Lecture 5 - Integumentary System Flashcards
Lecture 5 - Integumentary System
_________ is localized staphylococcus infectison of the skin
boils
Lecture 5 - Integumentary System
another name for boils
furuncles
Lecture 5 - Integumentary System
group of furnuncles is called
carbuncle
Lecture 5 - Integumentary System
etiology of boils
bacterium that is usually the cause is S. aureus
Lecture 5 - Integumentary System
s&s of boils
painful, red, hot pustules
Lecture 5 - Integumentary System
Tx of boils
hot compresses
sometimes antibodies
never pop a boil!
Lecture 5 - Integumentary System
why don’t pop boil
may drive infection deeper
Lecture 5 - Integumentary System
MT for boils
CI locally
sheets must be isolated and washed with extra bleach
Lecture 5 - Integumentary System
_________ is a streptococcal infection of the cells in the skin
erysipelas
Lecture 5 - Integumentary System
erys
red
Lecture 5 - Integumentary System
erysipelas originally called
st. anthony’s fire
Lecture 5 - Integumentary System
etiology of erysipelas
strep under the skin
Lecture 5 - Integumentary System
once strep gets under the skin (erysipelas) the infection becomes
systemic
Lecture 5 - Integumentary System
the redness from erysipelas is caused by
enzymes produced by strep bacteria that break down and kill skin cells
Lecture 5 - Integumentary System
how does strep gain access to skin (erysipelas)
opportunistic - break in skin
Lecture 5 - Integumentary System
signs of erysipelas
begins with tender swollen area usually on face or lower legs
Lecture 5 - Integumentary System
red streaks in erysipelas run towards
lymph nodes
Lecture 5 - Integumentary System
symptoms of erysipelas
fever
chills
systemic discomfort
painful inflammation
Lecture 5 - Integumentary System
Tx of erysipelas
penicillin
varies anitbiotics
Lecture 5 - Integumentary System
MT for erysipelas
CI until infection has completely passed
Lecture 5 - Integumentary System
other terms for fungal infection
mycoses
dermatophytosis
Lecture 5 - Integumentary System
fungal infection can involve _________ types of fungi
different
Lecture 5 - Integumentary System
lesions in fungal infections are called
tinea
Lecture 5 - Integumentary System
dermatophytes live on
keratin
Lecture 5 - Integumentary System
dermatophytes thrive in
warm, most places
Lecture 5 - Integumentary System
area on body dermatophytes prefer
skin folds
toes - groin
Lecture 5 - Integumentary System
fungal infections tend to infect people with
depressed or sluggish immune systems
Lecture 5 - Integumentary System
how are fungal infections transmitted
touch
skin to anything with fungus on it
Lecture 5 - Integumentary System
_________ is bodyworm
tinea corporis
Lecture 5 - Integumentary System
_________ is head ringworm
tinea captitis
Lecture 5 - Integumentary System
_________ is athlete’s foot
tinea pedis
Lecture 5 - Integumentary System
_________ is jock itch
tinea cruris
Lecture 5 - Integumentary System
_________ is hand ringworm
tinea manus
Lecture 5 - Integumentary System
_________ is beared face
tinea barbae
Lecture 5 - Integumentary System
_________ is skin under finger and toesnails
tinea unguium
Lecture 5 - Integumentary System
signs of tinea corporis
red circles or rings
Lecture 5 - Integumentary System
signs of tinea capitis
itchiness or flaking of scalp, hair loss
Lecture 5 - Integumentary System
who usually develops tinea capitis
infants
Lecture 5 - Integumentary System
