234 Skin Integrity

Question 1

Erythema

Answer 1

Redness

Question 2

Mottle

Answer 2

Blotchy, lack of perfusion, cold, low O2… impending death

Question 3

Macule

Answer 3

Freckle, flat

Question 4

Urticaria

Answer 4

Hives, local or disseminated

Question 5

Disseminated

Answer 5

Throughout body

Question 6

Papule

Answer 6

> 1 cm; Colored = nevi i.e. mole, elevated, firm

Question 7

Nodule

Answer 7

< 1 cm; fibrous, firm, elevated

Question 8

Vesicle

Answer 8

Blister; fluid filled

Question 9

Cyst

Answer 9

Fluid filled, usually deeper than vesicle

Question 10

Pustule

Answer 10

Zit; filled with pus

Question 11

Crust

Answer 11

Vesicles pop, crusty

Question 12

Scale

Answer 12

Flakes of skin

Question 13

Excoriation

Answer 13

Redness, abrasions, scabs i.e. heavy pt with under-boob “rash”

Question 14

Keloid

Answer 14

Hypertrophic scar, sticks out of skin, looks like welded

Question 15

Actinic Keratosis

Answer 15

Scaly, crusty, inflamed; usually precursor to skin cancer

Question 16

Seborrheic Kertosis

Answer 16

Crusty, dried blob pigmented skin, not red around

Question 17

Liver Spots

Answer 17

Normal age finding

Question 18

Melanoma

Answer 18

ABCDE’s of melanoma

Question 19

Induration

Answer 19

Swelling/ firmness around tissue

Question 20

Ecchymosis

Answer 20

Bruising

Question 21

Serous

Answer 21

Clear/ pee yellow colored

Question 22

Sanguineous

Answer 22

Actual blood

Question 23

Serosanguineous

Answer 23

No blood blood, thinner looking i.e. “cherry Kool-Aid”

Question 24

Tunneling

Answer 24

Actual tunnel

Question 25

Undermining

Answer 25

“Toilet lip”, empty inside

Question 26

Penrose

Answer 26

Flimsy straw drain

Question 27

Hemorrhage

Answer 27

Sanguineous fluid; lots of blood; drop BP, inc. HR

Question 28

Hematoma

Answer 28

Blood filled pocket underneath skin, hemorrhage that doesn’t exit

Question 29

Abscess

Answer 29

Puss filled contained sack; medications can’t get into abscess - needs to be drained

Question 30

Maceration

Answer 30

Surrounding wound edge; white, wet edges; too much moisture

Question 31

Necrotic

Answer 31

Dead tissue

Question 32

Slough

Answer 32

Yellow pus-like, won’t wipe off; tissue that is died before turns necrotic

Question 33

Eschar

Answer 33

Dry, hard, chunk of dead tissue that has formed a crust over wound; big black cap

Question 34

Dehiscence

Answer 34

Wound closed by primary intention, then opened

Question 35

Evisceration

Answer 35

Organ protrudes