Integumentary 1 Flashcards
subtype of melanoma that is most common in darker pigmented individuals; lesions are located on the nail beds, palmar and plantar surfaces, rarely on mucous membranes
acral lentiginous melanoma
actinic keratosis
dry, roung, red colored lesions with rough texture on sun exposed areas
precanerous lesion of SCS
actinic keratosis
anaphylaxis immediate tx
epi 0.3-0.5 mg IM on mid outer thigh, repeat q5-15 minutes if response is poor to treatment
most common risk factor for BCC is
exposure to UV radiation in sunlight
BCC nodular form
occurs on face pink or flesh colored papule with pearly or translucent quality
BCC superficial form
occurs on trunk as slightly scale, non firm macules, patches, or thin plaques light red to pink with atrophic or ulcerated center that does not heal
erythema migrans rash appears when
7-14 days after deer tick bite
meningococcemia (Meningitis)
systemic bloodstream infection caused by Neisseria meningitidis that can progress very rapidly without treatment
meningococcemia (Meningitis) symptoms include
7
sudden onset of sore throat
cough
fever
HA
stiff neck
photophobia
changes in LOC
what is usually elevated in bacterial meningitis
procalcitonin
meningitis - recommended initial therapy
ceftriaxone
prophylaxis for meningococcemia (Meningitis) exposure
rifampin
RMSF presents with
8
abrupt onset of high fever
chills
severe HA
NV
photophobia
myalgia
arthralgia
rash 2-5 days after onset of fever (wrist, forearms, ankles and then to trunk)
first line tx for RMSF
docycyline
tx for adults with recluse spider bite is
3
abx on wound
cold packs
NSAIDs
subungual hematoma can be drained by
trephination
sandpaper rash with sore throat
scarlet fever
hypopigmented round to oval macular rashes, most lesions on upper shoulder/back, no pruritis
tinea versicolor
herald patch, progresses to collarette of scale with lesion clearing centrally, develops into a christmas tree pattern rash
pityriasis rosea
smooth papules 2-5 mm in size that are dome shaped with central umbilication with a white plug
molluscum contagiosum
meningococcemia (Meningitis) skin description
purple to dark-red painful skin lesions all over body
3 layers of the skin
epidermis
dermis
subcutaneous
xerosis
dry skin
melanoma size
diameter >6mm
most common cancer in the US
skin cancer
2 most common types of skin cancer
BBC
SCC
flat nonpalpable lesions < 1 cm in diameter
macule
palpable solid lesions 1 cm or more in diameter
papule
lichenification
thickening of the epidermis with exaggeration of normal skin lines due to chronic itching like eczema
