Examination of Integumentary Integrity

Question 1

With what populations might you expect to see pruritis?

Answer 1

aka itching

- diabetes, hyperthyroidism, drug hypersensitivity

Question 2

When might a patient have uticaria?

Answer 2

aka hives

- allergic response to drugs or infection

Question 3

T/F: Chronic alcoholism can cause rashes.

Answer 3

true

Question 4

When you examine your patient, you find that he has an edemanous ankle. What should your follow up questions and exam look like?

Answer 4

• what positions alleviate or make worse the swelling?
• any cardiac/lung/kidney issues?
• measure the edema with girth and palpation

Question 5

T/F: Clubbing can occur in IBD.

Answer 5

false, occurs with chron’s disease and hypoxemia

Question 6

What does the Schamroth’s window test look for?

Answer 6

clubbing - should see diamond shaped space between fingernails when they’re put together

Question 7

So when you’re assessing the integumentary system, what should you assess?

Answer 7

examine for edema, changes in nails, changes in skin, color of skin, any lesions or growths, temp of skin

Question 8

If someone is jaundiced, where will you see this yellow color?

Answer 8

sclera of eyes, lips, and skin

Question 9

Hemosiderin changes are associated with what?

Answer 9

venous insufficiency (chronic)

Question 10

In what population might you see hirsutism?

Answer 10

aka male pattern hair growth in women

- cushing’s, tumor, PCOS