Integ Flashcards
P,Q,R,S,T
Provocative and Palliative,
Quality & Quantity
Region of body
Severity of the S/S
Time
Macule
Flat, Brown, Change in skin “liver spots” less than 1 cm
A,B,C,D,E
Asymmetry, Boarder, Color, Diameter, Evolution
acne rosacea
Chronic, facial acne, red all over the cheeks and nose
acne vulgaris
Adolescent and young to middle-aged adults
3 things that influence skin color
race, heritage, genes
nails
3-4 months to gown, made of Keratin, diet can effect
3 types of glands
sebaceous, sweat and ceruminous (ear wax)
purpose of skin
vit d. syn, temp reg, protection, assist with fluid/electrolyte balance, involved in sensation
tzanck test
Stained & examined microscopically to ID herpes
3 layers of skin
dermis, epodermis and subq
5 layers of epidermis (Comeon Lets Get Sun Burned)
STRARUM Corneum, Lucidum, Gradulosum, Spinosum, Basale
epidermis
outer layer, protection, prevents water loss, stores melanin , contains melanin, protects from UV light, contains keratin & kerotene
arrector pili
goosebumps
dermis
helps maintain homeostasis , regulates body temp
collagen
gives form & elasticity, lose as you age
oil glands
sebaceous glands secrete
sebum
oil for protection, has ability to kill bacteria & lubricates skin, not present on palms of hands or soles of feet
eccrine sweat glands
functions for 1 month, starts to regulate body heat, sweat cools body
Cerumen gland
ear wax for protection
apocrine gland
axillia, along sweat glands around breast & genitals, help with perspiration, peak at puberty
hair
provides insulation and warmth
skin color
result of level of melanin, UV rays make darker
jaundice
yellow due to bilirubin, mucous membranes, indicate liver disorder
seborrheic keratosis
lesions that raised and rough
karatosis
brown hyperpigmentation
actinic keratosis
red & raised precursor to skin cancer
excessive hair growth
HURTULISM
papule
elevated, less than 1 cm, moles that are elevated
patch
flat, skin changes, irregular shaped
plaque
elevated, rough, lesions
wheal
elevated area that is cutaneous, right under skin
nodules
deeper & larger than papule, elevated, firm, can grow into tumor
vesicle
clear, fluid, superficial filled with serous fluid, less than 1 cm, could be poison ivy
pustule
elevated “zits” fluid filled
cyst
well-defined, fluid filled
Lichenification
scaling, fine, flaking, rough, thick skin
keloid
abnormal growth of scar tissue
excoriation
loss of epidermis, diaper rash
round/oval
no center
anular
clear center, pink edges (ring worm)
generalized
all over
zosteriform
follows a nerve, dont cross center line (shingles)
vitiligo
absent of skin pigmentation
biopsy
punch, shave or excisional
stain & culture
KOH, gram or Tzarcks
dry skin
decreased activity of sebaceous and sweat glands
psoriasis
chronic, no infection, raised reddened round plaques that shed gray scales
dermititus
inflammation of the skin, acute or chronic
intertrigo
inflammatory condition of the skin folds, red, smells, moist
diaper dermatitis
diaper rash, keep clean and dry
acne
disorder if the sebaceous glands
black heads
comedones
acne treatment
microdermabrasion, antibiotics, spironolactone
Complimentary therapy
Aloe to decrease inflammation, golden seal (induces contractions) peppermint oil for purists
follicultis
caused by shaving often, on surface mostly (ingrown hair) pustules surrounded by redness
furuncle
infection of the hair follicle, red nodule, 1-5 cm (boil)
cellulitis
localized infection of the dermis and subq layers, streptococci infection, spread
impetigo
staph infection, contagious, around mouth
fungal infections
dermatophytosis, tinea, candidasis , spread by direct contact
viral infection
verracia, herpes simplex/zoster
verracia
wart; common or genital
condylomata acuminate
veneral wart
herpes simplex 1
cold sores; moth, lips, face
herpes simplex 2
below the waist, STI, doesn’t require fluid or lesion to spread
herpes zoster
shingles; face, trunk or thorax recovery 4-6 wks, follows nerve and causes nerve pain
pediculosis
means lice; corporis = body, capitus = head & pubic = crabs
scabies
infestation between fingers , inner surfaces of wrist and elbows, axillia, nipple, penis, belt line, SKIN SCRAPPING
cyanosis
dark color: palms/ mucous membranes
dark color
petechiae : pin point lesions may be visible on oral mucosa and conjuctiva
primary lesions
present at the onset of a disease process or the onset of the pts. body/growth
nevi
mole
secondary lesions
change over time because of disease progression, manipulation or treatment
age related variations:
smooth, not exposed to elements , lack of adult hairs
infant
strawberry angioma
excisional
identifies maligancies
skin scraping
scabies
Woodslight
Black light used to pick to pick up on presence of fungus, fungus will illuminate
topical steriods
can break down skin, thin layer use only 3-5 days, can cause dying effect
Psoriasis
Tar Preperations: coal tar: sticky
Estor Gel; reduces cell turn over
Eczema
atopic, chronic, relapsing, superficial, inflammatory disorder
acne
least invasive: frequently wash face w/ antibacterial soap
folliculitis
staphylococcus aureus
tinea corporis
pale center, where the outside is very apparent, red raised, itchy
Herpes Zoster
reactivation of dormant virus in nerve root, treatment = Gabapentin or Acyclovir (antiviral)
skin scrapping
test for scabies
skin disorders
disturbed body image
melanoma
A,B,C,D