Skin PowerPoint Flashcards

1
Q

3 layers of the skin

A

epidermis
dermis
subcutaneous

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2
Q

is the skin thinner or thicker in children

A

thinner

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3
Q

due to the think skin they have increased or decreased absorption of chemicals and topical meds

A

increased

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4
Q

as the infant grows the skin

A

toughens

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5
Q

primary lesions

A

lesions arise from previously healthy skin

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6
Q

example of primary lesion

A

macules
papules
patches
tumors
nodules
vesicles

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7
Q

secondary lesion

A

lesions that result from changes in primary lesions

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8
Q

example of secondary lesions

A

crusts
scales
keloids
erosions
ulcers

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9
Q

drug reaction examples

A

erythematous macule, papule, pruitis, urticaria

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10
Q

mites examples

A

pruritis, papular/pustular/vesicular

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11
Q

infection examples

A

edema, erythema, papular/vesiclar lesion

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12
Q

injuries example

A

punctures, burns, pressure ulcers

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13
Q

what to assess for a lesion

A

location
size
type
pattern
discharge

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14
Q

coining/cupping

A

cultural variation
aren’t lesions

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15
Q

atopic dermatitis

A

eczema

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16
Q

infant skin manifesations

A

birthmarks

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17
Q

early childhood skin manifsations

A

eczema

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18
Q

adolescent skin manifestations

A

acne
infected tattoos

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19
Q

ABCD’s of skin documentation

A

asymmetry
border
color and configuraiton
diameter and drainage

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20
Q

tinea capitis affects where

A

scalpe

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21
Q

tinea capitis apperence

A

scaly pusualr, yellow greasy scales which are lighter than skin color

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22
Q

tinea capitis kerion

A

large purulent tender body mass on scalp with drainage

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23
Q

tinea capitis tx under 12

A

oral griseofulvin

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24
Q

tinea capitis tx over 12 years

A

fluconazole

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25
Q

tinea capitis shampoo

A

selenium sulfide or ketonazole 2-3 times weekly and let sit for 10 mins

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26
Q

tinea corporis affects where

A

trunk

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27
Q

tinea corporis manifesations

A

pink scaly circular patch expanding border with slightly raised borders

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28
Q

tinea corporis how to contract

A

contact with infected human, animal, or contaminated object

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29
Q

tinea corporis treatment

A

topical cream
selenium sulfide 2 times a week on the body

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30
Q

where to assess for lice

A

nape of neck and behind ears
lice like warm areas

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31
Q

if you see lice moving what does that tell you about the infestation

A

large

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32
Q

when to repeat lice treatment again after the first treatment and why

A

7-10 days after since nits are resistant to treatment

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33
Q

when can children with lice go back to school

A

after 2nd treatment

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34
Q

adult lice can live for how long without human blood and what does that mean for washing clothes

A

72 hours, wash combs, coats, hats, sheets, stuffed animals with hot water in a hot dryer

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35
Q

lice only reproduce on

A

humans

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36
Q

how is lice transmitted

A

direct hair to hair contact or through sharing of hair accessories

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37
Q

how many nits does the female lay per day

A

10

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38
Q

how long until nits hatch

A

7-10 days

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39
Q

how do lice look at birth

A

black

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40
Q

lice s/s

A

bugs in hair, sticky dandruff

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41
Q

lice tx

A

pediculides, and removal of nits with the special comb

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42
Q

is scabies contagious

A

VERY

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43
Q

scabies how is it transmitted

A

skin to skin contact and sexual contact

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44
Q

scabies immediate s/s

A

they are not immediate

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45
Q

when to see scabies s/s

A

2-4 weeks after exposure

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46
Q

s/s scabies

A

inflammation and severe pruritis
widespread rash with papules and pustules
complain of restlessness and itching that is worse at night cause the mites are more active
hands, axilla, neck, legs, and butt
may see tunneling

47
Q

what should we do with nails of scabies kids

A

keep them short so they don’t break skin

48
Q

tx of scabies

A

5% permethrin cream and antihistamines
- antibiotics for secondary infection
- clean all linen (like lice)

49
Q

impetigo

A

bacterial infection that is highly contagious

50
Q

impetigo s/s

A

red sores on face around nose and mouth and hands and feet
sores burst and develop honey colored crusts

