Integumentary Flashcards
Central cyanosis
Blue lips, gums, tongue
Maybe result from advanced lung disease, congenital heart disease, abnormal hemoglobin, pulmonary edema
Peripheral cyanosis
Blue fingertips, hands, feet
May be a sign of congestive heart failure, pulmonary edema, venous obstruction.
Jaundice
Yellow sclera, lips, conjunctiva, etc.
Liver disease or excess hemolysis
Carotenemia
Yellow palms, soles, face
Integumentary signs of hypothyroidism
Dry, rough skin
Cool to touch
Sparse hair
Integumentary signs of hyperthyroidism
Warm to touch
Velvety texture
Fine, silky hair
Decreased mobility of skin
Skin doesn’t lift easily
Sign of edema
Decreased turgor of skin
Skin doesn’t spring back when stretched
Sign of dehydration
Typical distribution of acne
Face
Back
Upper chest
Typical distribution of psoriasis
Elbows and knees
Alopecia
Diffuse patchy hair loss
Warning signs of malignant melanoma
Asymmetry
Borders
Colour
Diameter
Herpes Simples
Viral
Fluid filled blisters
Very contagious
Local CI
Chicken Pox
Viral
Itchy vesicles on trunk, face, limbs
Contagious
Absolute CI
Herpes zoster
Shingles
Itch, lesions along dermatome; pain
Mildly contagious
Local CI
Verruca
Warts Viral Papules on hands, feet, face Contagious Local CI
Impetigo
Bacterial
Crusty itchy honey coloured scabs on face
Contagious
local CI (gloves during Tx; bag and launder sheets immediately after)
Cellulitis
Bacterial
Painful, swollen, red
Not contagious
Local CI
Ringworm
Fungal infection
Contagious
Local CI. Wash sheets etc immediately
Candidiasis
Yeast infection
Blech
Somewhat contagious
Local CI
Scabies
Mites
Itchy ridges, papules
Very contagious
Absolute CI (wash linens in hot!)
Dermatitis & Eczema
Itchy red rash
Itchy vesicles, bullae, scaling plaques
Not contagious
Avoid open lesions; gently massage with oil over closed lesions
Venous eczema
AKA stasis dematitis
Hyperpigmented friable skin in calf area; burning scale patches; vesicular and crusty
Not contagious
Massage proximal to decrease edema and facilitate venous return
Psoriasis vulgaris
Chronic recurrent inflammatory scaling condition
Erythemous papules; silver scaly plaques
Not contagious
Local CI if open lesions, or due to client discomfort
Cherry angioma
Benign neoplasm with superficial capillary proliferation
Red dome shaped papule
Not contagious
Avoid stretching skin, and vigorous techniques
Venous lake
Benign neoplasm
Dilated capillaries on lips, face, ears of elderly
Dark blue, soft compressible spots
Not contagious
Avoid stretching skin, and vigorous techniques
Dermatofibroma
Benign neoplasm; proliferation of fibroblasts
Hyperpigmented discrete papules; dimples when surrounding skin pinched
Not contagious
Not CI’d
Epidermal inclusion cyst
Benign neoplasm Idiopathic, possibly trauma related Raised nodule filled with smelly goo Not contagious Not CI'd.
Hemangioma
Benign neoplasm
Superficial proliferation of blood vessels
Red to purple macules, often present at birth and resolve by puberty
Not contagious
Local CI for capillary hemangioma
Lipoma
Benign proliferation of fatty tissue beneath dermis
Mobile, soft, slightly compressible tumour
Not CId
Nevus
Mole
Benign proliferation of of normal skin components
Seborrheic keratosis
Idiopathic superficial lesions. Morgan Freeman freckles.
Most common in Asian and black women.
Actinic keratosis
Premalignant plaque, scale or papule Due to chronic sun exposure Lesions on face scalp hands Fair complexions Avoid frictions or torque
Basal cell carcinoma
Malignancy if epidermal basal cells Sun exposure Rarely metastasizes Waxy translucent papule; raised border; central ulceration Local CI
Malignant melanoma
Proliferation of melanocytes Cause not understood Can metastasize; potentially fatal Fair skin ABCD Local CI
Squamous cell carcinoma
Rumour of malignant keratinocytes Sun exposure, smoking, immunosuppression Rarely metastasizes Papules, plaques, nodules with crusty ulcerous portions Local CI
Pallor
Decreased redness
May be a sign of Anemia, arterial insufficiency
