Integumentary Flashcards

1
Q

How does skin change as it ages?

A
  • decreased elasticity
  • decreased sweat gland
  • thinner skin, increased breakdown
  • reduction in SUBQ fat
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2
Q

How do hair and nails change as they age?

A
  • reduced melanocyte and sebaceous gland function
  • hair follicles diminish in number and activity
  • nails thicken, become softer, and growth slows
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3
Q

Focused skin assessment questions

A
  • skin cancer history
  • allergies, hypersensitivities
  • changes
  • lesions
  • unusual texture
  • skin temp not congruent with room temp
  • easy bruising
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4
Q

Focused assessment hair and nails

A
  • changes in hair texture
  • hair loss
  • hair treatments
  • changes in growth or look of nails
  • recent trauma to nails
  • medical issues, i.e., peripheral vascular disease or DM
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5
Q

Hair exam

A
  • inspect hair and scalp (color, quantity, distribution of hair)
  • palpate texture of hair
  • palpate scalp for mobility and tenderness
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6
Q

Nail exam

A
  • inspect nails (color, condition, texture, shape)
  • palpate for texture (smooth, uniform texture)
  • assess papillary refill
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7
Q

Skin exam

A
  • palpate temp, turgor, texture, moisture
  • inspect color
  • inspect for edema
  • identify lesions
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8
Q

Common lesions with age

A
  • xanthelasma (deposits of cholesterol around eyes)
  • lentigines
  • seborrheic keratosis
  • senile purpura
  • fragile skin
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9
Q

term for where skin touches skin

A

Intertriginous

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10
Q

What you palpate for on skin

A
  • temp
  • turgor
  • texture
  • moisture
  • edema
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11
Q

Characteristics that identify lesions

A
  • size
    -shape/pattern
  • color
  • distribution
  • texture
  • surface relationship
  • exudate
    -tenderness, pain, itching
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12
Q

Macule

A

Flat, <1 cm

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13
Q

Patch

A

Flat, > 1 cm

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14
Q

Papule

A

< 1 cm, raised

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15
Q

Plaque

A

> 1 cm, raised

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16
Q

Tumor

A

> 1 cm, raised

17
Q

Nodule

A

> 1 cm, raised

18
Q

Vesicle

A

< 1 cm, fluid-filled

19
Q

Bulla

A

> 1 cm, fluid-filled

20
Q

Secondary skin lesions

A
  • excoriation
  • erosion
  • fissure
  • ulcer
  • scales
  • crust
  • scars (icl. keloid)
  • atrophic scar