signs of tinea pedis
weeping blisters; cracking, peeling skin
Lecture 5 - Integumentary System
signs of tinea cruris
upper thigh and buttocks
caused by yeast infections
Lecture 5 - Integumentary System
Tx of fungal infections
external application of fungicide unless under nails then internal
Keep area dry
Lecture 5 - Integumentary System
MT for fungal infection
CI in every phase
Lecture 5 - Integumentary System
_________ is a viral infection which can spread on to the skin
herpes simplex
Lecture 5 - Integumentary System
herpo
to creep
Lecture 5 - Integumentary System
etiology of herpes simplex - oral
oral or respiratory secretions
Lecture 5 - Integumentary System
etiology of herpes simplex - genital
genital mucous secretions during skin-skin contact; never fully eliminated from body
Lecture 5 - Integumentary System
s&s herpes simplex
cold sores/fever blisters around mouth
blisters on genitals, thighs, buttocks
Lecture 5 - Integumentary System
herpes simplex blisters last about how long
2 weeks
Lecture 5 - Integumentary System
herpes outbreaks are preceded _________ of tingling, itching, or pain
2-3 days
Lecture 5 - Integumentary System
Tx of herpes simplex
acyclovir or other anti-viral drug
Lecture 5 - Integumentary System
MT herpes simplex
CI for acute herpes
Lecture 5 - Integumentary System
herpes I
simplex - mouth
Lecture 5 - Integumentary System
herpes II
genital
Lecture 5 - Integumentary System
herpes whitlow
around nail beds
Lecture 5 - Integumentary System
_________ is bacteria infection that is especially common in children
impetigo
Lecture 5 - Integumentary System
etiology of impetigo
caused by both staphylococcus and streptococcus bacteria
Lecture 5 - Integumentary System
s&s of impetigo
rash with small blisters or pustules filled with clear or murky fluid; itchy skin, often around the mouth
Lecture 5 - Integumentary System
Tx of impetigo
topical antibiotic cream
oral antibiotics
Lecture 5 - Integumentary System
MT for impetigo
CI unless lesions have completely healed
Lecture 5 - Integumentary System
_________ are anthropods
mites
Lecture 5 - Integumentary System
_________ skin lesions caused by microscopic anthropods that drink blood
mites
Lecture 5 - Integumentary System
etiology of mites
female mites: sarcoptes scabiei burrow under skin in warm moist areas where they drink blood, defficate, urinate, and lay eggs.
Lecture 5 - Integumentary System
what is the irritant with scabies/mites
waste
Lecture 5 - Integumentary System
s&s of mites/scabies
itchy reaction
colorized skin at infection
irritated blisters or pustules
Lecture 5 - Integumentary System
where are mites/scabies the itchiest
at night
along skin folds, betline
Lecture 5 - Integumentary System
Tx for mites
bathing with pesticidal soap
washing and isolating bed towels, sheets, etc
Lecture 5 - Integumentary System
MT for mites
CI until the condition is completely irradicated
Lecture 5 - Integumentary System
what is worst nightmare for massage therapist=hygiene.
lice/scabies infection
Lecture 5 - Integumentary System
_________ are insects that live in head hair and suck blood from the scalp
head lice
Lecture 5 - Integumentary System
what is the irritant from head lice
saliva
eggs at base of hair shaft
Lecture 5 - Integumentary System
_________ is lice eggs
nites
Lecture 5 - Integumentary System
s&s of head lice
nites cling to hair shafts and look like tiny grains of rice, can be dark.
