Lecture 5 - Integumentary System Flashcards by Lauren Hughes

Lecture 5 - Integumentary System

_________ is localized staphylococcus infectison of the skin

boils

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Lecture 5 - Integumentary System

another name for boils

furuncles

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Lecture 5 - Integumentary System

group of furnuncles is called

carbuncle

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etiology of boils

bacterium that is usually the cause is S. aureus

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s&s of boils

painful, red, hot pustules

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Tx of boils

hot compresses
sometimes antibodies
never pop a boil!

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Lecture 5 - Integumentary System

why don’t pop boil

may drive infection deeper

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MT for boils

CI locally

sheets must be isolated and washed with extra bleach

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Lecture 5 - Integumentary System

_________ is a streptococcal infection of the cells in the skin

erysipelas

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Lecture 5 - Integumentary System

erys

red

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Lecture 5 - Integumentary System

erysipelas originally called

st. anthony’s fire

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Lecture 5 - Integumentary System

etiology of erysipelas

strep under the skin

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Lecture 5 - Integumentary System

once strep gets under the skin (erysipelas) the infection becomes

systemic

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Lecture 5 - Integumentary System

the redness from erysipelas is caused by

enzymes produced by strep bacteria that break down and kill skin cells

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Lecture 5 - Integumentary System

how does strep gain access to skin (erysipelas)

opportunistic - break in skin

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signs of erysipelas

begins with tender swollen area usually on face or lower legs

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Lecture 5 - Integumentary System

red streaks in erysipelas run towards

lymph nodes

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symptoms of erysipelas

fever
chills
systemic discomfort
painful inflammation

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Tx of erysipelas

penicillin

varies anitbiotics

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Lecture 5 - Integumentary System

MT for erysipelas

CI until infection has completely passed

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Lecture 5 - Integumentary System

other terms for fungal infection

mycoses

dermatophytosis

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Lecture 5 - Integumentary System

fungal infection can involve _________ types of fungi

different

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Lecture 5 - Integumentary System

lesions in fungal infections are called

tinea

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Lecture 5 - Integumentary System

dermatophytes live on

keratin

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# Lecture 5 - Integumentary System dermatophytes thrive in

warm, most places

# Lecture 5 - Integumentary System area on body dermatophytes prefer

skin folds | toes - groin

# Lecture 5 - Integumentary System fungal infections tend to infect people with

depressed or sluggish immune systems

# Lecture 5 - Integumentary System how are fungal infections transmitted

touch | skin to anything with fungus on it

# Lecture 5 - Integumentary System _________ is bodyworm

tinea corporis

# Lecture 5 - Integumentary System _________ is head ringworm

tinea captitis

# Lecture 5 - Integumentary System _________ is athlete's foot

tinea pedis

# Lecture 5 - Integumentary System _________ is jock itch

tinea cruris

# Lecture 5 - Integumentary System _________ is hand ringworm

tinea manus

# Lecture 5 - Integumentary System _________ is beared face

tinea barbae

# Lecture 5 - Integumentary System _________ is skin under finger and toesnails

tinea unguium

# Lecture 5 - Integumentary System signs of tinea corporis

red circles or rings

# Lecture 5 - Integumentary System signs of tinea capitis

itchiness or flaking of scalp, hair loss

# Lecture 5 - Integumentary System who usually develops tinea capitis

infants

# Lecture 5 - Integumentary System signs of tinea pedis

weeping blisters; cracking, peeling skin

# Lecture 5 - Integumentary System signs of tinea cruris

upper thigh and buttocks | caused by yeast infections

# Lecture 5 - Integumentary System Tx of fungal infections

external application of fungicide unless under nails then internal Keep area dry

# Lecture 5 - Integumentary System MT for fungal infection

CI in every phase

# Lecture 5 - Integumentary System _________ is a viral infection which can spread on to the skin

herpes simplex

# Lecture 5 - Integumentary System herpo

to creep

# Lecture 5 - Integumentary System etiology of herpes simplex - oral

oral or respiratory secretions

# Lecture 5 - Integumentary System etiology of herpes simplex - genital

genital mucous secretions during skin-skin contact; never fully eliminated from body

