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KN JD NPTE: INTEG > Immune Disorders Of The Skin > Flashcards

Immune Disorders Of The Skin Flashcards

1
Q

Psoriasis: chronic ______ disease of the skin characterized by _______ plaques covered with ______ _____

A

Autoimmune
Erythematous
Silvery scale

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2
Q

Psoriasis:

Common on what 5 parts?

A

Ears, scalp, knees, elbows, genitals

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3
Q

Psoriasis:

Common complaints: _____ and ____ from dry cracked lesions

A

Itching and pain

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4
Q

Psoriasis:

______ course: exacerbations and remission, common

A

Variable

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5
Q

Psoriasis:

May be associated with _________ arthritis, joint pain (particularly of ____, ____ joints

A

Psoriatic

Small, distal

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6
Q

Psoriasis: Etiology:

_______, associated with _____ disorders, certain ______

A

Hereditary
Immune
Drugs

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7
Q

Psoriasis:
Precipitating factors:
Name 8

A 
Trauma
Infection
Pregnancy
Endocrine changes
Smoking
Stress
Anxiety
Cold weather
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8
Q

Psoriasis: management:
Is there a cure?
_____ preparations (corticosteroids, occlusive ointments, _____ tar)
_________ drugs (methotrexate)

What other condition is methotrexate used for?

A

Topical — coal tar
Immunosuppressant drugs

RA

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9
Q

Psoriasis:
PT interventions:
1. Long wave ______ light
2. Combination ___ light with ______ _______ ______ (psoralens)

A

UV

UV - with oral photosensitizing drugs

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10
Q

Lupus Erythematosus: what are the two types?

A

Discoid LE (DLE) and Systemic LE (SLE)

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11
Q

Lupus Erythematosus: chronic, _______ _________ inflammatory disorder or _____ ______

A

PROGRESSIVE
Autoimmune
CT

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12
Q

Lupus Erythematosus: characteristic _____ _____ with raised, red scaly plaques

A

Red rash

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13
Q 
Lupus Erythematosus: DLE:
Only affects the \_\_\_\_\_\_
Flare ups with \_\_\_ exposure
Lesions can resolve or cause \_\_\_\_\_\_
Permanent \_\_\_\_\_, hypo\_\_\_\_\_\_\_\_, or hyper\_\_\_\_\_\_\_\_
A 
SKIN
Sun
Atrophy
Scarring
Hypo or hyper pigmentation
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14
Q

Lupus Erythematosus: SLE: Chronic ________ inflammatory disorder affecting multiple ______ systems

A

Systemic

Organ

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15
Q

Lupus Erythematosus: SLE: includes what 6 systems?

A 
Skin
Joints
Kidneys
Heart
Nervous system
Mucous membranes
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16
Q

Lupus Erythematosus: SLE: Can be ______

A

Fatal

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17
Q

Lupus Erythematosus: SLE: commonly affects what age/gender?

A

YOUNG WOMEN

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18
Q 
Lupus Erythematosus: SLE: Symptoms can include \_\_\_\_\_, \_\_\_\_\_\_,
Characteristic \_\_\_\_\_\_\_ rash across bridge of nose
Skin \_\_\_\_\_
Chronic \_\_\_\_\_
Arthralgia
Arthritis
Skin \_\_\_\_\_\_
Photosensitivity
Anemia
Hair \_\_\_\_\_\_\_
\_\_\_\_\_\_ phenomenon
A 
Fever, malaise
Butterfly
Lesions
Fatigue
Rashes
Loss
Raynauds
19
Q

Lupus Erythematosus: Management?

Is there a cure?

A

NO CURE

20
Q

Lupus Erythematosus: Management:
______ treatment of skin lesions (corticosteroid creams)
Salicylates or indomethacin with ______ and _____ pain
Immunosuppressive agents (cytotoxic agents) with _____ ______ disease

A

Topical
Fever and joint pain
Life threatening

21
Q

Lupus Erythematosus: Observe for side effects of _________: edema, wt gain, acne, HYPERTENSION, bruising, purplish stretch marks

A

Corticosteroids

22
Q

Lupus Erythematosus: Long term use of corticosteroids is associated with increased susceptibility to _________ (immunosuppresed pt); __________, myopathy, ______ rupture, _______, gastric irritation, low ________