itchiness and sensation of movement on the scalp
Lecture 5 - Integumentary System
Tx of head lice
repeated applications of pesticidal shampoo
hair combing
smother lice with mayo, wrap in plastic wrap overnight
wash all linens
Lecture 5 - Integumentary System
MT for head lice
CI until condition is eradicated
Lecture 5 - Integumentary System
head lice is called
pediculosis
Lecture 5 - Integumentary System
where are head lice often found
caps and hats
Lecture 5 - Integumentary System
head lice can
jump
Lecture 5 - Integumentary System
pubic lice are called
crabs
Lecture 5 - Integumentary System
pubic lice can not
jump
Lecture 5 - Integumentary System
where are pubic lice found
pubic hair
body hair
armpit hair
eyebrows and eyelashes
Lecture 5 - Integumentary System
_________ is a tumor
neoplasm
Lecture 5 - Integumentary System
_________ is a neoplasm that arises from kerotinocytes in the epidermis
warts
Lecture 5 - Integumentary System
word for wards
verruca vulgaris
Lecture 5 - Integumentary System
etiology of warts
slow acting viruses
HPV
Lecture 5 - Integumentary System
s&s warts
hard cauliflower-like growths
hard and scaly
usually occurring on hands
can impair function
Lecture 5 - Integumentary System
Tx of warts
salicylic acid
liquid nitrogen
apple cider vinegar and duct tape
Lecture 5 - Integumentary System
MT for warts
locally CI
Lecture 5 - Integumentary System
wart on foot
plantar wart
Lecture 5 - Integumentary System
genital warts caused by HPV has a high correlation to
cervical cancer
Lecture 5 - Integumentary System
_________ is a bacterial infection of sebaceous glands
acne
Lecture 5 - Integumentary System
acne is usually found where
face
neck
upper back
Lecture 5 - Integumentary System
etiology of acne
proprionibacterium acnes is primary bacteria
Lecture 5 - Integumentary System
what clogs up behind the blockage of duct in acne
sebum
Lecture 5 - Integumentary System
s&s acne
raised, inflammed pustules on skin
locally painful
Lecture 5 - Integumentary System
Tx of acne
topical steroids applied for anti-inflammatory
change in diet
antibiotics
Lecture 5 - Integumentary System
MT acne
CI on the lesions as they are infections
Lecture 5 - Integumentary System
blackheads are caused by
oxidation
Lecture 5 - Integumentary System
_________ is atopic, non-contagious skin rash usually brought on by allergic reaction
dermatitis - eczema
Lecture 5 - Integumentary System
where is eczema usually located
flexation areas
inside elbow
behind knee
Lecture 5 - Integumentary System
etiology of eczema
overreactions of immune system to some irritant
genetic connection?
Lecture 5 - Integumentary System
s&s of eczema
usually appears as very dry, flaky skin or blistered, weepy skin
red, swollen, itchy, tender
Lecture 5 - Integumentary System
Tx of eczema
isolating and avoiding irritant
hydration of skin
moisturizer/emollient
corticosteroid cream
Lecture 5 - Integumentary System
MT eczema
acute systemic CI until all inflammation has subsided
Lecture 5 - Integumentary System
atpoic eczema is
inherited tendency
Lecture 5 - Integumentary System
contact ermititis is
delayed onset
Lecture 5 - Integumentary System
_________ is hives
urticaria
Lecture 5 - Integumentary System
_________ is inflammatory skin reaction to allergen or emotional stressor
hives
Lecture 5 - Integumentary System
etiology hives
mast cells release histamine
Lecture 5 - Integumentary System
histamine causes
vasodilation
cell permeability
lots of edema
localized inflammatory response
Lecture 5 - Integumentary System
what causes itching in hives
edema pressing on nerve endings
Lecture 5 - Integumentary System
s&s hives
itchy and hot to touch
Lecture 5 - Integumentary System
hives start as
small raised reddened areas
Lecture 5 - Integumentary System
early hives are called
wheals
Lecture 5 - Integumentary System
wheals join to become
irregular patches
Lecture 5 - Integumentary System
Tx of hives
antihistamines
Lecture 5 - Integumentary System
MT of hives
CI in acute phase
Lecture 5 - Integumentary System
hives are a _________ allergic reaction
type I
Lecture 5 - Integumentary System
_________ is a serious reaction to allergen. resulting in airway closing
anaphylactic shock
Lecture 5 - Integumentary System
_________ are isolated areas where the pigment cells in the epidermis have produced excess melanin
mole
Lecture 5 - Integumentary System
another term for mole
nevi
Lecture 5 - Integumentary System
etiology of mole
genetically programmed to develop before the age of 20
may become elevated and grow course dark hairs
Lecture 5 - Integumentary System
s&s of moles
small, symmetrical shape from light tan to blackish-blue
usually circular or oval
Lecture 5 - Integumentary System
Tx of moles
large moles might be removed
Lecture 5 - Integumentary System
MT moles
moles may bleed if they stick out too far. careful. Indicated
Lecture 5 - Integumentary System
freckles are
benign neoplasm
Lecture 5 - Integumentary System
another term for freckles
ephelides
Lecture 5 - Integumentary System
_________ is a chronic skin condition in which epithelial cells in isolated patches replicate too rapidly
psoriasis
Lecture 5 - Integumentary System
how often does psoriasis cells replicate
2-4 days
normal is 28-30
Lecture 5 - Integumentary System
psora means in greek
to itch
Lecture 5 - Integumentary System
etiology of psoriasis
unknown.