# Lecture 5 - Integumentary System s&s herpes simplex

cold sores/fever blisters around mouth | blisters on genitals, thighs, buttocks

# Lecture 5 - Integumentary System herpes simplex blisters last about how long

2 weeks

# Lecture 5 - Integumentary System herpes outbreaks are preceded _________ of tingling, itching, or pain

2-3 days

# Lecture 5 - Integumentary System Tx of herpes simplex

acyclovir or other anti-viral drug

# Lecture 5 - Integumentary System MT herpes simplex

CI for acute herpes

# Lecture 5 - Integumentary System herpes I

simplex - mouth

# Lecture 5 - Integumentary System herpes II

genital

# Lecture 5 - Integumentary System herpes whitlow

around nail beds

# Lecture 5 - Integumentary System _________ is bacteria infection that is especially common in children

impetigo

# Lecture 5 - Integumentary System etiology of impetigo

caused by both staphylococcus and streptococcus bacteria

# Lecture 5 - Integumentary System s&s of impetigo

rash with small blisters or pustules filled with clear or murky fluid; itchy skin, often around the mouth

# Lecture 5 - Integumentary System Tx of impetigo

topical antibiotic cream | oral antibiotics

# Lecture 5 - Integumentary System MT for impetigo

CI unless lesions have completely healed

# Lecture 5 - Integumentary System _________ are anthropods

mites

# Lecture 5 - Integumentary System _________ skin lesions caused by microscopic anthropods that drink blood

mites

# Lecture 5 - Integumentary System etiology of mites

female mites: sarcoptes scabiei burrow under skin in warm moist areas where they drink blood, defficate, urinate, and lay eggs.

# Lecture 5 - Integumentary System what is the irritant with scabies/mites

waste

# Lecture 5 - Integumentary System s&s of mites/scabies

itchy reaction colorized skin at infection irritated blisters or pustules

# Lecture 5 - Integumentary System where are mites/scabies the itchiest

at night | along skin folds, betline

# Lecture 5 - Integumentary System Tx for mites

bathing with pesticidal soap | washing and isolating bed towels, sheets, etc

# Lecture 5 - Integumentary System MT for mites

CI until the condition is completely irradicated

# Lecture 5 - Integumentary System what is worst nightmare for massage therapist=hygiene.

lice/scabies infection

# Lecture 5 - Integumentary System _________ are insects that live in head hair and suck blood from the scalp

head lice

# Lecture 5 - Integumentary System what is the irritant from head lice

saliva | eggs at base of hair shaft

# Lecture 5 - Integumentary System _________ is lice eggs

nites

# Lecture 5 - Integumentary System s&s of head lice

nites cling to hair shafts and look like tiny grains of rice, can be dark. itchiness and sensation of movement on the scalp

# Lecture 5 - Integumentary System Tx of head lice

repeated applications of pesticidal shampoo hair combing smother lice with mayo, wrap in plastic wrap overnight wash all linens

# Lecture 5 - Integumentary System MT for head lice

CI until condition is eradicated

# Lecture 5 - Integumentary System head lice is called

pediculosis

# Lecture 5 - Integumentary System where are head lice often found

caps and hats

# Lecture 5 - Integumentary System head lice can

jump

# Lecture 5 - Integumentary System pubic lice are called

crabs

# Lecture 5 - Integumentary System pubic lice can not

jump

# Lecture 5 - Integumentary System where are pubic lice found

pubic hair body hair armpit hair eyebrows and eyelashes

# Lecture 5 - Integumentary System _________ is a tumor

neoplasm

# Lecture 5 - Integumentary System _________ is a neoplasm that arises from kerotinocytes in the epidermis

warts

# Lecture 5 - Integumentary System word for wards

verruca vulgaris

# Lecture 5 - Integumentary System etiology of warts

slow acting viruses | HPV

# Lecture 5 - Integumentary System s&s warts

hard cauliflower-like growths hard and scaly usually occurring on hands can impair function

