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Health Promotion and Assessment > Integumentary assessment > Flashcards

Integumentary assessment Flashcards

1
Q

What consists of the integumentary system?

A

Skin, hair, nails, sweat glands

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2
Q

What vitamin does the skin help synthesize?

A

Vitamin D

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3
Q

The thickness of the epidermis remains ________. Which layer does not.

A

constant

Subcutaneous get thinner with age

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4
Q

What does the dermis do?

A

Provides support to the epidermis and has our nerves and blood supply to support the nutritional demands of the epidermis.

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5
Q

What is the purpose of the SC layer?

A

Contains fat and is an insulation/caloric storage layer

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6
Q

What are some risk factors for the integumentary system?

A

Nutrition status
Immobility
Infectious diseases
UV exposure - natural or artificial

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7
Q

How is immobility relevant to the integumentary system?

A

Pressure wounds can develop in minutes in immobile people due to pressure or friction on bed or bony prominences

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8
Q

What are some areas for help promotion regarding the skin?

A

Tanning beds/UV exposure

Self-examination

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9
Q

Which persons do we emphasize self-examination?

A

Those who are high risk:

- burn easily, fair skin, lots of nevi, family history, atypical nevi

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10
Q

What is the acronym ABCDE for? What does it stand for?

A 
Melanoma
A - Assymetry
B - Border
C - Colour
D - Diameter
E - evolution/elevation
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11
Q

More agressive benign tumour that generally appears in non sun-exposed areas.

A

Squamous cell carcinoma

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12
Q

Usually a more cosmetic, non-malignant tumour

A

basal cell carcinoma

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13
Q

What are some risk factors for integumentary disease?

A

Family history
Past history
Medications
Lifestyle, occupational, personal behaviours

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14
Q

The integumentary system is one of the only systems in which you can ________ before you ask anything else.

A

Inspect

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15
Q

What is important when performing an inspection for the integumentary system?

A

Inspect all areas, and make sure clothes are off

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16
Q

Where is the best place to assess skin turgor?

A

Below the clavicle

17
Q

Why is mobility important?

A

If something is not mobile, more likely to be a mass or tumour

18
Q

How does the thyroid affect hair?

A

Thyroid disorder will cause hair to be brittle or dry.

Hyperthyroidism will make it very oily

19
Q

What is the difference between a primary and secondary lesion?

A

Primary appears initially. Secondary results from a change in the primary lesion

20
Q

Lesion over 1cm

A

Plaque

21
Q

Pus-filled papule

A

Pustule

22
Q

Fluid-filled burn

A

Bulla

23
Q

Flat, circumscribed, less than 1cm in diameter

A

macule

24
Q

Tends to be raised, less than 1cm.

A

papule

25
Q

Raised, flesh-coloured or red plaque of various sizes and shapes. Common for allergies

A

Wheal

26
Q

Fluid-filled, erythematous base.

Chicken pox is an example.

A

Vesicle

27
Q

Mobile and fluid filled, distinct.

A

Cyst

28
Q

Overhealing of skin, most often seen in African Americans.

A

keloid

29
Q

What is used to treat keloids?

A

Inject steroids

30
Q

Evidence of scratching. Place where the skin is scraped or abraded

A

excoriation

31
Q

Eczema tends to happen in what areas?

A

Areas of flexion - antecubital fossa and popliteal fossa

32
Q

What is the typical rash of lime disease/

A

Bulls eye

33
Q

What is the characteristic colour of psoriasis and what happens if you take off a plaque?

A

Silvery,

bleeds if take plaque off

34
Q

What is characteristic of ringworm?

A

Erythematous around it, well, circumscribed with central clearing.

35
Q

Melasma and linea nigra most often occur to what people?

A

Pregnant women

36
Q

PCOS will cause a higher incidence of what kind of skin disorder?

A

Acne

37
Q

What are some cultural considerations to keep in mind when performing an integumentary assessment?

A

Some people will need a clinician of the same sex for exposing skin, etc.
Some conditions are more common for certain ethnicities.

38
Q

What are some common laboratory and diagnostic testing done for the skin?

A

Scraping
Biopsy
Culture and sensitivity or viral swab

39
Q

What disease, manifested on the skin, does not pass the midline and follows a dermatomal pattern?

A

Shingles

Health Promotion and Assessment (13 decks)

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