Integumentary

Question 1

General Functions of Skin

Answer 1

Protection
Excretion
Maintenance of normal body temperature
Synthesis vitamin D3
Storage

Question 2

Primary Skin Lesion

Answer 2

1st lesion to appear (patch)

Question 3

Secondary Skin Lesion

Answer 3

when changes in primary lesion occur (crust, thickening)

Question 4

• Signs and Symptoms of Skin Disease
  
  • Pruritus (itching)

Answer 4

Older adults, DM, hyperthyroidism

Question 5

Signs and Symptoms of Skin Disease
Urticaria (hives)

Answer 5

Usually, allergic response to drugs or infections. Rarely lasts longer > 2 days

Question 6

Rash (eruption on the skin)

Answer 6

e.g., diaper rash, butterfly rash

Question 7

Xeroderma (dry skin)

Answer 7

Can get worse with the use of drying skin cleaners

Question 8

• Aging and the Integument
  
  • Epidermis

Answer 8

• thins (alters permeability)

Question 9

Aging and the Integument
Decreased inflammatory

Answer 9

responsiveness

Question 10

Aging
Vitamin D3 production declines by

Answer 10

75%

Question 11

Aging
Increased risk of

Answer 11

skin cancer

Question 12

Aging
Decreased _________
Increased __________

Answer 12

Elasticity
wrinkling, and slow wound healing

Question 13

Aging
Impaired

Answer 13

sensory perception

Question 14

Aging
Increased

Answer 14

pain threshold

Question 15

Aging
Change in

Answer 15

hair color and hair loss

Question 16

• Implications for PTs
  
  • Loss of collagen increases risk to

Answer 16

shearing force trauma

Question 17

Implications for PTs
Wound healing is

Answer 17

impaired (rate of healing is slower)

Question 18

Skin diseases are more common in

Answer 18

older adults than younger adults

Question 19

Implications for PTs
Care must be taken when using

Answer 19

electrical or thermal modalities with elderly

Question 20

Implications for PTs
Skin may be more

Answer 20

fragile (transfer and handling)

Question 21

Localized cold injury

Answer 21

frostbite

Question 22

Systemic cold injury

Answer 22

hypothermia

Question 23

Untreated or improperly treated frostbites can lead to

Answer 23

gangrene and amputation requiring therapy and rehabilitation

Question 24

• Localized cold injuries
  
  • Initial

Answer 24

vasoconstriction

Question 25

Ice crystals form in

Answer 25

tissues

Question 26

Cell membranes rupture with

Answer 26

compression

Question 27

Localized cold injuries Aggregation of

Answer 27

RBCs and microvascular occlusion

Question 28

- Superficial Frostbite - Affects

Answer 28

skin and subcutaneous tissue

Question 29

Superficial Frostbite As re-warming occurs the person will

Answer 29

feel pain

Question 30

- Deep Frostbite - Extends beyond

Answer 30

subcutaneous tissue

Question 31

Deep frostbite affects

Answer 31

the hands or feet

Question 32

Deep frostbite Skin becomes white until it has thawed and then turns

Answer 32

purplish blue

Question 33

Frostbite Treatment

Answer 33

- Warming the injured part without rubbing or massaging the area - Analgesics - Proper positioning - Debridement of blisters - Bulky dressings

Question 34

Frostbite treatment If a compartment syndrome occurs

Answer 34

fasciotomy may be required

Question 35

Long term effects of frostbite

Answer 35

- Increased sensitivity to cold - Burning and tingling upon re-exposure to cold - Increased sweating of the affected area

Question 36

Implications for PTs - Massage is contraindicated until

Answer 36

local tissue has healed