Integumentary Flashcards

1
Q

4 cardinal signs of inflammation

A
  • rubor (redness)
  • calor (increased heat)
  • tumor (swelling)
  • dolor (pain)
  • functiolaesa (loss of function)
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2
Q

cherry red palmar erythema could indicate what

A

liver or renal issues

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3
Q

brown color associated w/

A

venous insufficiency - hemosiderinosis

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4
Q

hair changes w/ hypo and hyperthyroidism

A

hypo - thinning hair

hyper - silky hair

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5
Q

hirsutism
- what does it indicate

A

male pattern hair growth (facial and body) in women
- may indicate polycystic ovary syndrome

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6
Q

indolent ulcer

A

slow to heal ulcer; not painful

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7
Q

What is contraindicated w/ shingles?

A

heat or ultrasound - can increase severity of symptoms

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8
Q

butterfly rash across nose is indicative of what

A

systemic lupus erythematosus

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9
Q

systemic sclerosis (scleroderma)
- what accompanies it?

A

autoimmune disease of connective tissue causing fibrosis of skin, joints, blood vessels, and internal organs
- accompanied by Raynaud’s

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10
Q

PT management of systemic sclerosis (scleroderma)

A

slow development of contractures and deformities, skin management, exercise, and joint protection
- pt are sensitive to pressure

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11
Q

polymyositis affects what

A

primarily proximal muscles - shoulder and pelvic girdles, pharynx
- symmetrical distribution

characterized by edema, inflammation, and degeneration of proximal muscles

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12
Q

PT management of plymyositis

A

fatigue management
- low level exercise

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13
Q

ABCDEs of skin cancer

A

Asymmetry
Border
Color
Diameter
Elevation (evolving)

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14
Q

arterial vs venous ulcers: pulses

A

arterial - decreased or absent

venous - usually present

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15
Q

arterial vs venous ulcers: pain

A

arterial - painful, especially if legs elevated

venous - little pain, comfortable w/ legs elevated

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16
Q

arterial vs venous ulcers: drainage

A

arterial - not present

venous - moderate to large amounts of exudate

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17
Q

arterial vs venous ulcers: associated signs

A

arterial - trophic changes, pallor on foot elevation, dusky rubor on dependency

venous - edema, stasis dermatitis, possible cyanosis on dependency

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18
Q

high compression is contraindicated w/ ABI ____

A

ABI < 0.7

All sustained compression is contraindicated w/ ABI , 0.6 or active DVT

19
Q

hyper vs hypotrphic scare

A

hyper - raised scar that stays within the boundaries of the burn wound

hypo - flat and depressed below the surrounding skin

20
Q

keloid scar
- who is it more common in?

A

raised scar that extends beyond the boundaries of the original burn wound and is red, raised, and firm
- more common in young women and those w/ dark skin

21
Q

goals for burn rehab

A
  • limit loss of ROM
  • reduce edema
  • prevent predictable contractures through positioning and splinting
  • prevent or reduce complications of immobilization
22
Q

common deformity and what to stress w/ burn: anterior neck

A

common deformity is flexion

stress hyperextension position w/ firm cervical orthosis

23
Q

common deformity and what to stress w/ burn: shoulder

A

common deformity is flexion and pronation

stress extension and supination; position in extension w/ posterior arm splint

24
Q

common deformity and what to stress w/ burn: elbow

A

common deformity is a claw hand

stress wrist extension, MP flexion, PIP, DIP extension, thumb abduction

25
Q

common deformity and what to stress w/ burn: hip

A

common deformity is flexion and adduction

stress hip extension and abduction; position in extension, abduction, neutral rotation

26
Q

common deformity and what to stress w/ burn: knee

A

common deformity is flexion

stress extension; position in posterior knee splint

27
Q

common deformity and what to stress w/ burn: ankle

A

common deformity is PF

stress DF; position in splint w/ neutral ankle

28
Q

red flags for burn rehab

A
  • postgrafting: discontinue exercise for 3-5 days to allow grafts to heal
  • avoid shearing and avoid prolonged dependent positioning
29
Q

viable vs nonviable wound bed dressing

A

viable - choose dressing that promotes moist wound healing and fills dead space

nonviable - choose the best type of debridement to remove necrotic tissues, slough, or bioburden

30
Q

T/F: Whirlpool therapy is not supported for wound care

A

true

31
Q

BMI less than or = to _____ means there is increased risk for pressure injury

A

BMI </= 21 w/ weight loss

32
Q

interventions for chronic arterial insufficiency

A

exercise - walking 3-5 x wk, 30-60 min

contraindications - chronic ischemic rest pain, ulcerations, gangrene, or ABI < 0.4

33
Q

Stage 1 pressure injuries are characterized by

A

nonblanchable erythema of intact skin. In this scenario, the skin is not intact.

34
Q

Stage 2 pressure injuries are characterized by

A

partial-thickness skin loss involving the epidermis, dermis, or both (e.g., abrasion, blister, or shallow crater).

35
Q

Stage 3 pressure injuries are characterized by

A

full-thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to but not through underlying fascia (deep crater with or without undermining).

36
Q

Stage 4 pressure injuries are characterized by

A

full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g., tendon or joint capsule).

37
Q

Which of the following tests is MOST accurate for assessing volume reduction in a patient who has lymphedema?

A

Water displacement

38
Q

Uveitis is commonly found in patients who have

A

ankylosing spondylitis

39
Q

Urethritis is commonly found in patients who have

A

Reiter syndrome

40
Q

Reiter syndrome

A

reactive arthritis - caused by an infection

41
Q

common findings in patients who have systemic lupus erythematosus

A

Skin rashes, fever, fatigue, malaise, photosensitivity, dyspnea, cough, and peripheral neuropathies

42
Q

Psoriasis is commonly seen in patients who have

A

psoriatic arthritis

43
Q

Pitting is generally more pronounced in the_____stages of lymphedema

A

early