Skin Flashcards
What are the layers of the skin?
- epidermis
- dermis
- hypodermis
Are skin disorders common?
Yes
Are skin disorders diverse?
Yes
Is skin an organ?
Yes
Is the skin a complex organ?
Yes
Is the skin the largest organ?
Yes
Which layer of skin: water resistant
Epidermis
What is the epidermis made up of?
- 4-5 sublayers
- closely packed cells
What is the dermis made up of?
-Contains connective tissues
What is the hypodermis made up of?
- subcutaneous tissue
- connective tissue
- blood vessels
- nerve cells
What is the function of the epidermis?
- First line of defense
- cell renewal
What is the function of the dermis?
-Houses the bodies:
- hair follicles
- sweat glands
- blood vessels
What is the function of the hypodermis?
-Where fat is deposited and stored
Bulla
- Circumscribed
- Collection of free fluid
- > 1 cm
Macule
- Circumscribed
- flat
- distinguished from surrounding skin by color
- < 5mm
Nodule
- circular
- elevated
- solid lesion
- > 1 cm
Patch
- circumscribed
- flat
- discoloration
- > 1cm
Papule
- Elevated
- Dome shaped
- flat topped
- < 5mm
Plaque
- Elevated
- flat
- topped
- > 5mm
Pustule
- Discrete
- pus filled
- raised
Vesicle
- Fluid filled raised
- < 5mm
Wheal
- Itchy
- transient
- elevated
- variable blanching and erythema
- dermal edema
Scale
- epidermal thickening
- flakes
- compacted layers
Crust
-dried serum or exudate
Fissure
-crack or split
As a clinician what is important to do regarding skin lesions?
write a description of a rash that you see on a client
Why is it important to write an accurate description of a skin lesion as a clinician?
When follow up occurs- another provider after you should be able to read your note and visibly see it in their head before they even see the client
What is a tip to help accurately identify skin lesions?
print off a list of skin lesions and descriptions and keep it with you at your desk
Example # 1:
- Group of multiple fluid filled lesions
- Each less than 5 mm
- To the left chest wall,
- Errathematous base
- Entire rash is the size of a silver dollar,
- Fluid filled lesions follow t4 and t5 dermatomes and do not cross the midline of the chest
- What is the name of the lesion?
- What is the Diagnosis?
- Why do you know this is the diagnosis?
- Vesicle
- Shingles
- Dermatomes and not crossing midline
What is the similarities/differences between a Vesicle, bulla and blister?
-vesicle= < 5mm
-bulla>5mm
blister= common name for both
What is the differences between a Vesicle, bulla and blister?
- vesicle= < 5mm
- bulla/blister= >5mm
Example # 2:
- Discrete
- Pus filled
- Raised
What is the lesion?
- Pustule
Example # 3:
- Flat
- Distinguished from surrounding skin color
- 5 mm in diameter or less
- non palpable
What lesion is it?
-Macule
How are macule and papule different?
Papule is elevated/dome and palpable
Excoriation
- Traumatic lesion
- breaking the epidermis
- causing a raw linear area
Impetigo
One of the most common bacterial infections of the skin