Week 2 - Skin, Hair and Nails Flashcards

Question

Wernicke aphasia

Answer 1

impaired comprehension with fluent speech

Answer 2

Thought process – logic, organization, coherence, relevance of patient’s thought Thought content – what the patient things about, level of insight and judgment Perceptions – sensory awareness of objects in the environment and their interrelationships Insight – awareness of abnormal behaviors Judgement – process of comparing and evaluating alternatives when deciding on a course of action

Answer 3

1. Orientation 2. Attention (start at 100 and keep -7) 3. Memory (long/short term). 4. New learning ability (remember 3-4 words) 5. Higher cognitive functions (calculation, abstract thinking - draw clock) 6. Depression screening 7. Substance abuse screening 8. Hallucinations/illusions

Answer 4

thin, avascular keratinized epithelium o Outer horny layer (dead keratinized cells0 o Stratum Basale and stratum spinosum – inner cellular layer where melanin and keratin are formed

Answer 5

Dense layer of collegen and elastic fibers - Pilosebaceous glands (oil) - Sweat glands - Hair follicles - Terminals of cutaneous nerves

Answer 6

- Carotene (yellow pigment) – lots found in palms and soles - Bilirubin- yellow-brown pigment caused by breakdown of heme in red blood cells -causes jaundice

Answer 7

(oil) produce fatty substance secreted onto skin from hair follicles (absent in palms and soles)

Answer 8

Sweat gland, widely distributed, open onto skin surface, help control body temperature

Answer 9

found in axillary and genital regions, open to hair follicles

Answer 10

short, fine, inconspicuous, relatively unpigmented

Answer 11

coarser, thicker, more conspicuous, pigmented (calp and eyebrows)

Answer 12

circumscribed, flat area of color change in the skin less than 1cm in diameter

Answer 13

circumscribed flat area of color change in the skin greater than 1cm in diameter

Answer 14

small, solid elevation of the skin less than 1 centimeter in diameter

Answer 15

large flatter elevation of the skin sometimes formed by papules coalescing

Answer 16

solid elevation of skin greater than 1cm in diameter that extends into the deeper skin layers

Answer 17

small, circumscribed elevation of the epidermis filled with purulent fluid

Answer 18

small circumscribe elevation of the epidermis containing clear fluid less than 1cm in diameter

Answer 19

circumscribed elevation of the epidermis containing clear fluid greater than 1cm in diameter

Answer 20

– circumscribed raised lesion consisting of dermal edema, aka hives or urticaria. Last less than 24 hours typically Common manifestation of hypersensitivity to drugs, stings, bites, autoimmunity, physical stimuli including temp, pressure and sunlight

Answer 21

- Size - Number - Distribution – how they are scattered or spread out - Configuration – shape of single lesions and arrangement of group lesions - Texture – smooth, fleshy, verrucous or warty, scaly - Color – blanchable, non-blanchable - Black, orange, yellow, purple, blue, silver, gray - Check cap refill

Answer 22

o Personal or family history of previous melanoma o ≥50 common moles o Atypical or large moles, especially if dysplastic (abnormal cells) o Red or light hair o Solar lentigines (acquired brown macules on sun-exposed areas) o Freckles (inherited brown macules) o Ultraviolet radiation from heavy sun exposure, sunlamps, or tanning booths o Light eye or skin color, especially skin that freckles or burns easily o Severe blistering sunburns in childhood o Immunosuppression from human immunodeficiency virus (HIV) or from chemotherapy o Personal history of nonmelanoma skin cancer

Answer 23

ABCDE A - asymmetry B - borders irregular C - color D - diameter E - evolution, is it changing?

Answer 24

- with unilateral and dermatomal vesicles - vesicles on erythematous base on left upper abdomen and trunk in a dermatomal distribution that does not cross the midline;