# Lecture 5 - Integumentary System Tx of warts

salicylic acid liquid nitrogen apple cider vinegar and duct tape

# Lecture 5 - Integumentary System MT for warts

locally CI

# Lecture 5 - Integumentary System wart on foot

plantar wart

# Lecture 5 - Integumentary System genital warts caused by HPV has a high correlation to

cervical cancer

# Lecture 5 - Integumentary System _________ is a bacterial infection of sebaceous glands

acne

# Lecture 5 - Integumentary System acne is usually found where

face neck upper back

# Lecture 5 - Integumentary System etiology of acne

proprionibacterium acnes is primary bacteria

# Lecture 5 - Integumentary System what clogs up behind the blockage of duct in acne

sebum

# Lecture 5 - Integumentary System s&s acne

raised, inflammed pustules on skin | locally painful

# Lecture 5 - Integumentary System Tx of acne

topical steroids applied for anti-inflammatory change in diet antibiotics

# Lecture 5 - Integumentary System MT acne

CI on the lesions as they are infections

# Lecture 5 - Integumentary System blackheads are caused by

oxidation

# Lecture 5 - Integumentary System _________ is atopic, non-contagious skin rash usually brought on by allergic reaction

dermatitis - eczema

# Lecture 5 - Integumentary System where is eczema usually located

flexation areas inside elbow behind knee

# Lecture 5 - Integumentary System etiology of eczema

overreactions of immune system to some irritant | genetic connection?

# Lecture 5 - Integumentary System s&s of eczema

usually appears as very dry, flaky skin or blistered, weepy skin red, swollen, itchy, tender

# Lecture 5 - Integumentary System Tx of eczema

isolating and avoiding irritant hydration of skin moisturizer/emollient corticosteroid cream

# Lecture 5 - Integumentary System MT eczema

acute systemic CI until all inflammation has subsided

# Lecture 5 - Integumentary System atpoic eczema is

inherited tendency

# Lecture 5 - Integumentary System contact ermititis is

delayed onset

# Lecture 5 - Integumentary System _________ is hives

urticaria

# Lecture 5 - Integumentary System _________ is inflammatory skin reaction to allergen or emotional stressor

hives

# Lecture 5 - Integumentary System etiology hives

mast cells release histamine

# Lecture 5 - Integumentary System histamine causes

vasodilation cell permeability lots of edema localized inflammatory response

# Lecture 5 - Integumentary System what causes itching in hives

edema pressing on nerve endings

# Lecture 5 - Integumentary System s&s hives

itchy and hot to touch

# Lecture 5 - Integumentary System hives start as

small raised reddened areas

# Lecture 5 - Integumentary System early hives are called

wheals

# Lecture 5 - Integumentary System wheals join to become

irregular patches

# Lecture 5 - Integumentary System Tx of hives

antihistamines

# Lecture 5 - Integumentary System MT of hives

CI in acute phase

# Lecture 5 - Integumentary System hives are a _________ allergic reaction

type I

# Lecture 5 - Integumentary System _________ is a serious reaction to allergen. resulting in airway closing

anaphylactic shock

# Lecture 5 - Integumentary System _________ are isolated areas where the pigment cells in the epidermis have produced excess melanin

mole

# Lecture 5 - Integumentary System another term for mole

nevi

# Lecture 5 - Integumentary System etiology of mole

genetically programmed to develop before the age of 20 | may become elevated and grow course dark hairs

# Lecture 5 - Integumentary System s&s of moles

small, symmetrical shape from light tan to blackish-blue | usually circular or oval

# Lecture 5 - Integumentary System Tx of moles

large moles might be removed

# Lecture 5 - Integumentary System MT moles

moles may bleed if they stick out too far. careful. Indicated

# Lecture 5 - Integumentary System freckles are

benign neoplasm

# Lecture 5 - Integumentary System another term for freckles

ephelides

# Lecture 5 - Integumentary System _________ is a chronic skin condition in which epithelial cells in isolated patches replicate too rapidly

psoriasis

# Lecture 5 - Integumentary System how often does psoriasis cells replicate

2-4 days | normal is 28-30

# Lecture 5 - Integumentary System psora means in greek

to itch

# Lecture 5 - Integumentary System etiology of psoriasis

unknown.

