module 6 peds skin assessment Flashcards
differences between neonatal and adult skin
- thinner, less hairy, weaker intercellular attachments
- fewer eccrine and sebaceous gland secretions
- inc. susceptibility to irritants
- inc. susceptibility to infection
- depressed contact allergen reactivity
- percutaneous permeability inc. in premature infants or with damaged skin.
PMH skin
previous skin problems
- sensitivities, allergic reactions
tolerance to sunlight
diminished or heightened sensitivity to sensory stimuli
cardiac, resp, liver, endo, systemic disease
PMH hair; previous hair problems
hair loss thinning growth unusual growth brittleness breakage tx
PMH hair; systemic problems
thyroid liver severe illnesses malnutrition associated skin disorder mental health
family history
dermatologic diseases - atopic dermatitis, psoriasis, seborrheic dermatitis Allergic hereditary disease - asthma, hay fever Familial hair loss/coloration patterns
lanugo
fine silky hair that covers the newborns body
- particularly shoulders and back
- shed within 10-14 days
permanent hair comes in
hair shed by about 2-3 months, replaced by more permanent hair
- new texture and color possible
eccrine glands
function after 1 month
apocrine glands
do not function
- less oily texture
- inoffensive perspiration
newborn color
newborn skin is purplish red, cyanotic acrocyanosis: blue hands and feet boiled lobster look pallor jaundice
boiled lobster look
from high hematocrit level and thin subcutaneous fat layers
pallor in newborn
blood loss
erythroblastosis
cutaneous vasoconstriction
milia
normal skin lesion in newborn
- clogged sebaceous glands
sebaceous hyperplasia
maternal androgen exposure
flatter white spots
mottling
normal for newborn
