Integumentary Flashcards

1
Q

Seborrhea

A

Oily skin

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2
Q

Petechiae

A

Tiny pinpoint (<3mm) hemorrhages, superficial bleeding from capillaries under skin

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3
Q

Pallor

A

Pale or lighter skin color than usual.

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4
Q

Pruritus

A

Intense itching causing the desire to scratch

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5
Q

Pigmentation

A

Skin color

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6
Q

Vitiligo

A

Skin areas without usual brown pigment

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7
Q

Urticaria

A

Hives, skin rash with red, raised, itchy bumps.

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8
Q

Xerosis

A

Dry skin

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9
Q

Nevus

A

Mole

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10
Q

What layer of skin contains blood vessels, hair follicles, and nerve endings?

A

Dermis

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11
Q

True or false: The dermis is composed of thick fibrous connective tissue?

A

True: The demis is composed of a thick fibrous protein called collagen that provides flexibility to resist tearing with movement.

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12
Q

What layer of the skin prevents water loss?

A

Epidermis

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13
Q

What layer of the skin secretes melanin?

A

Epidermis

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14
Q

What layer of skin contains fat stores for energy?

A

Subcutaneous

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15
Q

Hypopigmentation

A

Decrease in skin color

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16
Q

Hyperpigmentation

A

Increase in skin color

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17
Q

Cyanosis

A

Bluish color of skin

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18
Q

Ecchymosis

A

Bruises, spot or blotch larger than petechiae. Also called contusions

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19
Q

Hematoma

A

Blood clot in organ space, or tissue – raised

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20
Q

Diaphoresis

A

Profuse perspiration

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21
Q

Jaundice

A

Yellow color of skin, caused by increase in bilirubin

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22
Q

Edema

A

Swelling, presence of excess interstitial fluid.

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23
Q

Erythema

A

Inflammation of skin atea

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24
Q

Purpura

A

Collection of petechia and ecchymosis covering an area.

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25
Macule
Primary lesion, flat, area of pigment change less than 1cm Ex: freckle, mole, measles, scarlet fever Petichiae can be a type of macule, but specifically vascular
26
Patch
Primary lesion, flat, pigment change greater than 1 cm | Ex: birthmark, vitiligo, cafe au lait > 1 cm
27
Papule
Primary lesion, raised, less than 1 cm | Ex: Wart, skin tag, elevated mole
28
Plaque
Primary lesion, raised, greater than 1cm area (usually well defined with clear borders) Ex: psoriasis, eczema
29
Wheal
Primary lesion, raised/solid, irregular area of edema on the skin Ex: bug bites, allergic reaction, hives
30
Nodule
Primary lesion, raised/solid, <2 cm firm area originating from deeper in the dermis. Ex: melanoma, hemangioma
31
Tumor
Primary lesion, raised/solid, >2 cm firm area originating deeper in the dermis. Ex: Lipoma, neoplasm
32
Vesicle
Primary lesion, raised/fluid filled, superficial, <1 cm filled with serous fluid Ex: chicken pox, shingles, herpes simplex
33
Bulla
Primary lesion, raised/fluid filled, >1 cm, superficial, filled with serous fluid Ex: blister, medication reaction
34
Pustule
Primary lesion, raised/fluid filled, <1cm, filled with purulent fluid Ex: acne
35
Cyst
Primary lesion, raised/fluid filled, encapsulated arising from the dermis or subcutaneous layer, filled with liquid or semi-solid fluid Ex: cystic acne, sebaceous cyst
36
ABCDE Rules for Skin Cancer
``` A = asymmetry B = border, irregular C = color variation D = diameter >6mm, or a pencil eraser E = evolving, changing in size, composition, or color ```
37
Reddened area that does not blanch with pressure, has a different texture (firmer or softer) or different temperature (warmer or cooler) than surrounding tissue.
Stage I pressure ulcer
38
Partial loss of dermis with shiny or dry pink wound bed and may present as an intact or ruptured blister.
Stage II pressure ulcer
39
Full thickness skin loss with damage or necrosis of the subcutaneous tissue. Subcutaneous fat may be visible. Dead tissue may be present in wound bed,
Stage III pressure ulcer
40
Full thickness skin loss with exposed bone, muscle, or tendon. Dead tissue may be present in the wound bed.
Stage IV pressure ulcer
41
Mottled
marbled appearance that may be baseline but can be related to poor circulation or cardiovascular issues
42
two places to check for pallor regardless of skin tones
conjunctival sac, oral and buccal membranes
43
what to palpate erythema for
increased warmth, induration, tautness
44
places to check for early jaundice
junction of soft and hard palates, sclera, blanched forehead (usually starts at head, then trunk, then extremities)
45
central/circumoral cyanosis is an [early/late] sign of cyanosis
late -- they probably need oxygen.
46
occurring in a straight line
linear: can be discrete or confluent
47
arcs or rings
arciform: can be annular -- ringlike with raised borders around round, flat clear center
48
circular
circunate
49
several lesions grouped together
clustered or grouped
50
with wavy borders, snakelike aka gyrate
serpiginous
51
scale
secondary: shedding dead skin cells, may be dry and loose or oily and adherent. ex: psoriasis
52
fissure
secondary: linear cleft in the skin extending through epidermis into the dermis, they usually occur when skin is dry and thickened. Often seen in heels, between fingers and toes, sides of mouth
53
excoriation
secondary: loss of outer skin layers from itching or rubbing ex: scratched insect bite
54
erosion
secondary: loss of epidermis that does not extend into dermis ex: popped blister, ruptured chicken pox vesicle
55
keloid
palpable fibrous overgrowth after the scar formation
56
hemangioma
benign proliferation of blood vessels in the dermis
57
purpura
flat macular hemorrhage under skin, does not blanche, 3-10 mm, possibly raised
58
places to check for skin turgor
under clavicle (preferred) or on dorsal surface of hand
59
hirsutism
excessive growth of hair or hair in unusual places (can be related to hormonal imbalances)
60
clubbed nails
can be from chronic hypoxia
61
which direction is the clock oriented for documenting wounds?
noon is towards the head