# Lecture 5 - Integumentary System s&s psoriasis

raised red or pink patches develop white or silvery scale on top red, swollen, itchy, tender skin

# Lecture 5 - Integumentary System where is psoriasis located

extendsor locations elbow front of knee - opposite of eczema

# Lecture 5 - Integumentary System Tx of psoriasis

no permanent cure has been found | coal tar, vit B ointments, steroid creams

# Lecture 5 - Integumentary System MT psoriasis

locally CI in acute phase

# Lecture 5 - Integumentary System etiology of skin cancer

``` radiation chemicals genetics viruses certain bacteria ```

# Lecture 5 - Integumentary System _________ precancerous condition that can lead to SCC

actinic keratosis (AK)

# Lecture 5 - Integumentary System actinic keratosis also called

solar keratosis

# Lecture 5 - Integumentary System s&s of actinic keratosis

brown or red scaly lesions on forehead | sores form crust but do not heal normally (cycles)

# Lecture 5 - Integumentary System Tx of actinic keratosis

frozen off with liquid nitrogen

# Lecture 5 - Integumentary System MT for ackinic keratosis

if diagnosed, dr's note

# Lecture 5 - Integumentary System _________ is the most common type of skin cancer and least serious.

basal cell carcinoma

# Lecture 5 - Integumentary System will BCC metastasized?

# Lecture 5 - Integumentary System where is tumor of BCC located

stratum basale of the epidermis

# Lecture 5 - Integumentary System etiology of BCC

particularly solar radiation on fair skinned

# Lecture 5 - Integumentary System s&s basal cell carcinoma

typically appears on face, borders are often hard and they may bleed and form crusts

# Lecture 5 - Integumentary System Tx of basal cell carcinoma

excision liquid nitrogen radiation

# Lecture 5 - Integumentary System MT basal cell carcinoma

locally CI

# Lecture 5 - Integumentary System sign of a cancerous lesion is

tends to not heal

# Lecture 5 - Integumentary System what skin cancers can be see around the nose

bcc | scc

# Lecture 5 - Integumentary System _________ maligancy of keratinocytes in the epidermis

squamous cell carcinoma

# Lecture 5 - Integumentary System etiology scc

especially tobacco

# Lecture 5 - Integumentary System s&s scc

especially common on ears, hands, lower lip

# Lecture 5 - Integumentary System TX SCC

frozen or excised

# Lecture 5 - Integumentary System MT scc

CI as scc can be metastatic

# Lecture 5 - Integumentary System _________ are melanocytes that are too stimulated, replicating out of control

malignant melanoma

# Lecture 5 - Integumentary System s&s of malignant melanoma

often starts from pre-existing mole which can change throughout life in color, shape, size. sometimes itchy or bleeds around edges

# Lecture 5 - Integumentary System _________ is usually seen in younger people and very fatal

malignant melanoma

# Lecture 5 - Integumentary System TX of malignant melanoma

aggressive: excision, radiation, chemo

# Lecture 5 - Integumentary System MT for malignant melanoma

# Lecture 5 - Integumentary System diagnosis treatment for cancerous lesions

``` A - asymmetrical B - border is irregular C - color changes D - diameter increases E - elevated - not always ```

