Flashcards in Integumentary Deck (39):
What are three difference in skin of older adults?
1. Drier (oil and sweat gland activity decreases)
2. Epidermis becomes thinner
3. Dermis becomes less elastic and shrinks (wrinkles and loss of turgor)
What is the normal nail base angle? what is angle of clubbing?
What is clubbing associated with?
Respiratory and CV diseases (often seen in CF)
In a Semmes-Weinstein monofilament test, what is the common threshold indicating disease?
What are the S&S of skin disease?
1. Pruritus (itching)
2. Urticaria (hives)
5. Xeroderma (rough, dry skin)
6. Unusual spots, moles nodules, cysts
7. Changes in appearance of nails
8. changes in skin color, turgor, texture
What should be included in documentation of skin lesions?
6. Area of the body
7. Drainage (color, amount)
8. Temp of the skin
General term to describe superficial inflammation of the skin; can be acute, subacute, or chronic stages
Type of dermatitis with superficial inflammation of the skin
Type of dermatitis due to something physical causing the symptoms; exposure to chemicals
Type of dermatitis that is chronic
Chronic facial disorder; variation of acne; occurs on cheeks, nose and chin; possibly linked to GI bacteria
What are the types of skin infection?
Superficial skin infection caused by staph or strep; spread by direct contact or environmental contamination; symptoms include macule --> Vesicles --> Pustules, which creates a thick yellow crust
Impetigo (treated with oral antibiotics)
What are the 2 common bacterial skin infections?
Acute inflammation of skin and underlying tissue with skin infection; spreads rapidly, often in extremities; usually staph; occurs in older adults. diabetes, malnutrition, steroid therapy, presence of wounds; erythema, edema, tenderness symptoms
Cellulitis (treated with IV antibiotics)
What are 2 common viral skin infections?
1. Herpes Zoster (shingles)
2. Warts (verrucae)
Skin infection where intracellular parasites invade host cells; epidural cells react with inflammation and vesiculation
Reactive of varicella zoster virus during immunocompromised or stressful state; unilateral presentation in a dermatome; painful rash with blisters and postherpatic neuralgia
Herpes Zoster or "shingles"
What is herpes zoster a contraindication for?
Heat or ultrasound
Skin infection caused by HPVs
Warts or verrucae (treated with cryotherapy, OTC salicylic acid, curettage)
What are 2 common types of fungal skin infections?
1. Tinea corporis (ringworm)
2. Tinea pedis (athlete's foot)
If tine pedis is not treated, what can it turn into?
Cellulitis of the lower leg
What are 2 common types of parasitic infections?
2. Pediculosis (lice)
Highly contagious skin eruption caused by mites; rapidly spread but response is 30-60 days after contact; occurs in webspace, wrist, axilla, genitalia, umbilicus
What is the most common cancer in women 25-29 years of age?
What are the 2 benign tumors?
1. Seborrheic Keroatosis
Tumor; proliferation of basal cells; waxy, smooth, or raised; vary in color
Tumor; cafe-au-lait spots, mongolian spots, moles
What is the type of premalignant skin cancer?
Occurs as a result to UV rays in areas exposed to the sun; red blotchy in color; almost 100% of older caucasians will get this; half of skin cancer starts as this, then progresses to something else
What are the 3 malignant tumor types?
1. Basal cell carcinoma
2. Squamos cell carcinoma
3. Malignant melanoma
Slow growing epithelial tumor; rarely metastasizes; due to prolonged sun exposure; pearly or ivory appearance with rolled edges; type seen in people <40
Basal cell carcinoma
Epidermal keratinocytes tumor; due to sun-damaged skin; poorly defined margins, red to flesh colored surrounded by scaly tissue
Squamous cell carcinoma
Neoplasm of melanocytes; 4 types; nearly 100% curable if detected early; can spread quickly; brown or black raised patch with irregular borders
Cancer that develops from the cells that line lymph or blood vessels; common in those with HIV/AIDS and kidney transplants due to being immunosuppressed; red, purple, or dark blue patches enlarge to become nodules or ulcers
Kaposi's sarcoma (treated with chemo)
What are the 3 immune disorder that cause skin abnormalities?
2. Lupus Erythematous
3. Systemic Sclerosis (Scleroderma)
Chronic inherited, noninfectious, recurrent inflammation; well-defined erythematous plaques covered with silvery scale
Psoriasis (tx = topical creams, ointments, light therapy)
Chronic inflammatory disorder of connective tissue; butterfly rash is common
Lupus Erythematous (tx = topical creams, ointments and light therapy)