Integumentary system Flashcards

(38 cards)

1
Q

What are some primary skin dysfunctions?

A

macule, patch, papule, tumor, plaque, spider veins (telangiectasia), cyst

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2
Q

what are some secondary skin dysfunctions?

A

these are similar to primary but are modified
-scale, keloid, ulcer, scar, fissure, LICHENIFICATION (LEATHER )

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3
Q

macule vs patch

A

both are flat
-mac: are less than 1 cm while patch are larger
-mac ex:petechiae,
-pat:cafe au lait spot

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4
Q

papule vs plaque

A

-both are elevated
-pap is les than 1 cm and pla is larger
- papule ex: mole
-plaque ex: psoriasis (SILVER FLAKY)

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5
Q

pustule vs vesicle

A

-pustule: are purulent and less than 1 cm
-vesicle: filled with clear fluid
-EX: HERPES SIMPLEX, VARICELLA

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6
Q

nodule vs bulla

A

-nodule- solid mass elevated, larger than 1 cm. ex; dermatofibroma
-bulla- elevation with fluid , larger than 1 cm.ex; blisters

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7
Q

wheales

A

elevated white/pink
ex: allergies, ppd , uticaria

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8
Q

in what stage of pressure ulcers can you see fat?

A

stage 3

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9
Q

Eczema, also known as ____

A

-atopic dermatitis
-it’s inflammation process, IgE
-severe pruritis, redness,
-happens if have history of high fever, asthma

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10
Q

Contact dermatitis (__)?

A

-allergy
-CD4 and T lymphocytes are responsible for this
-non IgE

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11
Q

What are the papulosquamos disorders?

A

psoriasis, pityriasis

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12
Q

Psoriasis

A

-chronic inflammatory that involved thickening of dermal and epi dermis
-shows up silver and scaly because theres no good keratin
+ auspitz sign present

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13
Q

what is the normal amount of days it takes to skin to turnover? and what is it in psoriasis?

A

normal is 14-20 days while psoriasis it takes 3-4w

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14
Q

what is auspitz sign?

A

when scales are scratched, bleeding occurs

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15
Q

pityriasis rosea

A

-bening inflammatory - due to a virus but it goes away bu itself
-herald patch present

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16
Q

what is heralds patch?

A

these are circular, salmon pink 3-10cm.
once one pops up, more will pop up

17
Q

tinea infection

A

-superficial fungal infection. due to dermatophytes
ex:athletes foot, ringworm (t coporis)
-will need systemic anti fungal meds but are harsh to liver

18
Q

what are bacterial infections?

A

cellulitis
impetigo

19
Q

cellulitis

A

infection of subq

20
Q

impetigo

A

-honey colored crust, moist red base
-EXTREMELY CONTAGIOUS AROUND MOUTH AND NOSE
-topical abx
-can cause liver prob

21
Q

what are viral infections

A

HPV, herpes zoster (shingles)

22
Q

HPV

A

-theres a vaccine
-HPV 1 & 2- cause warts
-HPV 16 & 18 - cause cervical cancer

23
Q

Herpes simplex

A

HSV 1: infect in cornea, mouth
HSV 2: genitals
PAINFUL VESICLES

24
Q

Herpes zoster (shingles), varicella

A
  • will lay dormant until immune sys is low
25
what is another word for moles?q
nevi
26
-premaglinant lesions (benign)
actinic keratosis (AK)
27
what is the most common skin cancer?
basal cell carcinoma, presents as red macule w/depressed center
28
- in face, and hands and happens after AK
squamous cell carcinoma
29
how do you approach melanomas?
ABCDE approach
30
Does normal sun exposure cause malignant cancer?
no, it will cause basal and squamous malignant is blistering
31
first degree
-superficial: only epidermis, blanches, no blisters, 3-6 days -superficial partial thickness: epi and some dermis
32
second degree
-deep partial, more than dermis MOST PAINFUL
33
third degree
full thickness up to subq will need to have escharotomies ( to relieve syndrome)
34
fourth degree
full thick, tendons and muscle bones
35
how do you estimate body burn?
rule of nines
36
with major burns, what happens to CV system
cardio output and contractility will be low , low perfusion
37
There will be high Na and low K with major burns, will need high calorie/protein diet
38
compartment syndrome
-nerve and blood vessels are damage from edema so you need to open them up