Integumentary System Flashcards Preview

Nursing 25 Mrs P > Integumentary System > Flashcards

Flashcards in Integumentary System Deck (41):
1

Cyanosis? and what does it mean?

Bluish in color indicator of deoxygenated blood. In dark skinned individuals: ashen grey lips and tongue

2

Pallor? and what does it mean?

Paleness, sign of anemia, edema, shock. Dark skin: Ashen, grey, underlying red tone is gone.

3

Erythema? what does it mean?

Redness, increased blood flow, inflammation. Dark skin: hard to see, based on palpitation with warmth and edema.

4

Ecchymosis? what does it mean?

Black and Blue, hemorrhage into the skin Dark skinned: Need good lighting

5

Petechiae? what does it mean?

Pinpoint hemorrhages Dark Skin: seen in oral opening and conjunctiva

6

Jaundice? What does it mean?

Yellowing d/t increased bile salts Dark skin: Sclera, oral, palms, soles

7

Describe a Primary Skin Lesion?

A lesion that develops on previously unaltered skin

8

Describe a Secondary Skin Lesion

Lesions that change with time or occur because of factors such as scratching or infection.

9

Circumscribed, Flat, with change is skin color

Less than 0.5cm is called?

Greater than 0.5cm is called?

Primary or secondary?

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Less than 0.5cm is called macule

Greater than 0.5cm is called Patch

Primary

10

Elevated, solid lesion

Less than 0.5cm is called?

Greater than 0.5cm is called?

Primary or secondary?

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Less than 0.5cm is called? Papule

Greater than 0.5cm is called? Nodule

Primary

11

Circumscribed, elevated solid lesion greater 

than 0.5cm is called?

Primary or Secondary?

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Plaque

Primary

12

Circumscribed, fluid filled lesion, less than 0.5cm

is called?

Primary or secondary?

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Vesicle

Primary

13

Firm, edematous, irregular shape?

Primary or secondary?

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Wheal

Primary

14

Elevated, superficial lesion, filled with purulent fluid?

Primary or secondary?

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Pustule

Primary

15

Linear crack or break from the

epidermis to dermis?

Primary or secondary?

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Fissure

Secondary

16

Excess skin by shedding?

Primary or secondary?

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Scale

Secondary

17

Abnormal formation of connective tissue; replaces normal skin?

Primary or secondary?

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Scar

Secondary

18

Loss of epidermis, extends into dermis, forms a crater?

Primary or secondary?

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Ulcer

Secondary

19

Depression, or thinning of the epidermis or dermis?

Primary or secondary?

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Atrophy

Secondary

20

Linear lines in which the epidermis is missing exposing the dermis?

Primary or secondary?

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Excoriation

Secondary

21

Caused by chronic exposure to the sun

Rough, scaly, red, or brown

Found on face, scalp, arms, back of hands

 

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Actinic Keratoses

Can progress to squamous cell carcinoma

 

22

Is a form of cancer

Most common found in people

 metastasis is rare?

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Basal cell carcinoma

Waxy boarder

papule, red, central crater

23

A tumor of the epithelial keratinocytes

can infiltrate to surround structures and metastize 

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Squamous Cell carcinoma

Usually found on the side of the face

24

Very aggressive form of skin cancer

Occurs on any place of the body

highly metastatic

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Melanoma

25

Thickening of the skin with accentuated normal skin markings

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Lichenification

Caused by repeated scratching, rubbing, irritation

26

Group Beta strep or staph

Very contagious

Name? Treatment?

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Impetigo

Antibiotics

Local: Warm saline or aluminium acetate soaks

remove crust with soap and water

Topical antibiotic cream

27

Staph, At areas with increased friction.

Small pustule at hair follicle with minimal erythema

develops crust, tender touch?

Treatment?

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Folliculitis

Anti staph soap H2O cleaning, topical antibiotics.

Warm compress with H2O or aluminium acetate.

 

28

Deep infection around hair follicle with staph

Tender, erythema, draining pus, core of necrotic ish

Shit hurts like a bitch?

Treatment?

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Furnuncle

I&D, packing, antibiotics

frequent warm moist compresses

29

Multiple interconnecting furnucles

many pustules appear erythematous?

Treatment?

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Carbuncle

I&D, possible packing, antibiotics

frequent warm moist compresses

30

Superficial involving the dermis

d/t Group A 𝜷-hemolytic strep

Red, hot, indurated plaque

Fever, headache, malaise?

Treatment?

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Erysipelas

Systemic antibiotics, penicillin

Hospitalization often required. 

31

Inflammation of sub-q tissues, often following break in skin

Most often from S. Aureus and strep

Hot, tender, red, inflammed

Inflammation d/t enzymes from bacteria?

Treatment?

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Cellulitis

Moist heat, immobilization, elevation, systemic antibiotics, can progess to gangrene if untreated

Give pain meds

32

A Chronic, inflammatory skin disorder, genetic disposition

Usual onset before the age of 1 presenting with red cheecks

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Atopic Dematitis

or "Eczema"

33

Treatment options for Dematitis?

(just the types- and their basic info as to what they do)

1. Antihystamines- used to control inflammation and reduce itching.

2. Analgesics/topical anesthetics may be perscribed for pain relief.

3. Topical corticosteroids- most effective for controlling itching and inflammation.

34

The important facts *topical cortico"

1. High potency- Treat? how long?

2. Moderate potency- Are for?

3. Low-potency- Are perscribed for?

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1. acute flare-ups used for 2-3 weeks

2. prolonged therapy of chronic dematitis

3. perscribed for childeren

35

Describe the stages of Atopic Dermatitis?

How the skin presents a break out from acute to chronic

Acute?

Subacute?

Chronic?

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Acute: Bright erythema, oozing vesicles, and itching

Subacute: Scaly, light red-brown plaques

Chronic: Thickened skin with lichenification

36

Describe the presentation of Contact Dermatitis?

How does the skin change, or what is the manifestation?

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2-7 days after exposure Red papules and plaques form.

Sharpley circumscribed with occasional vesicles.

Itching usually occurs. 

37

Silvery scaling plaques on reddish colored skin.

Autoimmune chronic dermatitis

Involves rapid turnover of epidermal cells

Usually develops before the age of 40

Psoriasis

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38

Psoriasis

1. Treatment goal?

2. Topical treatments?

3. Systemic treatments?

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1. Reduce inflammation

2. Corticosteroids, tar, calciotriene, anthralin, 

3. methotrexate, Retinoid, immunosuppressive, 

39

What side effects are associated with high-potency corticosteroids?

Atrophy of the skin 

Capillary fragility

Increased brusing risk

Hypopigmentation of the skin

40

Describe Linezolid

Is a anti-infective

Treats skin complications from S. aureus

Monitor bowel function b/c possible C. diff

Notify Dr. eye changes, diarrhea, bloodly stools cramping

41

Describe Ketaconazole

Antifungal medication

For Thrush, athletes foot, jock itch, ringworm