Maternal Physio - Integumentary Flashcards

1
Q

Skin changes

A
  • Striae gravidarum
  • Linea nigra
  • Chloasma or melasma gravidarum (aka mask of pregnancy)
  • Angiomas
  • Palmar erythema
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2
Q

Striae gravidarum (aka stretch marks)

  • Definition
  • Cause
A
  • Definition
    • Reddish, slightly depressed streaks on the abdomen, breast, and thighs
  • Cause
    • Collagen breakdown
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3
Q

Linea nigra definition

A

Black line/discoloration of the abdomen; runs from umbilicus to pubis (darkening of linea alba)

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4
Q

Chloasma or melasma gravidarum (aka mask of pregnancy)

  • Definition
  • Preferred site
A
  • Definition
    • Irregular brown patches of varying size in exposed areas
  • Preferred site
    • Face or neck
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5
Q

Angioma

  • Definition
  • Location
  • Other name
  • Cause
A
  • Definition
    • Red elevation at a central point with branching vasculature present
  • Location
    • Face, neck, chest, and arms
  • Other name
    • Vascular spider
  • Cause
    • Due to estrogen
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6
Q

Cause of palmar erythema

A

Due to estrogen

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7
Q

Postpartum, striae gravidarum appears ___ (color)

A

Silvery white

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8
Q

The strongest associated risk factors for striae gravidarum are:

A
  • Weight gain during pregnancy
  • Younger maternal age
  • Family history
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9
Q

Physiology for ↑ in pigmentation

A
  • ↑ed MSH
  • Estrogen and progesterone → ↑ed MSH
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10
Q

Diastasis recti

A

Rectus muscles that separate in the midline

  • Etymology:*
  • Diastasis means to divide
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11
Q

Hair growth changes

A

Prolonged anagen (the growing hair phase)

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12
Q

Generalized, severe itchiness of late pregnancy where the only skin lesions are those secondary to scratching

  • Condition
  • Cause
A
  • Condition
    • Pruritus gravidarum
  • Cause
    • Due to retained bile salts
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