lecture 8: integumentary system

Question 1

integumentary system

Answer 1

• skin, hair, nails, sweat glands
• reflects hydration, nutrition, and emotional status
• skin is first line of defence against environmental threats

Question 2

risk factors of integumentary system: skin tells u a lot about health

Answer 2

• nutriton status contributes to disorders of integument (vitamin/mineral deficiency)
• immobility (pressure, shearing forces, friction)
• UV exposure (natural/artificial)
• infectious diseases

Question 3

health promotion - for skin

Answer 3

• emphasize steps in self-examination
• UV exposure (slip, slap, slop)

Question 4

evaluating skin lesions

Answer 4

ABCDEs of melanoma
A - asymmetry
B - border (irregular/ragged)
C - colour
D - diameter (more than 6mm)
E - evolution (change)

Question 5

Subjective data to collect

Answer 5

assessment of risk factors
- family history
- past history
- medications
- lifestyle (occupational history, personal behaviour)

Question 6

inspection of lesions

Answer 6

• inspect all body
• note overall skin appearance
• inspect individual lesions/moles
  (non-elevated, elevated, soli, fluid filled)

Question 7

configuration

Answer 7

• location of lesion
• distribution of lesions (localized, regional, generalized)
• primary (appearing initially)
• secondary (resulting from change in primary lesion)
• shape
• borders
• texture
• morphology

Question 8

primary skin lesions (common)

Answer 8

• vesicle (chicken pox)
• pustule (acne)
• cyst (distinct, contains fluid)
• macule (freckle)
• papule (raised, ex. wart)
• wheal (raised, flesh coloured/red, pattern)

Question 9

secondary skin lesions (common)

Answer 9

• scar (past surgery)
• excoriation (scratching or rubbing of skin)
• ulcer (lack of good blood flow)

Question 10

palpation of lesions

Answer 10

• assess skin temperature, moisture, texture
• palpate lesions for tenderness, mobility, consistency
• palpate hair/nails (brittleness)

Question 11

acute assessment: pressure ulcers

Answer 11

• the Braden scale (risk assessment)
• prevention
• repositioning
• patients can become septic

Question 12

burns - rule of 9s

Answer 12

rule of 9s
- each section is 9% of the body, percentage of the body covered in the burn

common lab or diagnostic testing
- collecting skin cells/tissues for testing