Week 3 (Integumentary Disorders)

Question 1

Boils (furuncle, carbuncle)

Answer 1

Infection of sebaceous glands or hair follicle with Staph. Painful. Does not penetrate into subcutaneous layer.

Single: Furuncle
Grouped: Carbuncle

Massage locally CI.
If fever…send client home!

Question 2

Boils vs Acne

Answer 2

Boils–aggressive bacterial infection
Acne–locally clogged pore from oil or dead skin

Question 3

Cellulitis

Answer 3

Infection of dermis AND subcutaneous tissue with STREP.
Enters through broken skin (ie insect bite or scratch).
Bright red, painful, swollen, hot, shiny.
Well defined borders.
Possible fever, chills, flu-like

Very contagious. Send to ER. Can lead to sepsis.

Question 4

Fungal Infection

Answer 4

Fungus feeding on dead keratinized skin.
White scaling edges with central clearing.
“Ringworm” appearance.
Ex: athlete’s foot

Tinea. Capitus, corporis, cruris, pedis, unguium.

Question 5

Herpes Simplex

Answer 5

Cold Sores
Mouth and groin area
Infection w Herpes simplex virus. Virus lives in nerve root. Recurs during times of illness/stress
Prodromal tingling, itching, burning.

Locally CI

Question 6

Herpes Zoster (Shingles)

Answer 6

Eruption on skin across particular dermatome from previous chicken pox infection. Painful. Happens during decreased immune diligence.

Question 7

Impetigo

Answer 7

Bacterial infection of superficial skin w Staph or Strep. Honeycomb crust appearance. On face.
Extremely contagious
CI for massage
Burn sheets if client contact

Question 8

Lice and Mites

Answer 8

Little critters that feed on blood.
Itchy skin where there is hair.

CI for massage
Highly communicable
Isolate sheets and clean on HOT.

Question 9

Warts

Answer 9

Viral. Infection of keratinized skin w HPV.

Mildly contagious

Question 10

Acne

Answer 10

Inflammation of the sebaceous glands.
Comedones (keratin plugs). Open=”black head” oxidized; closed=”white head”
Mild bacteria that feeds on dead skin cells
Possible hormone imbalance, diet.

Question 11

Eczema

Answer 11

Superficial inflammation of the skin. Dry and scaly, red. Lichenification.

Question 12

Hives

Answer 12

Inflammatory skin response. Regulated by histamine.

Question 13

Burns

Answer 13

From hyperthermia and UV exposure.

Question 14

Decubitus Ulcers

Answer 14

Bedsores.
Ischemia due to extended pressure from lying in one position.
Can become infected.
May be a sign of neglect or abuse in elders or invalids.

Question 15

Scar Tissue

Answer 15

Hypertrophic Scars
Keloid Scars
Contracture Scars

Question 16

Dermatitis

Answer 16

Hypersensitivity to something in environment or diet.

Contact: poinson oak, adhesive banage, lye, harsh chemicals.

Question 17

Psoriasis

Answer 17

Hyperproduction of epithelium.
Dry, silver, scaly plaques.
Rapid turnover of skin cells, but with normal cells (cancerous would be abnormal cells)