lewis ch 23 - integumentary Flashcards

1
Q

what does ABCDE stand for when examining skin

A
A: asymmetry 
B: border irregularity
C: color change
D: diameter > 6 mm
E: evolving in appearance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

risk factors in skin care (6)

A
  • fair skin
  • blonde/red hair
  • blue eyes
  • outdoor sunbathing
  • living near equator or in high altitudes
  • h/o skin cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

premalignant skin condition:

  • from sun damage
  • common in older whites
  • scaly papule
  • rough adherent scale on red base
A

actinic keratosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

premalignant skin condition:

  • > 5 mm with irregular borders
  • varying colors of tan, brown, black, red or pink
  • central part is raised with flat edges
  • increased risk for melanoma
A

atypical or dysplastic nevi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

premalignant skin condition:
– Most common type of skin cancer; may be areas of the body that
were not sun-exposed
– Least deadly, rarely metastasizes
– Nodular of ulcerative depression in the center or erythematous &
pearly
– Treat with removal, laser, flurouracil

A

basal cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

malignant skin condition:

  • chronic slow progressing disease
  • 2x more likely in men
  • 3 stages: patchy, plaque, tumor
  • red plaques on trunk
A

cutaneous t-cell lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

malignant skin condition:

  • growth of melanocytes on eyes, skin, or mucous membranes
  • irregular color, surface and border
  • > 1 cm
  • can be flat or elevated, eroded or ulcerated
  • commonly found on back, chest, or legs
  • potential invasion and widespread metastases
A

melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

malignant skin condition:
– Potential to metastasize
– Pipe, cigar, and cigarette smoking contribute to the formation on the
mouth and lips
– Immunosuppression leads to a dramatic increase in the incidence
– Thin, scaly, erythematous. Progresses to have firm nodules and scales
or horns
– Treat with removal, radiation, flurouracil, chemo for mets

A

squamous cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what medicine is used to treat squamous cell carcinoma and basal cell carcinoma

A

flurouracil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

most important prognostic factor is the tumor _______ at the time of diagnosis

A

thickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

depth of measurement of tumor in mm

A

breslow measurement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

depth of invasion of the tumor

A

clark level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bacterial skin infection:

  • multiple interconnecting furuncles
  • most common at nape of neck
A

carbuncle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

bacterial skin infection:

  • inflammation of subq tissues
  • commonly from s. aureus
  • hot, tender, red
  • chills, fatigue, fever
A

cellulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

bacterial skin infection:

  • superficial cellulitis
  • red, hot, sharply demarcated plaque that is indurated and painful
  • most common on face and extremities
  • fever, high WBC count, headache, fatigue
A

erysipelas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

bacterial skin infection:

  • usually from staph
  • present in areas subjected to friction, moisture, rubbing or oil
  • small pustule at hair follicle opening
  • most common in scalp
A

folliculitis

17
Q

bacterial skin infection:

  • deep infection with staph around hair follicle
  • draining pus
A

furuncle

18
Q

bacterial skin infection:

  • increased incidence in patients who are obese, diabetic, chronically ill, or regularly exposed to moisture
  • fatigue, elevated body temp
  • lesions: tender red area around hair follicle
A

furunculosis

19
Q

bacterial skin infection:

  • from staph or strep
  • associated with poor hygiene
  • contagious
  • lesions with thick, honey colored crust
  • most common on face as primary infection
A

impetigo

20
Q

viral skin infection:

  • oral or genital warts
  • recurrent lifelong viral infections
  • contagious
  • single or grouped vesicles on red base
A

herpes simplex virus (HSV) 1 + 2

21
Q

viral skin infection:

  • linear distribution along a dermatome of grouped vesicles or pustules
  • unilateral usually along trunk
A

herpes zoster (shingles)

22
Q

viral skin infection:

  • caused by HPV
  • wart on bottom of foot
  • interrupted skin markings
A

plantar wart

23
Q

viral skin infection:

  • caused by HPV
  • circumscribed, hypertrophic, flesh-colored papule limited to epidermis
A

verruca vulgaris (common wart)

24
Q

fungal skin infection:

  • appears in warm moist areas such as mouth, groin, and submammary folds
  • mouth: white cheesy plaque
  • vagina: painful vaginal wall with white patches
  • skin: diffuse papular rash
A

candidiasis

25
Q

fungal skin infection:

  • commonly called ringworm
  • annular scaly appearance
  • red
A

tinea corporis

26
Q

fungal skin infection:

  • commonly called jock itch
  • well defined scaly plaque on groin area
  • does not affect mucous membranes
A

tinea cruris

27
Q

fungal skin infection:

  • commonly called athlete’s foot
  • interdigital scaling
  • sometimes with redness and blistering
A

tinea pedis

28
Q

fungal skin infection:

  • incidence increases with age
  • toenails commonly affected
  • brittle, thickened, or crumbling nails with yellowish discoloration
A

tinea unguium

29
Q

benign dermatological problem:
inflammatory disorder of
sebaceous glands

A

acne vulgaris

30
Q

benign dermatological problem:
autoimmune chronic dermatitis
from rapid turnover of epidermal cells

A

psoriasis