Lecture 5 - Integumentary System
s&s psoriasis
raised red or pink patches
develop white or silvery scale on top
red, swollen, itchy, tender skin
Lecture 5 - Integumentary System
where is psoriasis located
extendsor locations
elbow
front of knee - opposite of eczema
Lecture 5 - Integumentary System
Tx of psoriasis
no permanent cure has been found
coal tar, vit B ointments, steroid creams
Lecture 5 - Integumentary System
MT psoriasis
locally CI in acute phase
Lecture 5 - Integumentary System
etiology of skin cancer
radiation chemicals genetics viruses certain bacteria
Lecture 5 - Integumentary System
_________ precancerous condition that can lead to SCC
actinic keratosis (AK)
Lecture 5 - Integumentary System
actinic keratosis also called
solar keratosis
Lecture 5 - Integumentary System
s&s of actinic keratosis
brown or red scaly lesions on forehead
sores form crust but do not heal normally (cycles)
Lecture 5 - Integumentary System
Tx of actinic keratosis
frozen off with liquid nitrogen
Lecture 5 - Integumentary System
MT for ackinic keratosis
if diagnosed, dr’s note
Lecture 5 - Integumentary System
_________ is the most common type of skin cancer and least serious.
basal cell carcinoma
Lecture 5 - Integumentary System
will BCC metastasized?
no
Lecture 5 - Integumentary System
where is tumor of BCC located
stratum basale of the epidermis
Lecture 5 - Integumentary System
etiology of BCC
particularly solar radiation on fair skinned
Lecture 5 - Integumentary System
s&s basal cell carcinoma
typically appears on face, borders are often hard and they may bleed and form crusts
Lecture 5 - Integumentary System
Tx of basal cell carcinoma
excision
liquid nitrogen
radiation
Lecture 5 - Integumentary System
MT basal cell carcinoma
locally CI
Lecture 5 - Integumentary System
sign of a cancerous lesion is
tends to not heal
Lecture 5 - Integumentary System
what skin cancers can be see around the nose
bcc
scc
Lecture 5 - Integumentary System
_________ maligancy of keratinocytes in the epidermis
squamous cell carcinoma
Lecture 5 - Integumentary System
etiology scc
especially tobacco
Lecture 5 - Integumentary System
s&s scc
especially common on ears, hands, lower lip
Lecture 5 - Integumentary System
TX SCC
frozen or excised
Lecture 5 - Integumentary System
MT scc
CI as scc can be metastatic
Lecture 5 - Integumentary System
_________ are melanocytes that are too stimulated, replicating out of control
malignant melanoma
Lecture 5 - Integumentary System
s&s of malignant melanoma
often starts from pre-existing mole which can change throughout life in color, shape, size.
