Tissue Integrity

Question 1

When do velas hairs become terminal?

Answer 1

at puberty

Question 2

What causes diaper rash?

Answer 2

fecal enzymes, skin wetness, high skin/diaper pH

Question 3

What are the visual differences between dermatitis and candidiasis?

Answer 3

dermatitis: sharply demarcated edges, does not go into leg folds
Candidiasis: beefy red central erythema, satellite pustules

Question 4

Treatment for diaper rash:

Answer 4

frequent diaper changes, avoid harsh soaps, Zinc oxide, wipes w/out alcohol, expose area to air.

Question 5

What is the common name for Seborrheic Dermatitis?

Answer 5

Cradle Cap

Question 6

What does Cradle Cap look like?

Answer 6

yellow, greasy scale on scalp that becomes dry and flakes

Question 7

Cradle Cap treatment:

Answer 7

shampoo daily, fine tooth comb to loosen crusts, wait for scale to soften before brushing, low to medium corticosteroid for inflamed lesions

Question 8

Common name for atopic dermatitis…

Answer 8

Eczema

Question 9

What is a risk factor for developing eczema?

Answer 9

family history (heredity tendency)

Question 10

How do you treat Eczema?

Answer 10

hydrate skin, prevent secondary infection, wear clothing with soft fabric and use soaps that are gentle.
do NOT use antifungals w/ corticosteroids.

Question 11

An infant comes in with dry skin that is itchy and scaly on their cheeks and scalp. They have been rubbing their face on their blanket and not sleeping well. What is the suspected diagnosis?

Answer 11

Atopic dermatitis (eczema)

Question 12

What is a complication of eczema?

Answer 12

skin infections from rubbing

Question 13

Tinea capitis:

Answer 13

patches of scaling on the scalp with central hair loss, common 4-14yrs

Question 14

Tinea Corporis:

Answer 14

raised peripheral scaling and central clearing- looks like ring

Question 15

Tinea Cruris:

Answer 15

erythema, scaling, maceration of inguinal creases

Question 16

Tinea Pedis:

Answer 16

red scaling rash on soles and between the toes

Question 17

What is the common name of tinea pedis?

Answer 17

athlete’s foot

Question 18

What is the common name for tinea corporis?

Answer 18

ring worm

Question 19

What is the common name for sarcoptes scabiei?

Answer 19

Scabies

Question 20

How is scabies spread?

Answer 20

through prolonged close contact where the mite burrowed into the epidermis and deposited the eggs

Question 21

Clinical manifestations of scabies:

Answer 21

intense puritus, excoriation and burrows, inflammation between the fingers, neck folds, and groin.

Question 22

How do you treat scabies?

Answer 22

scabicide, linen and clothing washed and dried on high heat, supportive pruritus care for 2-3 weeks

Question 23

What are important considerations when using Scabicide to treat scabies?

Answer 23

cover the whole body from the neck down, leave on for 8-14 hours at a time

Question 24

What is the common name for Pediculosis Capitis?

Answer 24

Head lice

Question 25

How is head lice spread?

Answer 25

close contact where the female louse is able to crawl onto the head. the female louse has blood meal at the scalp and lays eggs at night.

Question 26

What are the sings and symptoms of head lice?

Answer 26

intense itching of the head behind the ears or at the nape of the neck. nits at the hair shaft that to not move

Question 27

How do you treat head llice?

Answer 27

fine tooth comb to remove nits, Permethrin 1% cream, have to remove the louse to prevent more eggs, throw out hair brushes

Question 28

What is an important teaching when treating a child with acne?

Answer 28

Do not squeeze or pick eruptions

Question 29

Why should you not remove a piece of jewelry from the infected piercing site?

Answer 29

removing it will create an abscess

Question 30

Chilblain

Answer 30

redness/swelling of hands when exposed, edema, bluish patches, itching/burning
sympt. stay after rewarming and resolve in a few days

Question 31

Frostbite

Answer 31

tissue damage caused by ice crystals in tissue, blisters appear 24-48hrs after rewarm, immerse affected part in 104 degree water for 10-15 minutes.