51
Q

when can impetigo return to school

A

48hr after antibiotic initaiton

52
Q

treatment of impetigo

A

mupirocin and/or erythromycin

53
Q

do you wash of crust with impetigo and if yes how

A

yes with warm soapy washcloth 3 times a day

54
Q

keep what short in impetigo

A

finger nails

55
Q

how to prevent spread of impetigo

A

handwashing

56
Q

candicial infection

A

fungal

57
Q

what can precipitate candidial infection

A

antiobitocs
kids who don’t have immune system

58
Q

candida in mouth

A

thrush

59
Q

thrush s/s

A

white coating to the tongue and or buccal mucosa, redness, burning, or pain

60
Q

candidate diaper dermatitis s/s

A

dark red shiny rash with satellite lesions

61
Q

tx for canddidal

A

nystatin
- topical or oral

62
Q

eczema cause

A

ineffective function of the proteins that form a skin barrier as the barrier is broken down the skin loses moisture and becomes irritated and overly sensitive and prone to infection

63
Q

6 findings of eczema

A

erythema
papules/edema
exudation - oozing and crusting
scale
excoriations and linear erosions from scratching
lichenification - thickened, hyper pigmented leathery skin due to rubbing (accumulated skin markings

64
Q

what is licheinficiation

A

thickened, hyper pigmented leathery skin due to rubbing (accumulated skin markings

65
Q

pts with eczema usually have what elese

A

another autoimmune disorder like asthma

66
Q

rank the order of best to least for treatment of eczema
- cream
-oinment
- lotion

A

ointment
cream
lotion

67
Q

some treatment for eczema

A

bathe every day or every other
warm bath
5-10 min bath
pat dry
apply moisturizer while skin is still damp

68
Q

treat rash for eczema
- mediation

A

steroids

69
Q

treat itching for eczema
- med

A

antihistamines

70
Q

how to prevent infection

A

wash well and do not scrub

71
Q

4 main types of burns

A

thermal
chemical
electrical
radioactive

72
Q

thermal burn example

A

flame, water

73
Q

chemical burn example

A

bleach and amonia

74
Q

electrical burn example

A

wire, curling iron

75
Q

radioactive burn example

A

sunburn

76
Q

2 common accidental injury patterns

A

hot drink scalds (pull water off stove)
contact burns (hair curler)

77
Q

non accidental burn injury

A

glove and stocking scalds (dipping)
sharp demarcation and absence of splash marks
story that doesn’t match
parents waited to bring child in
other injuries present (bruising)
repeated presentation

78
Q

first degree classification

A

superficial partial thickness

79
Q

first degree apperecnce

A

painful nd red

80
Q

first degree healing

A

few days

81
Q

first degree exmaple

A

sunburn

82
Q

first degree layers

A

outer later of skin
- epidermis

83
Q

second degree classification

A

partal thickness

84
Q

second degree layers

A

epidermis and upper layers of the dermis

85
Q

healing for second degree

A

10-14

86
Q

third degree classification

A

full thickness

87
Q

third degree layers

A

all of the epidermis and dermis
- may involve underlying tissue

88
Q

third degree nerve involvement

A

nerve endings are destroyed

89
Q

treatment of third degree

A

skin grafting

90
Q

when to know the full damage of third degree burn

A

3-5 days later because the burn continues

91
Q

what is the requirement to go to children burn hospital

A

any partial greater than 10% or any full thickness

92
Q

head front and back percent

A

18

93
Q

chest percent

A

18

94
Q

back percent

A

18

95
Q

arm percent

A

9 each

96
Q

perineum percent

A

1

97
Q

legs perent

A

13.5 each

98
Q

rule of palm

A

palm of the person who is burned is about 1% of the body, and you use the palm to measure the body surface area burned

99
Q

first priory for burns

A

AIRWAY

100
Q

what to assess for airway

A

any inhalation injury
- burned facial hair
- soot in mouth or nose
- stridor

101
Q

why can burns to the trunk cause impaired ventilation

A

children use the diaphragm to breathe

102
Q

we replace burns with

A

LR
- or isotonic

103
Q

why do burn patients lose fluids rapidly

A

destruction of epidermis

104
Q

what is parkland formula

A

4 mL x %TBSA x pt weight in kg = total fluid in first 24 hours

105
Q

is the parkland replacement or maintence

A

replacement, will need to add the mainentce

106
Q

when to give the parkland replacement formula

A

half in first 8 hours and other half in remaining 16 hours

107
Q

what is the method of pain management route

A

IV

108
Q

do we do IM with birns

A

no

109
Q

do children lose heat early

A

yes

110
Q

how to clean a child initially with a burn

A

with temped NS then place sterile gauze over burn

111
Q

children with burns need what times more energy and protein than normal

A

2-3

112
Q

if there is eschar what do we do

A

remove it

113
Q

goals for burns

A

remove necrotic tissue to allow healthy tissue to develop
maintain moist environment with circular
- hydrogel
maintain fluid and body temp
prevent infection and minimize scaring

114
Q
A