A 
Infection
Osteoporosis
Tendon rupture
Diabetes
Low potassium

Low potassium = hypokalemia = flat T, prolonged PR and QT. Arrhythmias may progress to VFib

23
Q

Systemic Sclerosis (Scleroderma): Chronic _________ diffuse disease of ______ ______ causing fibrosis of skin, joints, blood vessels, and internal organs (GI tract, lungs, heart, kidneys)

Usually accompanied by ________ phenomenon

A

Autoimmune
Connective tissue

Raynauds

24
Q 
Systemic Sclerosis (Scleroderma):
Skin is \_\_\_\_, \_\_\_\_, edematous, firmly bound to subcutaneous tissue
A

Firm, taut

25
Q 
Systemic Sclerosis (Scleroderma): Limited Systemic Sclerosis:
\_\_\_\_\_\_ skin involvement of \_\_\_\_ extremities and \_\_\_\_\_\_
A

Symmetrical
Distal
Face

26
Q 
Systemic Sclerosis (Scleroderma): Limited Systemic Sclerosis: Slow progression of \_\_\_\_\_ changes
Late \_\_\_\_\_\_ and \_\_\_\_\_\_\_\_ hypertension involvement
A

Skin

Visceral and pulmonary

27
Q 
Systemic Sclerosis (Scleroderma): Limited Systemic Sclerosis:
Associated with \_\_\_\_\_ syndrome?
What does it stand for?
A 
CREST
C: Calcinosis
R: Raynauds
E: Esophageal dysfunction
S: Sclerodactyly (localized thickening/tightness of skin over fingers and toes)
T: Telangiectasias (spider veins)
28
Q

Systemic Sclerosis: Diffuse Systemic Scleroderma: _______ widespread skin involvement of _____ and ____ extremities, face, trunk

A

Symmetrical

Distal and proximal

29
Q

Systemic Sclerosis: Diffuse Systemic Scleroderma:

_____ progression of skin changes with early _____ involvement

A

Rapid

Visceral

30
Q

Systemic Sclerosis: Diffuse Systemic Scleroderma:

Important internal organs that are frequently involved include what 3?

A

Kidneys, heart, lung

31
Q

Systemic Sclerosis: Management:
__ specific therapy
Supportive therapy can include what 4 things?

A 
NO
Corticosteroids
Vasodilators
Analgesics
Immunosuppressive agents
32
Q

Systemic Sclerosis: PT slows development of ______ and ______

A

Contracture and deformity

33
Q

Systemic Sclerosis: Precautions with ________ skin
Sensitive to ________
Acute _____ may occur
Stress regular ____ checks and _____ monitoring
Pulm htn can lead to ____ sided HF in severe cases

A 
Sclerosed
Pressure
Htn
BP and VS
RIGHT
34
Q

Polymyositis (PM):

____ disease characterized by _____, _____, and ______ of muscles

A

CT

Edema, inflamm, and degeneration

35
Q

Polymyositis (PM):

_______ is associated with some forms

A

Dermatitis

36
Q

Polymyositis (PM):
Sclerodactyly and ________ lung disease are common associated with this disease, but they are nonspecific to this disorder

A

Interstitial

37
Q

Polymyositis (PM): Affects primarily _______ muscles including shoulder and pelvic girdles, neck, pharynx
_______ distribution

A

Proximal

Symmetrical

38
Q

Polymyositis (PM): Etiology is ________ - _________ reaction affecting muscle tissue with degeneration and regeneration, fiber atrophy, inflamm infiltrates

A

Unknown

Autoimmune

39
Q

Polymyositis (PM):

______, severe onset: may requires vent assistance, tube feeding

A

Rapid

40
Q

Polymyositis (PM):

_______ involvement may be fatal

A

Cardiac

41
Q

Polymyositis (PM): Management: What meds?

A

Corticosteroids and immunosuppressants

42
Q

Polymyositis (PM): RED FLAG: Additional muscle fiber damage may result with too much _______
Contractures and pressure ulcers may results from prolonged ___ _____

A

Exercise

Bed rest

43
Q

Polymyositis (PM): PT
____ management and _____ conservation
Aerobic/resistance exercise at ____ levels- avoid fatigue and overload
________ to prevent contractures and pressure ulcers

A

Fatigue, energy
Low
Positioning

KN JD NPTE: INTEG (15 decks)

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