integumentary Flashcards

1
Q

bulla

A

circumscribed collection of free fluid >1 cm

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2
Q

macule

A

circular flat discoloration < 1 cm

brown, blue, red, or hypopigmented

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3
Q

nodule

A

circular, elevated, solid lesion >1 cm

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4
Q

patch

A

circumscribed flat discoloration >1cm

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5
Q

papule

A

superficial solid elevated <0.5 cm, color varies

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6
Q

plaque

A

superficial elevated, solid, flat topped liesion >1cm

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7
Q

pustule

A

vesicle containing puss

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8
Q

vesicle

A

circular collection of free fluid <1cm

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9
Q

wheal

A

edematous, transitory, plaque, may last a few hour

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10
Q

scale

A

epidermal thickening, consists of flakes of plates of compacted desquameted layers of strateum corneum

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11
Q

crust

A

dried serum or exudate on skin

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12
Q

fissure

A

crack or split

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13
Q

excoriation

A

linear erosion

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14
Q

erosion

A

loss of epidermis, superficial, part or all of the epidermis has been lost

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15
Q

lichenification

A

thickening of the epidermis seen with exaggeration of normal skin lines

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16
Q

scar

A

thickening, permanent fibrotic changes that occur on the skin following damage of the epidermis

17
Q

2 types of hair

A

vellus (peach fuzz)
terminal hair
nails

18
Q

premature infant consideration

A

thin strateum corneum
increased permeability
lanugo

19
Q

infants and children considerations

A

underdeveloped SQ tissue
desquamation
low melanin production
sweat glands not active in first few weeks of life

20
Q

adolescent considerations

A

epidermal thickening
increased pigmentation
increased SQ fat
sebum production
terminal hair development

21
Q

pregnancy considerations

A

reddened skin
increased sweat and sebaceous activity
thickened skin
increased hair production

22
Q

geriatric considerations

A

decreased collagen and elasticity
decreased vascularity
decreased SQ fat
decreased melanocyte function
terminal hair –>vellus hair
hormone changes
slow nail growth

23
Q

infant questions

A

feeding - breast vs formula
hair/skin/nail products
wardrobe
elimination - diarrhea?

24
Q

children/adolescent questions

A

diet
ID’d allergies
ill contacts
activities - sports uniforms
pets - allergy testing
habits
associated conditions - asthma, eczema

25
Q

pregnancy questions

A

pregnancy details
skin/hair/nail care
exposures
pre-pregnancy skin /hair/nail disorders

26
Q

geriatric questions

A

sensation changes (DM)
fall risk
medication (any changes?)
bowel/bladder difficulties
nutritional assessment

27
Q

clubbing assessment

A

nail base angle

28
Q

pedunculation

A

on a stalk

skin tag

29
Q

varicella

A

red papules, some with crusting, vesicles with an erythematous base

30
Q

psoriasis

A

plaque on erythematous base with silvery scales