5. Chapter 9 - Integumentary Flashcards
Newborns are more vulnerable to hypothermia because of
Subcutaneous fat is poorly developed in newborns, predisposing them to hypothermia.
cafe au lait patches in children may be harmless or indicative of underlying disease. If cafe au lait spots are numerous >6 this can indicate what
neurofibromatosis
Fluorescing lesions and fungal infections are best distinguished using a
Woods Lamp
Depigmented (vitiligo) enhance
Hypopigmented (cafe au lait) does not enhance
Fungal - yellow/green
Skin lesions are transilluminated to determine
fluid filled cyst vs solid mass
fluid lights up
multiple creases in the hands and feet of newborns/infants indicate
Downs Syndrome
Single transverse crease
Macule
flat < 1 cm
freckles, measles
Papule
elevated < 1 cm
warts, moles
Patch
flat irregular shaped
vitiligo
Plaque
elevated rough lesion
psoriasis
Characteristics for assessing skin
CSSTEE
color shape size texture elevation exudate
Dysplastic Nevus Assessment Color Shape Surface Size Number Location
Color: mixture of black, brown, red
Shape: irregular borders
Surface: smooth or scaly pepply
Size: > 6-10mm
Number: Can have up to 100s not necessarily dysplastic
Location: anywhere but sus if on non-sun exposed areas
Most common skin cancer
basal cell carcinoma
Psoriasis vs Eczema
Psoriasis: Extensor (outside elbow/knee)
Eczema: Flexor (inside elbow/knee)
Tinea Infections
Fungal, noncandidal hair, nails, head feet
Rosacea
Chronic inflammatory disorder: Triggered by heat, cold, emotional status
Pruritis present on forehead, cheeks, nose