sometimes itchy or bleeds around edges
Lecture 5 - Integumentary System
_________ is usually seen in younger people and very fatal
malignant melanoma
Lecture 5 - Integumentary System
TX of malignant melanoma
aggressive: excision, radiation, chemo
Lecture 5 - Integumentary System
MT for malignant melanoma
CI
Lecture 5 - Integumentary System
diagnosis treatment for cancerous lesions
A - asymmetrical B - border is irregular C - color changes D - diameter increases E - elevated - not always
Lecture 5 - Integumentary System
what % of skin cancer is melanoma
3-5%
Lecture 5 - Integumentary System
what % of melanoma is fatal
75%
Lecture 5 - Integumentary System
_________ is damage to the skin that causes cells to die
burns
Lecture 5 - Integumentary System
losing more that _________ of skin function can put a person at risk for:
15%
infection
shock
circulatory collapse
Lecture 5 - Integumentary System
etiology of burns
fire sun dry heat wet heat electricity radiation extreme cold toxic chemicals
Lecture 5 - Integumentary System
1st degree burn affects
upper epidermis
Lecture 5 - Integumentary System
signs of 1st degree burn
redness
mild irritating pain
Lecture 5 - Integumentary System
example of 1st degree burn
sunburn
Lecture 5 - Integumentary System
2nd degree burn affects
all epidermis possibly some dermis
Lecture 5 - Integumentary System
signs 2nd degree burns
blisters
edema
great deal of pain
Lecture 5 - Integumentary System
3rd degree burn affect
epidermis, dermis, and possible beyond
Lecture 5 - Integumentary System
Tx of burns
soothing lotion, antibiotic cream
3rd degree perhaps skin grafts and plastic surgery
Lecture 5 - Integumentary System
MT burns
CI except perhaps mild sunburn depending on client pain tolerance
Lecture 5 - Integumentary System
_________ are bed sores
decubitus ulcers
Lecture 5 - Integumentary System
_________ are chronic inadequate blood flow to the skin
decubitus ulcers
Lecture 5 - Integumentary System
etiology of decubitus ulcers
circulation not being stimulated
Lecture 5 - Integumentary System
what can decubitus ulcers cause
secondary infection
blood poisoning
death
Lecture 5 - Integumentary System
s&s decubitus ulcers
ulcers tend not to crust over, redness, discoloration, pain, and itching
Lecture 5 - Integumentary System
Tx of decubitus ulcers
topical antibodies, keep moist, Vit D
Lecture 5 - Integumentary System
MT for decubitus ulcers
locally CI
Lecture 5 - Integumentary System
who commonly gets decubitus ulcers
bed-ridden patients
prolonged wheelchair use
elderly
underweight
Lecture 5 - Integumentary System
_________ is rips and tears
lacerations
Lecture 5 - Integumentary System
_________ = cuts
insicions
Lecture 5 - Integumentary System
_________ = scratches
excoriations
Lecture 5 - Integumentary System
_________ = cracks
fissure
Lecture 5 - Integumentary System
_________ = firm, raised ares like pimples
papules
Lecture 5 - Integumentary System
_________ = any kind of hole
punctures
Lecture 5 - Integumentary System
_________ = something that has been ripped off, like a finger or an ear
avulsions
Lecture 5 - Integumentary System
_________ = scapes
abrasions
Lecture 5 - Integumentary System
_________ = sores with dead tissue
ulcers
Lecture 5 - Integumentary System
etiology of lacerations, incisions, exocriations, punctures, and abrasions are usually due to
trauma from glass, knives, etc
Lecture 5 - Integumentary System
fissures are often caused by
dry skin
Lecture 5 - Integumentary System
papules are often caused by
infection
Lecture 5 - Integumentary System
MT for open wounds and sores
locally CI until healed
Lecture 5 - Integumentary System
_________ is a rare disorder in which the skin is pathologically dry
ichthyosis
Lecture 5 - Integumentary System
ichthyosis means
fish condition
Lecture 5 - Integumentary System
etiology of ichthyosis
cold weather when air is dry
legs of elderly
can be symptom of congenital or neurological disorder
Lecture 5 - Integumentary System
_________ is another name for ischthyosis
xeroderma
Lecture 5 - Integumentary System
s&s of ichthyosis
diamond shaped scales on skin
lower legs
can become darker than surrounding areas
Lecture 5 - Integumentary System
Tx of ichthyosis
change bathing habits
special emollients
Lecture 5 - Integumentary System
MT of ichthyosis
indicated with precautions if no underlying pathology. avoid areas of deep cracking.
