Integumentary assessment

Question 1

What consists of the integumentary system?

Answer 1

Skin, hair, nails, sweat glands

Question 2

What vitamin does the skin help synthesize?

Answer 2

Vitamin D

Question 3

The thickness of the epidermis remains ________. Which layer does not.

Answer 3

constant

Subcutaneous get thinner with age

Question 4

What does the dermis do?

Answer 4

Provides support to the epidermis and has our nerves and blood supply to support the nutritional demands of the epidermis.

Question 5

What is the purpose of the SC layer?

Answer 5

Contains fat and is an insulation/caloric storage layer

Question 6

What are some risk factors for the integumentary system?

Answer 6

Nutrition status
Immobility
Infectious diseases
UV exposure - natural or artificial

Question 7

How is immobility relevant to the integumentary system?

Answer 7

Pressure wounds can develop in minutes in immobile people due to pressure or friction on bed or bony prominences

Question 8

What are some areas for help promotion regarding the skin?

Answer 8

Tanning beds/UV exposure

Self-examination

Question 9

Which persons do we emphasize self-examination?

Answer 9

Those who are high risk:

- burn easily, fair skin, lots of nevi, family history, atypical nevi

Question 10

What is the acronym ABCDE for? What does it stand for?

Answer 10

Melanoma
A - Assymetry
B - Border
C - Colour
D - Diameter
E - evolution/elevation

Question 11

More agressive benign tumour that generally appears in non sun-exposed areas.

Answer 11

Squamous cell carcinoma

Question 12

Usually a more cosmetic, non-malignant tumour

Answer 12

basal cell carcinoma

Question 13

What are some risk factors for integumentary disease?

Answer 13

Family history
Past history
Medications
Lifestyle, occupational, personal behaviours

Question 14

The integumentary system is one of the only systems in which you can ________ before you ask anything else.

Answer 14

Inspect

Question 15

What is important when performing an inspection for the integumentary system?

Answer 15

Inspect all areas, and make sure clothes are off

Question 16

Where is the best place to assess skin turgor?

Answer 16

Below the clavicle

Question 17

Why is mobility important?

Answer 17

If something is not mobile, more likely to be a mass or tumour

Question 18

How does the thyroid affect hair?

Answer 18

Thyroid disorder will cause hair to be brittle or dry.

Hyperthyroidism will make it very oily

Question 19

What is the difference between a primary and secondary lesion?

Answer 19

Primary appears initially. Secondary results from a change in the primary lesion

Question 20

Lesion over 1cm

Answer 20

Plaque

Question 21

Pus-filled papule

Answer 21

Pustule

Question 22

Fluid-filled burn

Answer 22

Bulla

Question 23

Flat, circumscribed, less than 1cm in diameter

Answer 23

macule

Question 24

Tends to be raised, less than 1cm.

Answer 24

papule

Question 25

Raised, flesh-coloured or red plaque of various sizes and shapes. Common for allergies

Answer 25

Wheal

Question 26

Fluid-filled, erythematous base. | Chicken pox is an example.

Answer 26

Vesicle

Question 27

Mobile and fluid filled, distinct.

Answer 27

Cyst

Question 28

Overhealing of skin, most often seen in African Americans.

Answer 28

keloid

Question 29

What is used to treat keloids?

Answer 29

Inject steroids

Question 30

Evidence of scratching. Place where the skin is scraped or abraded

Answer 30

excoriation

Question 31

Eczema tends to happen in what areas?

Answer 31

Areas of flexion - antecubital fossa and popliteal fossa

Question 32

What is the typical rash of lime disease/

Answer 32

Bulls eye

Question 33

What is the characteristic colour of psoriasis and what happens if you take off a plaque?

Answer 33

Silvery, | bleeds if take plaque off

Question 34

What is characteristic of ringworm?

Answer 34

Erythematous around it, well, circumscribed with central clearing.

Question 35

Melasma and linea nigra most often occur to what people?

Answer 35

Pregnant women

Question 36

PCOS will cause a higher incidence of what kind of skin disorder?

Answer 36

Acne

Question 37

What are some cultural considerations to keep in mind when performing an integumentary assessment?

Answer 37

Some people will need a clinician of the same sex for exposing skin, etc. Some conditions are more common for certain ethnicities.

Question 38

What are some common laboratory and diagnostic testing done for the skin?

Answer 38

Scraping Biopsy Culture and sensitivity or viral swab

Question 39

What disease, manifested on the skin, does not pass the midline and follows a dermatomal pattern?

Answer 39

Shingles