Skin, Hair, and Nails Flashcards
crust example
impetigo, weeping eczemstous dermatitis, scab after abrasion
fissure
linear crack with abrupt edges, extending into dermis; dry or moist
fissure examples
cheiolosis (corners of the mouth;result of excess mositer), athletes foot
excoriation
self inflicted abrasion, superfical; sometimes crusted
- caused by scratching
excoriation example
scratching insect bites, scabies, dermatitis, varicella
lichenification
thickening of the skin with production of tightly packed sets of papules; caused by prolonged intense scratching
keloid
hypertonic scar
- elevation of the resulting skin level by excess scar tissue
keloids are more present in individuals
of african american descent
seborrhea
oily
xerosis
dry
subjective data acronymm
SAMPLE
-symptom assesment
- allergies
- medications
- past history
- last visit to health professional
- evaluation of fucntional assesment
pruritis
itching
pallor
red pink tones from oxygenation in the blood; skin is white
jaundice
yellow discoloration; indicated rubin in the blood
cyanosis
dusty blue; signifies decreased perfusion
erythema
intense redness
how to asses tempurature
dorsal aspect of the hand
0+ edema
no pitting edema
1+ edema
- mild pitting, no indentation, no perceptible swelling of the leg
- 2mm depression that disappears rapidly
2+ edema
- moderate pitting, indentation subsides rapidly
- 4mm depression that disappears in 10-15 seconds
3+ edema
- deep pitting, indentation remains short time, legs look swollen
- 6mm depression that lasts more than 1 min
4+ edema
- very deep pitting, indentation lasts a long time, leg is very swollen
- 8mm depression that can last more than 2 minutes
how to asses skins mobility and turgor
- grasp/pinch a large fold of skin between thumb and index fingure
- pull up wand release
- skin should return
- use anterior chest for accuracy
skins mobility
skins ease of rising
skin tugor
skins ability ro return to place promptly
primary lesions
direct result of disease process
secondary lesions
evolves from primary (scratching, trauma, infection, healing process)
a braden scale score of 12 or less =
high risk
what are the 6 components of the braden scale
- sensory perception
- moisture
3, activity - mobility
- nutrition
- friction and shear
normal capillary refill
colour returns in less than 2-3 seconds
albinism
total absence of pigent melenin throughout the integument
vitiligo
patchy depigmentation from the destruction of melanocytes
hyperemia
increased blood flow through engorged arterioles, such as inflammation, fever, alcohol intake, blushing
polycythemia
increased number of red blood cells
- capillary stasis
carotenemia
increased serum carotene from ingestion of large amount of carotene rich foods
uremia
- in renal failure
- urochrome pigments contained in the blood
cherry anginomas
small, smooth, slightly raised bright red dots that commonly appear of the trucks of adults over 30
how to asses if moles are benign vs malignant
ABCDE
- asymmetry
- border irregularity
- color variation
- diameter
- elevation, enlargement or evolution
benign characteristics
- symmetrical
- even borders
- one shade
- smaller than 6cm (1/4 inch)
malignant characteristics
asymmertical
- uneven border
- two or more shades
- larger than 6cm (1/4 inch)
skin cancer prevention
self examination
sunscreen