lewis ch 22 - integumentary assessment Flashcards

1
Q

dermatologic manifestations of hyperthyroidism

A
  • increased sweating
  • warm skin with persistent flush
  • thin nails
  • alopecia
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2
Q

dermatologic manifestations of hypothyroidism

A
  • cold, dry, pale to yellow skin
  • generalized nonpitting edema
  • dry coarse brittle hair and nails
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3
Q

dermatologic manifestations of cushing syndrome (glucocorticoid excess)

A
  • atrophy
  • decreased subq fat
  • impaired wound healing
  • mild hirsutism
  • buffalo hump
  • swelling of face
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4
Q

dermatologic manifestations of addisons disease

A
  • loss of body hair

- generalized hyperpigmentation

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5
Q

dermatologic manifestations of androgen excess

A
  • male sex characteristics
  • acceleration of coarse hair growth
  • acne
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6
Q

dermatologic manifestations of androgen deficiency

A
  • sparse hair

- marked reduction in sebum production

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7
Q

dermatologic manifestations of hypoparathyroidism

A
  • opaque brittle nails with transverse ridges

- coarse sparse hair

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8
Q

dermatologic manifestations of hyperpituitarism

A
  • coarse skin with deepened lines
  • increased oiliness and sweating, acne
  • excess hair growth
  • hyperpigmentation
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9
Q

dermatologic manifestations of diabetes mellitus

A
  • red plaques of shins
  • delayed wound healing
  • neuropathy
  • velvety dark skin on neck and in skin folds
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10
Q

loss of hair (generalized or local)

A

alopecia

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11
Q

tumor consisting of blood or lymph vessels

A

angioma

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12
Q

yellow discoloration of skin most notable on palms and soles

A

carotenemia (carotenosis)

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13
Q

enlarged hair follicle plugged with sebum, bacteria, and skin cells; can be open or closed

A

comedo (acne lesion)

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14
Q

slightly bluish gray or dark purple discoloration of the skin and mucous membranes caused by excess amounts of reduced hemoglobin in capillaries

A

cyanosis

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15
Q

sac containing fluid or semisolid material

A

cyst

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16
Q

large, bruise-like lesion caused by collection of extravascular blood in dermis and subq tissue

A

ecchymosis

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17
Q

redness occurring in patches of variable size and shape

A

erythema

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18
Q

extravasation of blood of enough size to cause visible swelling

A

hematoma

19
Q

male distribution of hair in women

A

hirsutism

20
Q

loss of pigmentation resulting in lighter patches than normal skin

A

hypopigmentation

21
Q

dermatitis of overlying surfaces of the skin

A

intertrigo

22
Q

yellow (in white patients) or yellowish brown (in dark skinned patients) discoloration of the skin, best seen in the sclera, secondary to increased bilirubin in the blood

A

jaundice

23
Q

hypertrophied scar beyond wound margin

A

keloid

24
Q

thickening of the skin with accentuated normal skin markings

A

lichenification

25
Q

benign overgrowth of melanocytes

A

mole (nevus)

26
Q

pinpoint, discrete deposits of blood <1-2 mm in the extravascular tissues and visible through the skin or mucous membrane

A

petechiae

27
Q

visibly dilated, superficial, cutaneous small blood vessels, commonly found on face and thighs

A

telangiectasia

28
Q

failure of skin to return immediately to normal position after gentle pinching

A

tenting

29
Q

complete absence of melanin resulting in chalky white patch

A

vitiligo

30
Q

type of lesion: circular, begins in center and spreads outward (ex: ringworm)

A

annular

31
Q

type of lesion: unilateral distribution

A

asymmetric

32
Q

type of lesion: merging together (ex: hives)

A

confluent

33
Q

type of lesion: distinct individual lesions that are separate (ex: acne)

A

discrete

34
Q

type of lesion: twisted, coiled spiral, snakelike

A

gyrate

35
Q

type of lesion: clusters of lesions (ex: vesicles of contact dermatitis)

A

grouped

36
Q

type of lesion: clearly defined, limited areas of involvement

A

localized

37
Q

type of lesion: annular lesions grow together (ex: psoriasis)

A

polycyclic

38
Q

type of lesion: single lesion

A

solitary

39
Q

type of lesion: bilateral distribution

A

symmetric

40
Q

type of lesion: linear arrangement along a dermatome area (ex: herpes zoster)

A

zosteriform

41
Q

older adult expected changes of the skin

A
  • wrinkling
  • tenting
  • dryness
  • sun spots
  • cool, diminished sensation
  • decreased perspiration
42
Q

older adult expected changes of the hair

A
  • gray, white color
  • thinning and hair loss
  • facial hirsutism
43
Q

older adult expected changes of the nails

A
  • thick, brittle nails

- delayed cap refill