Types of Skin Injuries - Class 2 Flashcards

1
Q

types of skin injuries

A

abrasions (erosion)

avulsions

burns

lacerations

surgical wounds

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2
Q

abrasion

A

superficial rub or wearing off of skin

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3
Q

what causes an abrasion

A

scrap or a brush burn

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4
Q

what does an abrasion affect

A

epidermis

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5
Q

an abrasion is a

A

minor injury

“skin your knee”

“road rash”

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6
Q

degrees of abrasion

A

first

second

third

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7
Q

first degree of abrasion

A

epidermis only

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8
Q

second degree of abrasion

A

epidermis and dermis

may bleed slightly

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9
Q

third degree of abrasion

A

damage to subcutaneous layer and skin

called an avulsion

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10
Q

how does an abrasion heal

A

epithelialization

depends on the wound depth and size

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11
Q

abrasion healing with epithelialization

A

resurfacing of wound with new epithelium

derived from wound edge and appendages

skin is regenerating

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12
Q

avulsions

A

tearing of the top layer of skin

usually caused by trauma

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13
Q

what is an avulsion

A

“torn flap of skin”

“loss of skin”

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14
Q

torn skin –> avulsion

A

may be lose or too damaged to be repaired

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15
Q

how does an avulsion heal

A

heals from edges inward and bottom up

duration of healing depends on severity of avulsion

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16
Q

what can be used to heal a wound –> avulsion

A

sutures if the wound isnt too wide

health skin flap

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17
Q

what may avulsions need

A

drainage tubes to remove underlying fluid

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18
Q

burns

A

tissue damage d/t heat, UV, radiation, chemicals or electricity

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19
Q

degrees of burns

A

first through fourth

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20
Q

first degree burns

A

superficial

affects epidermis

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21
Q

second degree burns

A

partial thickness

affects epidermis and part of dermis

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22
Q

how do second degree burns look

A

red, blistered and possibly swollen

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23
Q

third degree burns

A

full thickness

extremely painful

destroys the epidermis and dermis

affects the subcutaneous

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24
Q

third degree burn look

A

white

blackened

charred

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25
fourth degree burns
burns through epidermis, dermis and subcutaneous tissue possible affects muscle and bone
26
fourth degree burns --> nerves
no feeling since nerve ending are destroyed pts may not even feel it
27
lacerations
a wound where the skin and the underlying tissues are cut/torn
28
lacerations are often
irregular or jagged
29
lacerations may be
deep or shallow wide or narrow
30
what may cause lacerations
skin hitting a sharp object or a sharp object hitting the skin with force
31
how can a laceration be healed
compression/bandage or may require stitches
32
surgical wounds
an incision through the skin that is made during surgery
33
surgical wound classifications
class 1-4
34
surgical wound class 1
clean
35
surgical wound class 2
clean/contaminated d/t where surgery was performed urinary, elemental, respiratory, bowel or GU system entered
36
class 3 surgical wound
contaminated open wounds or break in sterile technique
37
class 4 surgical wound
dirty infected old wound, unhealthy tissue, perforation in the viscera, infection
38
how can surgical wounds be closed
sutured steri-stripped stapled glue taped
39
skin ulcers
an open sore or wound that develops on the skin and will not heal or keeps returning
40
skin ulcers can be caused by
prolonged periods of poor blood flow to an area of the body prolonged pressure an injury
41
what can prolonged of poor blood flow result from
infection immobility conditions that affect blood vessels
42
types of skin ulcers
venous skin ulcers arterial (ischemic) skin ulcers neuropathic skin ulcers pressure ulcers buruli ulcers stasis dermatitis
43
venous skin ulcers
shallow open sores usually develop in the skin of the lower leg result of poor blood circulation
44
poor blood circulation --> venous skin ulcer
lack of venous return back to the heart --> blood collects in the leg --> edema --> pressure on skin --> ulcer
45
where do venous skin ulcers usually occur
medial malleolus region
46
arterial skin ulcers
ischemic skin ulcer arteries fail to deliver oxygenated blood to the lower limbs
47
fail to deliver oxygen --> arterial skin ulcers
lack of oxygen --> tissues die --> ulcers develop
48
where are arterial ulcers usually seen
outside ankle dorsum of foot feet and toes
49
neuropathic skin ulcers is a common complications
uncontrolled diabetes
50
uncontrolled diabetes --> neuropathic skin ulcers
d/t elevated blood glucose level --> damage to nerves --? person may not realize they have a small wound --> develop into an ulcer
51
where do neuropathic skin ulcers form
distal extremities plantar aspect of the foot
52
neuropathies in distal extremities
when smaller wounds go undetected then worsen into ulcers
53
pressure ulcers
decubitus ulcers caused by constant pressure or friction on the skin
54
where are pressure ulcers commonly seen
posterior head sacrum ischial tuberosities elbows heels
55
what can pressure ulcers affect
can develop deep and affect ligs and tendons
56
buruli ulcers
caused by mycobacterium ulcerans bacteria
57
where can buruli ulcers form
large ulcers on arms or legs
58
stasis dermatitis is a
precursor to venous ulcer
59
stasis dermatitis
not truly an ulcer change in the skin that results from the pooling of blood in the veins of the lower leg
60
what is stasis dermatitis caused by
fluid build up d/t poor circulation, heart dz, or varicose veins
61
an ulcer can result from
stasis dermatitis
62
stasis dermatitis is more common in
women people over 50