Hemangioma

Answer 29

Benign neoplasm Superficial proliferation of blood vessels Red to purple macules, often present at birth and resolve by puberty Not contagious Local CI for capillary hemangioma

Question 30

Lipoma

Answer 30

Benign proliferation of fatty tissue beneath dermis Mobile, soft, slightly compressible tumour Not CId

Question 31

Nevus

Answer 31

Mole | Benign proliferation of of normal skin components

Question 32

Seborrheic keratosis

Answer 32

Idiopathic superficial lesions. Morgan Freeman freckles. | Most common in Asian and black women.

Question 33

Actinic keratosis

Answer 33

``` Premalignant plaque, scale or papule Due to chronic sun exposure Lesions on face scalp hands Fair complexions Avoid frictions or torque ```

Question 34

Basal cell carcinoma

Answer 34

``` Malignancy if epidermal basal cells Sun exposure Rarely metastasizes Waxy translucent papule; raised border; central ulceration Local CI ```

Question 35

Malignant melanoma

Answer 35

``` Proliferation of melanocytes Cause not understood Can metastasize; potentially fatal Fair skin ABCD Local CI ```

Question 36

Squamous cell carcinoma

Answer 36

``` Rumour of malignant keratinocytes Sun exposure, smoking, immunosuppression Rarely metastasizes Papules, plaques, nodules with crusty ulcerous portions Local CI ```

Question 37

Pallor

Answer 37

Decreased redness May be a sign of Anemia, arterial insufficiency