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TDP > Integumentary System: History & Physical Examination > Flashcards

Integumentary System: History & Physical Examination Flashcards

1
Q

what are the things to note on a skin exam? (7)

A

CMMTTTL

Color changes: cyanosis, jaundance, bruising, pale

Mobility: how easy it is to lift up

Moisture: dry, oily, sweating

Texture: scaly, smooth, rough

Turgor: how fast the skin goes back to normal: less than 2 seconds: normal

temperature: use back of fingers

Lesions: notice location and distribution

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2
Q

what do you note for each lesion you find on a fullbody exam?

A

LSNTDCC

Location:

size: in mm or cm

number: single or multiple

Texture: verrucous, smooth, fleshy, warty, scaly

distribution: how the lesions are spread out (random, pattern, symmetric, asymmetric, sun exposed area or not )

Color: skin colored, erythema (red)

Configuration: shape of single lesion or arramgement of a group of lesions

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3
Q

pallor

cyanosis

jaundice

erythema

are used to decribe ______

A

Skin apperance (or color changes)

Pallor: Pale skin

Cyanosis: Blue coloration of skin (due to decreased oxygen or blood flow)

Jaundice: Yellow discoloration of skin (usually due liver issues)

Erythema: Red lesions/rash

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4
Q

Skin Lesions Configuration:

A

Skin Lesions Configuration:

Linear or striate: Configured in a straight line

Annular: Configured in a ring-like formation with central clearing

Nummular or discoid: Configured in a coin-shaped without central clearing

Target, Bull’s eye, Iris: Configured in rings with central duskiness

Serpiginous or gyrate: Configured in a linear branched formation with curving elements

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5
Q

Linear or striate:

A

Linear or striate: Configured in a straight line

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6
Q

Annular:

A

Annular: Configured in a ring-like formation with central clearing

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7
Q

Nummular or discoid:

A

Configured in a coin-shaped without central clearing

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8
Q

Target, Bull’s eye, Iris:

A

Configured in rings with central duskiness

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9
Q

Serpiginous or gyrate:

A

Serpiginous or gyrate: Configured in a linear branched formation with curving elements

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10
Q

identify

A
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11
Q

what are the skin red flags?

A

Screening Melanomas:
“ABCDE-EFG”

A- Asymmetry (each side of mole)
B- Border irregularity
C- Color variations (more than 2 colors)
D- Diameter (> 6mm)
E – Evolving or changing in size, symptoms or morphology
E – Elevation
F – Firmness
G – Growing over several weeks

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12
Q

macules vs patches

A

“FLAT & DRY”
Macule: Circumscribed flat area of
change in color of the skin < 1 cm in diameter
Patch: Circumscribed flat area of change in color of the skin > 1 cm in diameter

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13
Q

Papule:

vs

Nodule:

vs

Plaque:

A

“RAISED AND DRY”

Papule: Small solid elevation of the skin < 1 cm in diameter

Nodule: Solid elevation oftheskin>1cmin diameter extending deeper into skin layers

Plaque: Large flatter elevation of skin formed by papules coalescing

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14
Q
A

“FLAT & DRY”

Macule: Circumscribed flat area of
change in color of the skin < 1 cm in diameter
Patch: Circumscribed flat area of change in color of the skin > 1 cm in diameter

macule turns into a patch

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15
Q
A
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16
Q

pastule vs vesicle vs bulla

A

“RAISED AND FILLED”

Pustule: Small circumscribed
elevation of epidermis filled with purulent fluid

-Vesicle: < 1 cm in diameter

-Bulla: > 1 cm in diameter

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17
Q
A
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18
Q

measurements of lesions

A
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19
Q

what is this and what are their measurements?

A

ecchymosis: bruise

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20
Q
A
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21
Q

_______Thickened, hardened, leathery area of skin

A

Lichenification:

22
Q

_______A scab

A

crust

23
Q

______Build up of dead skin cells caused by abnormal growth rate and shedding

A

Scale: Build up of dead skin cells caused by abnormal growth rate and shedding

24
Q

chronic skin picking

A

Excoriation: chronic skin picking

25
Q

____firm, raised areas of skin that form when scar tissue builds up after a wound.

A
26
Q

____Prominent dilated superficial blood vessels

A

Telangiectasia: Prominent dilated superficial blood vessels

27
Q

______Linear crack from epidermis into dermis

A

Fissure

28
Q

____Thinning of skin with loss of skin markings

A
29
Q

_______Diffuse or circumscribed hardening of skin

A
30
Q

______ Replacement of destroyed dermis by fibrous tissue

A
31
Q
A
32
Q

Nikolsky Sign:

A
33
Q

hair exam:

A

inspect for SSEBBT

34
Q
A
35
Q

nail exam:

A
36
Q
A
37
Q

clubbing of finger

A
38
Q

onycholysis

A
39
Q

terry nails

A
40
Q
A
41
Q

how to perform a general skin exam

A

inspect

42
Q

Skin Lesions-rimary vs Secondary

A
43
Q
A

onycholysis

44
Q
A

terry nails

45
Q
A
46
Q
A
47
Q

Hair Terminology
Alopecia:

Types of Hair:
Vellus Hair:
Terminal Hair:

A

Hair Terminology
Alopecia: Hair loss

Types of Hair:
Vellus Hair: light, short, fine hair that covers most of the body
Terminal Hair: long, thicker, darker hair that grows on the head/eyebrows

48
Q

functions of hair

A
49
Q

functions of skin

A
50
Q

function of nails

A
51
Q
A

TDP (7 decks)

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