week 4 Flashcards
3 layers of skin
epidermis, dermis, sub Q tissue
strtum corneum does not revelope until what gestation
23-25 weeks
newborns skin:
- loose fluid easily
- loose heat rapidly
- cannot shiver
- sweat minimally
- thin epidermis (absorbs)
- blister easlity (water containing and loose connection from dermis to epidermis)
scalp hair of newborns called
terminal hair (usually loose is within a few moths of birth and replaced with hair of different color and texture
vascularization of dermis is developed by what age?
2 years
eccrine glands achieve full function when?
puberty (hands, feet and forehead)
apocrine glands do not become active until when?
puberty (armpits, odorous etc)
baby acne is called what? caused by what?
milia caused by sebaceous cysts (leave them alone)
what is cradle cap?
seborrheic dermatitis OR dandruff is NORMAL (use baby oil, coconut oil, or Aquaphor, plastic baby comb)
what are birthmarks? when doing a PMI of an integumentary system, why are birthmarks important to include?
congenital nevi…
integumentary assessment seen in stuge weber diseases and what is this desease
facial port wine stains. causes seizures and cognitive delays
Q
integumentary assessment in Von Recklinghausen disease (neurofibromatosis)
auxillary freckling AND/OR more than 6 - 5 mm in greatest diameter safe au lait spots
new name for mongolian spots. what do we need to make sure of with these?
congenital dermal melanocytosis (CDM). document so people do not believe theses are bruised spots on a child.
name for strawberry marks and when do they usually go away?
capillary hemangioma, age 5-7
stork bites name , where they are located, and when they go away?
nevus simplex, neck, eye lids, face, go away usually by age 1
trichotilomania what is it and what is is usually from?
hair pulling- OCD
fungal skin infection name
tinia corporis
acanthosis nigricans
product of insulin resistance (usually on the neck)
hives name
urticaria
describe chicken pox rash
erythematous macuale with a vesicle on top. when vesicle open up, creates a crust.
describe roseola
rose colored blanchable macules or papules that sometimes surrounded by a pale halo
what is the fitzpatrick scale?
scale used to determine the shade of skin and how it responds to UV rays. types 1-6
what are the two determiners of the skin tone?
genetics and uv exposure
assessments effected by the amount of melanin someone has in their skin
cyanosis, pressure injury assessments, inflammations, petechiae, erythema, ecchymosis, pallor, jaundice, nails
what is erythema migrans
target shaped red rash caused from tick bite that indicates lyme disease
what is the name of the soft downy hair covering body when a patient is malnourished?
lanugo
what is the scarring that happens on the fingers from bulemia?
russell’s sign
tinia capitus when it has worsened to a rasied lesion that is boggy and tender? how to treat?
kerion, treat with oral antifungals