Skin Assessment Flashcards

(46 cards)

1
Q

What is Omphalitis?

A

An infection of the umbilical cord area in newborns

Can progress rapidly to cellulitis, necrotizing fasciitis, and death.

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2
Q

What are the common causes of Omphalitis?

A

Group A or B streptococcus, staph aureus, or gram negative and anaerobic bacteria

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3
Q

What is Periumbilical erythema?

A

Redness around the umbilical area, can indicate infection or irritation

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4
Q

What are Milia?

A

Multiple yellow or pearly white papules, 1-2 mm in size, found on brow, cheeks, and nose

Up to 40% of newborns experience this condition.

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5
Q

What are Epstein pearls?

A

Epidermal cysts in the mouth that resemble milia

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6
Q

What is Sebaceous gland hyperplasia?

A

Numerous tiny white or yellow papules caused by enlarged sebaceous glands

Can be caused by maternal androgenic stimulation

Maternal androgenic stimulation is a contributing factor.

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7
Q

What causes Miliaria?

A

Obstruction of sweat glands due to warm humid environment

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8
Q

What are the types of Miliaria?

A
  • Miliaria crystallina: clear, thin vesicles
  • Miliaria rubra: prickly heat
  • Miliaria pustulosa: leukocyte infiltration of the papule
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9
Q

What characterizes Neonatal Pustular Melanosis?

A

Superficial, vesiculopustular lesions that may be present at birth, with numerous neutrophils in vesicles

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10
Q

What is a Mongolian spot?

A

A hyperpigmented macule, most common pigmented lesion in newborns, often seen over buttocks and flanks

Up to 90% of African American, Asian, and Hispanic infants may present with this.

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11
Q

What is Erythema Toxicum?

A

Benign rash with white or yellow pustules on an erythematous base, seen in up to 70% of term infants

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12
Q

What is the primary cause of Candida Diaper Dermatitis?

A

Infection by Candida albicans, presenting as a moist, erythematous eruption with satellite pustules

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13
Q

What is Lanugo?

A

Fine, soft, downy type of hair covering the body in utero, appearing at about 20 weeks gestation

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14
Q

What is Acrocyanosis?

A

Bluish discoloration of the palms and soles, may persist for up to 48 hours after birth

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15
Q

True or False: Harlequin Color Change is a pathological condition.

A

False

It is a temporary imbalance of the autonomic regulatory mechanism of cutaneous vessels.

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16
Q

What is Cutis Marmorata?

A

Bluish mottling or marbling of the skin, often in response to chilling or overstimulation

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17
Q

What are Forceps marks?

A

Red or bruised areas on the cheeks, scalp, or face as a result of birth trauma

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18
Q

What is Diaper Dermatitis?

A

Inflammation of the skin in the diaper area, prevention is the first goal of intervention

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19
Q

What are Café au lait patches?

A

Tan or light brown macules with well-defined borders, can be benign or indicate Neurofibromatosis

20
Q

What is a Sebaceous Nevus?

A

Pink, yellow, or orange plaque with a pebbly surface, often located on the scalp or face

21
Q

What is the primary goal of umbilical cord care?

A

Preventing umbilical infections through sterile cutting and rapid drying of the umbilical cord

22
Q

What is Ichthyosis Vulgaris?

A

An autosomal dominant condition characterized by fine, light colored scales

23
Q

What are the characteristics of Strawberry Hemangioma?

A

Bright red, raised, lobulated tumor that is soft and compressible, seen in 10% of newborns

24
Q

What is the significance of Vernix caseosa?

A

A cheese-like substance that protects fetal skin from amniotic fluid and bacteria

25
What is the skin pH at birth?
6.34
26
What does a Macule refer to?
A discolored, flat spot < 1cm in diameter
27
What is a Wheal?
A collection of fluid in the dermis that is reddened and solid, elevated above the skin
28
What is the typical bathing recommendation for preterm infants?
Should be bathed no more than once or twice a week to avoid excessive drying
29
What is the structure of the skin comprised of?
* Epidermis * Dermis * Subcutaneous Tissue
30
What are the functions of the skin?
* Physical protection * Heat regulation * Sense perception
31
What is the most common vascular birthmark?
Nevus simplex, also known as 'Stork Bite' or 'Salmon Patch'
32
What is the main characteristic of Port Wine Nevus?
Flat pink or reddish purple lesion that does not blanch with pressure
33
What is Klippel-Trenaunay Syndrome?
A condition characterized by capillary malformation, varicose veins, and overgrowth of soft tissue and bone
34
What is the typical treatment for Cavernous Hemangioma if it interferes with vital organs?
Systemic corticosteroids may help
35
Define lesion
an area of altered tissue
36
Define Vesicle
An elevation of the skin filled with serous fluid < 1 cm in diameter
37
Define Bulla
A vesicle greater than 1 cm
38
Define Cyst
a raised, palpable lesion with fluid or semisolid filled sac
39
Define Pustule
An elevation of skin filled with cloudy or purulent fluid
40
Define Crust
A lesion consisting of dried, serous exudate, blood or pus
41
Define Macule
A discolored, flat spot < 1cm in diameter
42
Define Patch
A macule greater than 1 cm in diameter
43
Define Nodule
an elevated, palpable lesion with indistinct borders, some of the lesion is palpable below the skin outside the elevated area
44
Define Papule
an elevated, palpable lesion, solid and circumscribed, less than 1 cm in diameter
45
Define Plaque
An elevated palpable lesion with circumscribed borders, greater than 1 cm in diameter
46
Define Pustule
An elevation of the skin filled with cloudy or purulent fluid