Integumentary

Question 1

What is the first thing you should do when you walk into the pt room?

Answer 1

Explain why MD’s are inferior

Question 2

Risk factors of skin cancer?

Answer 2

Male gender
History of melanoma
Over 50 years of age
Changes to moles
Over 50 common moles
Atypical moles
Red or light hair, light eyes, light skin
Actinic lentigenes
UV exposure
Blistering sun burns in childhood
Immunosuppression
Family history

Question 3

What is the A of the ABCD?

Answer 3

Asymmetry. One half doesn’t match the appearance of the other half.

Question 4

What is the B of the ABCD?

Answer 4

Border Irregularity. The edges are ragged, notched, or blurred.

Question 5

What is the C of the ABCD?

Answer 5

Color Variation

Question 6

What is the D of the ABCD?

Answer 6

Diameter. Size of lesions greater than 6 mm
About the size of a pencil eraser
Any growth of a mole should be evaluated.

Question 7

What is the EFG of ABCD?

Answer 7

Elevation
Feelings
Itching
Burning
“feels funny”
Growing rapidly

Question 8

What is the order of examination in any system?

Answer 8

Inspection
Auscultation
Palpation
Percussion

Question 9

THings u should look for on inspection of hair?

Answer 9

Distributions

Patterns of loss

Question 10

What is alopecia?

Answer 10

hair loss

Question 11

Causes of lateral eyebrow loss?

Answer 11

grooming (weirdo), hypothyroidism

Question 12

What is hirsutism?

Answer 12

AKA persian syndrome, it’s a geneticly caused excess hair growth. Can be from increased hormones or drugs like steroids or phenytoin

Question 13

What do you feel for on palpation of hair?

Answer 13

texture

Question 14

What are the causes of fine, oile, or silky skin?

Answer 14

hyperthyroidism

Question 15

WHat is the causes of dry, course, or thinning of the skin?

Answer 15

hypothyroidism

Question 16

things to look for on inspection of the skin/?

Answer 16

General scanning
Appropriate exposure
Symmetry
Exposure to the sun
Skin Type
Thickness (with palpation)

Question 17

What is the characteristics of a type I skin?

Answer 17

I always get a sunburn.
I never get a tan.
white skin, freckles, blond or red hair, blue or green eyes

Question 18

What is the characteristics of a type II skin?

Answer 18

I usually get a sunburn
I sometimes get a tan.
white skin, blond hair, blue or green eyes

Question 19

What is the characteristics of a type III skin?

Answer 19

I seldom get a sunburn.
I usually get a tan.
white skin, usually dark hair, and brown eyes

Question 20

What is the characteristics of a type IV-VI skin?

Answer 20

I never get a sunburn.
I always get a dark tan.
brown to dark skin/ brown or black hair/ brown eyes

Question 21

Causes of red skin?

Answer 21

Polycythemia
Carbon monoxide
Drug reaction
Exanthem
Increased blood flow

Question 22

Causes of white skin?

Answer 22

Albinism
Anemia
Vasovagal

Question 23

Causes of blue skin?

Answer 23

Central
Lung disease
Congenital heart disease
Hemoglobin abnormalities
Peripheral
Congestive heart failure
Venous obstruction

Question 24

Causes of yellow skin?

Answer 24

Hemolysis
Protein deficiency
Enzyme deficiency
Liver disease
Bile duct obstruction

Question 25

Causes of brown skin?

Answer 25

Poop Pituitary (addisons) Adrenal Liver

Question 26

Causes of local red discoloration?

Answer 26

Cellulitis Inflammation Hemangioma

Question 27

Causes of local wwhite discoloration?

Answer 27

Vitiligo Scar Pityriasis Alba Post-inflammatory

Question 28

Causes of local blue discoloration?

Answer 28

Venous pulling | Nevi

Question 29

Causes of local brown discoloration?

Answer 29

Nevi Café au lait Melanoma

Question 30

Characteristics of moisture on the skin?

Answer 30

Dry, moist, diaphoretic, oily | Examine skin folds

Question 31

Characteristics of temp on the skin?

Answer 31

Cool, warm, hot

Question 32

Characteristics of texture on the skin?

Answer 32

Rough (hypothyroidism), smooth, velvety (hyperthyroidism)

Question 33

What is there is poor turgor of the skin?

Answer 33

dehydration

Question 34

What is a macule?

Answer 34

A small, circular, flat spot less than 2/5 in (1 cm) in diameter. The color of a macule is not the same as that of nearby skin. Macules come in a variety of shapes and are usually brown, white, or red. Examples of macules include freckles and flat moles. A macule more than 2/5 in (1 cm) in diameter is called a patch.

Question 35

What is a nodule?

Answer 35

A solid lesion that has distinct edges and that is usually more deeply rooted than a papule. Doctors often describe a nodule as "palpable," meaning that, when examined by touch, it can be felt as a hard mass distinct from the tissue surrounding it.

Question 36

What is a papule?

Answer 36

solid, raised lesion less than 2/5 in (1 cm) across. A patch of closely grouped papules more than 2/5 in (1 cm) across is called a plaque. Papules and plaques can be rough in texture and red, pink, or brown in color. Papules are associated with such conditions as warts, syphilis, psoriasis, seborrheic and actinic keratoses, lichen planus, and skin cancer.

Question 37

What is a pustule?

Answer 37

A raised lesion filled with pus. A pustule is usually the result of an infection, such as acne, imptigeo, or boils.

Question 38

What is a vesicle?

Answer 38

A raised lesion less than 1/5 in (5 mm) across and filled with a clear fluid

Question 39

What is a wheal?

Answer 39

A skin elevation caused by swelling that can be itchy and usually disappears soon after erupting. Wheals are generally associated with an allergic reaction, such as to a drug or an insect bite

Question 40

Characteristics of nail exams?

Answer 40

``` Hygiene Bitten, clean, manicured Color Pink, cyanotic, yellowing (psoriasis), whitening, green (pseudomonas) Clubbing Hypoxia, cirrhosis, thyroid disorder Nail folds Lesions, inflammation ```

Question 41

What is leukonchia?

Answer 41

trauma afjhibasrgnirg9nn

Question 42

WHat are mees lines?

Answer 42

Follow curve of lunula | Follow acute or severe illness

Question 43

WHat are beau's lines?

Answer 43

Transverse depressions | Acute Illness

Question 44

What is psoriasis?

Answer 44

pitting

Question 45

What is the capillary refill test?

Answer 45

Press nail to blanch the bed Release Estimate time for return of color Greater than 2 seconds is delayed