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NP course > Integumentary > Flashcards

Integumentary Flashcards

1
Q

Erysipelas

A

Upper dermis, raised, fever and chills, common sites: ears, face, lower extremities, organism is strept

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2
Q

Cellulitis

A

Deeper dermis, poor demarcation, usually no fever, common sites: periorbital or lower extremities, organisms staph and strept

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3
Q

How do you treat Erysipelas?

A

Perenteral antibiotics, ceftiraxone or cefazolin

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4
Q

When should you FU on skin infections such as cellulitis?

A

48 hours

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5
Q

How do you manage bites?

A

Clean and flush thoroughly, antibiotic prophylaxis in high risk cases, tetanus

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6
Q

When do you give shingles vaccine?

A

age 60 for the immunocompetent

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7
Q

Sx of lupus

A

fatigue, joint aches, butterfly rash, PAINLESS oral ulcers, renal involvement 50%, peptic ulcers

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8
Q

Test for lupus

A

ANA. Needs to be 1:160 or higher

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9
Q

Actinic keratosis (AK)

A

sun exposure major risk, few progress to squamous cell carcinoma

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10
Q

Basal cell carcinoma

A

Most common age 50-60, head and neck, pearly domed nodule leading to central ulceration and crusting, 40X more common than squamous cell

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11
Q

squamous cell carcinoma

A

head and neck common, papules, plaques, nodules, smooth, may bleed easily, need to biopsy to be sure

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12
Q

Malignant melanoma age

A

Usual age is 40s, think ABCDE

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13
Q

Atopic dermatitis

A

pruritis is main sx, chronic and recurrent, family hx allergic disease

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14
Q

Uticaria (HIves)

A

Pruritic (intense) circumscribed, raised, red with central pallor.

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15
Q

Impetigo

A

honey colored crusts

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16
Q

Pityriasis rosea

A

herald patch

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17
Q

Pityriasis rosea

A

christmas tree pattern rash

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18
Q

scabies

A

burrows

19
Q

tinea copurus

A

well circumscribed lesion found on the trunk

20
Q

Sandpaper textured rash

A

strep, trunk first

21
Q

Basal Cell carcinoma

A

pearly domed nodule

22
Q

Candida

A

bright, beefy, red rash

23
Q

Psoriasis

A

Silvery scales

24
Q

Head lice

A

nits

25
Q

Macule

A

Flat discoloration, usually < 1cm in diameter, Ex freckle

26
Q

Patch

A

Flat area of skin discoloration, larger than a macule Ex vitiligo

27
Q

Papule

A

Raised lesion < 1 cm May be the same or different color from the surrounding skin Ex raised nevus

28
Q

Vesicle

A

Fluid filled, < 1cm Ex varicella

29
Q

Plaque

A

Raised lesion > 1cm May be the same or different color from the surrounding skin Ex psoriasis

30
Q

Purpura

A

Lesions caused by red blood cells leaving circulation and becoming trapped in the skin Ex Petechiae, ecchymosis

31
Q

Pustule

A

Vesicle like lesion with purulent content Ex impetigo, acne

32
Q

Wheal

A

Circumscribed area of skin edema Ex Hive

33
Q

NOdule

A

Raised lesion > 1cm usually mobile Ex epidermal cyst

34
Q

Bullae

A

Fluid filled > 1cm Ex blister from 2nd degree burn

35
Q

Excoriation

A

Marks produced by scratching Ex seen in areas of pruritic skin lesions

36
Q

Lickrnification

A

Skin thickening resembling callus formation Ex Seen in areas of repeated scratching

37
Q

Fissure

A

Narrow linear crack into epidermis exposing the dermis, ex split lip, athletes foot

38
Q

Erosion

A

Partial focal loss of the epidermis exposing dermis Ex Area exposed after bullous lesion opens

39
Q

Ulcer

A

Loss of epidermis and dermis, heals without scarring Ex pressure sore

40
Q

Scale

A

Raised flaking lesion Ex dandruff, psoriasis

41
Q

Atrophy

A

Loss of skin markings and full thickness Ex high potency steroid use

42
Q

Annular

A

In a ring Ex Lyme disease

43
Q

Reticular

A

Netlike cluster

NP course (12 decks)

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