Integumentary Flashcards

1
Q

Fast spreading inflammation that is a result of a bacterial infection.
S/S: redness that may spread quickly, skin that is warm or hot to touch, local abscess or ulceration, tenderness to palpation, chills, fever and malaise

A

Cellulitis

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2
Q

Superficial skin irritation.
S/S: intense itching, burning and red skin in areas corresponding to the location of the topical irritation.

A

Contact Dermatitis

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3
Q

AKA: Dermatitis
Infants and children are at a higher risk for this condition and may outgrow this with age. Geriatric population also at increased risk.
S/S: red or borwn-grey itch lichenified skin plaques that may be exacerbated some topical agents.

A

Eczema

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4
Q

Loss of vascular supply resulting in local tissue death. Fingers, toes, and limbs are most often affected.
S/S: Dark brown or black nonviable tissue that eventually becomes a hardened mass. Pt complains of cold or numb skin and may have pain.

A

Dry Gangrene

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5
Q

Bacterial infection of the tissue. May develop as a complication of infected untreated wound.
S/S: Swelling and pain at the site of infection, change in skin color from red to brown to black, blisters that produce pus, fever, general malaise.

A

Wet Gangrene

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6
Q

Chronic autoimmune disease of the skin and is the most common. T cells trigger inflammation within the skin and produce an accelerated rate of skin cell growth.
S/S: red raised blotches that typically present in a bilateral fashion (over the elbows or knees). Will tend to itch or flake.

A

Psoriasis

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7
Q

an injury usually caused by a blow that doesn’t disrupt skin integrity. Characterized by pain, edema, discoloration of the skin surface.

A

Contusion

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8
Q

separation, rupture or splitting of a wound closed by primary intention. Disruption previously approximated surfaces may be superficial or involve all layers of tissues.

A

Dehiscence

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9
Q

vascular layer of skin located below the epidermis containing hair follicles sebaceous glands, sweat glands, lymphatic and blood vessels and nerve endings.

A

Dermis

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10
Q

discoloration occurring below intact skin resulting from trauma to underlying blood vessels and blood seeping into tissues.

A

Ecchymosis

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11
Q

diffuse redness of the skin often resulting from capillary dilation and congestion or inflammation

A

Erythema

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12
Q

localized swelling or mass of clotted blood confined to a tissue, organ or space usually caused by a break in a blood vessel

A

Hematoma

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13
Q

increased thickness of granular layer of the epidermis that exceeds the surface height of the skin

A

Hypergranulation

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14
Q

excessive pigment in a tissue that causes it to appear darker than surrounding tissues

A

hyperpigmentation

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15
Q

abnormal scar formation that is out of proportion to the scarring required for normal tissue repair and is comprised of irregularly distributed collagen bands

A

Keloid

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16
Q

abnormal scar resulting from excessive collagen formation during healing, typically raised and red and firm with disorganized collagen fibers

A

Hypertrophic scar

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17
Q

skin softening and degeneration that results from prolonged exposure to water or other fluid

A

Maceration

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18
Q

scar characterized by the organized formation of collagen fibers that align in a parallel fashion

A

normotrophic scar

19
Q

relative speed with which the skin resumes it’s normal appearance after being lightly pinched.

20
Q

open sore or lesion of the kin accompanied by sloughing or inflamed necrotic tissue

21
Q

presents with a clear light color and a thin, watery consistency. Serous exudate is considered to be normal in a healthy healing wound.

22
Q

presents with a red color and a thin, watery consistency. Red due to the presence of blood.

A

Sanguineous

23
Q

light red or pink color and a thin, watery consistency. Considered normal in a healthy healing wound.

A

Serosanguineous

24
Q

presents as cloudy or opaque with a yellow or tan color and a thing watery consistency. Early warning sign of impending infection and is always an abnormal finding.

A

Seropurulent

25
presents as yellow or green color and a thick viscous consistency. Exudate is indicator of wound infection and is always considered an abnormal finding.
purulent
26
hard leathery, black/ brown dehydrated tissue that tends to be firmly adhere to the wound bed
Eschar
27
death or decay of tissue resulting from an interruption in blood flow to an area of the body.
Gangrene
28
callus, typically white/ grey in color and can vary in texture from firm to soggy depending on the moisture level in surrounding tissue.
Hyperkeratosis
29
moist stringing or mucionous, white/yellow tissue that tends to be loosely attached in clumps to the wound bed.
slough
30
Pink granulation tissue goal
protect wound, maintain moist environment
31
moist, yellow slough goal
remove exudate and debris, absorb drainage
32
black, thick eschar firmly adhered goal
debride necrotic tissue
33
Ulcer grade_____: no open lesion, my possess pre-ulcerative lesions
Grade 0
34
Ulcer grade ____: superficial ulcer not involving subcutaneous tissue
Grade 1
35
Ulcer grade ____: deep ulcer with penetration through the subcutaneous tissue, potentially exposing bone, tendon, ligament or joint capsule
Grade 2
36
Ulcer grade ____: Deep ulcer with osteitis, abscess or osteomyelitis
Stage 3
37
Ulcer grade ____: Gangrene of digit
Grade 4
38
Ulcer grade ____: Gangrene of foot requiring disarticulation
Grade 5
39
Pressure Ulcer stage_____: non blanched erythema of intact skin
Stage 1
40
Pressure Ulcer stage_____: partial-thickness skin loss with exposed dermis
Stage 2
41
Pressure Ulcer stage_____: full-thickness skin loss
Stage 3
42
Pressure Ulcer stage_____: full thickness skin and tissue loss
Stage 4
43
Pressure Ulcer stage_____: obscured full-thickness skin and tissue loss
Unstageable
44
Pressure Ulcer stage_____: Persistent non- blanched deep red, maroon or purple discoloration.
Deep Tissue pressure injury