Skin Hair Nails, Book Flashcards
Lanugo
Fine downy hair on fetus, falls off
Vernix (caseosa)
Waxy or cheese like substance coating the skin of newborns
Linea nigra
Dark line, typically hair, from navel to pubis
Chloasma (Melasma)
Dark brown patch around the face
Striae (stretch marks)
Stretching the skin from pregnancy
Keloids
Skin will raise, become dark purple/brown and pull together
Alopecia
Sudden hair loss
Hirsutism
Hair where it doesn’t belong
Pruritus
Itching
Vitiligo
Loss of pigment, patches
ABCDE
Asymmetry: round or regular
Border: Smooth or irregular
Color: Different color with in or light to dark
Diameter: >6mm
Elevation or Evolution: Changing or standing
Uremic Frost
Grayish/yellowish of skin, frost like looking Urea sweating out, itchy
Malignant melanoma
Most deadly skin cancer
Pallor
Pink-white skin, not enough RBSs
What are the causes of Pallor?
- Anemia
- Large or frequent blood loss
- Body isn’t producing enough RBCs
- Problem w/kidney or bone marrow
- Not enough protein or iron in diet
Testing Pallor
- Mucous membrane
- Capillary refill
- Conjunctiva on eye lid
- Palms (book)
Erythema
Red skin
Cyanosis
Blue skin, Not enough oxygenated blood flow, hypoxia
Jaudice
Yellow skin
Diaphoresis
Sweating
Dehydration
Not enough fluids (Turgor test, check for tenting)
Lesions
Primary- pimple
Secondary-Picking at pimple
Linear
Scratch, streak, line, or strip
Zosteriform
Linear arrangement along a unilateral nerve route
Grouped
Cluster of lesions
Target or Iris
Concentric ring color in lesion
Polycyclic
Annular lesions grow together
Gyrate
Twisted, coiled spiral, snakelike
Ring worm (Teniacapitus)
Wood lamp test, for florescent coloring
Pediculosis capitis
Head lice
Schamroth test
Clubbing=Chronic hypoxia (two finger gap between nails)
Splinter Hemorrhages (Infected Endocarditis)
Strep throat that turned into a manic fever, leads to heart disease
Mongolian Spots/Cafe au lait spot
Pigment spots on babies skin (birth mark)/Hyperpigmentation, blue-purple macular area at the sacrum or buttocks
Carotenemia
Yellow-orange skin
Contusion
Bruise (ecchymosis)- black blue
Hematoma
Contusion with a lump of blood
Psoriasis
White scaly patches, overproduces skin cancer, autoimmune disease
Eczema
Red, irritated skin; inflammation, red, hot, swollen, raised, oozy
Acute pain
Short termed and self-limiting, often follows a predictable trajectory, and dissipates after an injury heals
Chronic pain
A diagnosed pain that continues for 6 moths or longer
Somatic pain
Originates in the musculoskeletal tissues or the body surface
Deep somatic pain
Arises from ligaments, tendons, bones, blood vessels and nerves
Cutaneous pain
Originates in the skin or the subcutaneous tissue
Visceral pain
Originates from the larger internal organs
Radiating pain
Pain perceived at the source of the pain and extends to nearby tissues
Referred pain
Felt in a part of the body that is considerably removed from the tissues causing the pain
Intractable pain
Highly resistant to relief, using pharmacological and nonpharmacologic remedies to provide pain relief
Neuropathic pain
Is the result of current or past damage to the peripheral or central nervous system
Phantom pain
Perceived in a body part that is missing or paralyzed by the spinal cord
Small potato or piece of fruit size?
Computer mouse
3oz animal protein
Deck of cards
1oz cheese
Small box of wooden matches
2 tbsp
Golf ball
4 tbsp
Four thumbs
1 cup dry measure
Tightly clenched small woman’s fist
B130/80 and greater = Hypertension
Blood pressure
964-99.1 oral > 99.1 = fever
Temperature
<50 and >100
Heart rate
10-20
Respirations
> 95%
O2 saturation
>25 = Overweight >30 = Obese
BMI
P= Provocation/palliation Q= Quality/Quantity R = Religion/Radiation S = Severity Scale T = Timing
Method of pain assessment
(Wight (pounds)/Height (inches)^2) X 703
Body Mass Index
<18.5
Underweight
18.3-24.9
Normal Weight
25-29.9
Overweight
30-39.9
Obesity
> 40
Extreme obesity
Burning, numbness, tingling
Neuropathic pain