# Lecture 5 - Integumentary System what % of skin cancer is melanoma

3-5%

# Lecture 5 - Integumentary System what % of melanoma is fatal

75%

# Lecture 5 - Integumentary System _________ is damage to the skin that causes cells to die

burns

# Lecture 5 - Integumentary System losing more that _________ of skin function can put a person at risk for:

15% infection shock circulatory collapse

# Lecture 5 - Integumentary System etiology of burns

``` fire sun dry heat wet heat electricity radiation extreme cold toxic chemicals ```

# Lecture 5 - Integumentary System 1st degree burn affects

upper epidermis

# Lecture 5 - Integumentary System signs of 1st degree burn

redness | mild irritating pain

# Lecture 5 - Integumentary System example of 1st degree burn

sunburn

# Lecture 5 - Integumentary System 2nd degree burn affects

all epidermis possibly some dermis

# Lecture 5 - Integumentary System signs 2nd degree burns

blisters edema great deal of pain

# Lecture 5 - Integumentary System 3rd degree burn affect

epidermis, dermis, and possible beyond

# Lecture 5 - Integumentary System Tx of burns

soothing lotion, antibiotic cream | 3rd degree perhaps skin grafts and plastic surgery

# Lecture 5 - Integumentary System MT burns

CI except perhaps mild sunburn depending on client pain tolerance

# Lecture 5 - Integumentary System _________ are bed sores

decubitus ulcers

# Lecture 5 - Integumentary System _________ are chronic inadequate blood flow to the skin

decubitus ulcers

# Lecture 5 - Integumentary System etiology of decubitus ulcers

circulation not being stimulated

# Lecture 5 - Integumentary System what can decubitus ulcers cause

secondary infection blood poisoning death

# Lecture 5 - Integumentary System s&s decubitus ulcers

ulcers tend not to crust over, redness, discoloration, pain, and itching

# Lecture 5 - Integumentary System Tx of decubitus ulcers

topical antibodies, keep moist, Vit D

# Lecture 5 - Integumentary System MT for decubitus ulcers

locally CI

# Lecture 5 - Integumentary System who commonly gets decubitus ulcers

bed-ridden patients prolonged wheelchair use elderly underweight

# Lecture 5 - Integumentary System _________ is rips and tears

lacerations

# Lecture 5 - Integumentary System _________ = cuts

insicions

# Lecture 5 - Integumentary System _________ = scratches

excoriations

# Lecture 5 - Integumentary System _________ = cracks

fissure

# Lecture 5 - Integumentary System _________ = firm, raised ares like pimples

papules

# Lecture 5 - Integumentary System _________ = any kind of hole

punctures

# Lecture 5 - Integumentary System _________ = something that has been ripped off, like a finger or an ear

avulsions

# Lecture 5 - Integumentary System _________ = scapes

abrasions

# Lecture 5 - Integumentary System _________ = sores with dead tissue

ulcers

# Lecture 5 - Integumentary System etiology of lacerations, incisions, exocriations, punctures, and abrasions are usually due to

trauma from glass, knives, etc

# Lecture 5 - Integumentary System fissures are often caused by

dry skin

# Lecture 5 - Integumentary System papules are often caused by

infection

# Lecture 5 - Integumentary System MT for open wounds and sores

locally CI until healed

# Lecture 5 - Integumentary System _________ is a rare disorder in which the skin is pathologically dry

ichthyosis

# Lecture 5 - Integumentary System ichthyosis means

fish condition

# Lecture 5 - Integumentary System etiology of ichthyosis

cold weather when air is dry legs of elderly can be symptom of congenital or neurological disorder

# Lecture 5 - Integumentary System _________ is another name for ischthyosis

xeroderma

# Lecture 5 - Integumentary System s&s of ichthyosis

diamond shaped scales on skin lower legs can become darker than surrounding areas

# Lecture 5 - Integumentary System Tx of ichthyosis

change bathing habits | special emollients

# Lecture 5 - Integumentary System MT of ichthyosis

indicated with precautions if no underlying pathology. avoid areas of deep cracking.