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Syst Tx 700 > Integumentary > Flashcards

Flashcards in Integumentary Deck (37)
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1
Q

Central cyanosis

A

Blue lips, gums, tongue

Maybe result from advanced lung disease, congenital heart disease, abnormal hemoglobin, pulmonary edema

2
Q

Peripheral cyanosis

A

Blue fingertips, hands, feet

May be a sign of congestive heart failure, pulmonary edema, venous obstruction.

3
Q

Jaundice

A

Yellow sclera, lips, conjunctiva, etc.

Liver disease or excess hemolysis

4
Q

Carotenemia

A

Yellow palms, soles, face

5
Q

Integumentary signs of hypothyroidism

A

Dry, rough skin
Cool to touch
Sparse hair

6
Q

Integumentary signs of hyperthyroidism

A

Warm to touch
Velvety texture
Fine, silky hair

7
Q

Decreased mobility of skin

A

Skin doesn’t lift easily

Sign of edema

8
Q

Decreased turgor of skin

A

Skin doesn’t spring back when stretched

Sign of dehydration

9
Q

Typical distribution of acne

A

Face
Back
Upper chest

10
Q

Typical distribution of psoriasis

A

Elbows and knees

11
Q

Alopecia

A

Diffuse patchy hair loss

12
Q

Warning signs of malignant melanoma

A

Asymmetry
Borders
Colour
Diameter

13
Q

Herpes Simples

A

Viral
Fluid filled blisters
Very contagious
Local CI

14
Q

Chicken Pox

A

Viral
Itchy vesicles on trunk, face, limbs
Contagious
Absolute CI

15
Q

Herpes zoster

A

Shingles
Itch, lesions along dermatome; pain
Mildly contagious
Local CI

16
Q

Verruca

A
Warts
Viral
Papules on hands, feet, face
Contagious
Local CI
17
Q

Impetigo

A

Bacterial
Crusty itchy honey coloured scabs on face
Contagious
local CI (gloves during Tx; bag and launder sheets immediately after)

18
Q

Cellulitis

A

Bacterial
Painful, swollen, red
Not contagious
Local CI

19
Q

Ringworm

A

Fungal infection
Contagious
Local CI. Wash sheets etc immediately

20
Q

Candidiasis

A

Yeast infection
Blech
Somewhat contagious
Local CI

21
Q

Scabies

A

Mites
Itchy ridges, papules
Very contagious
Absolute CI (wash linens in hot!)

22
Q

Dermatitis & Eczema

A

Itchy red rash
Itchy vesicles, bullae, scaling plaques
Not contagious
Avoid open lesions; gently massage with oil over closed lesions

23
Q

Venous eczema

A

AKA stasis dematitis
Hyperpigmented friable skin in calf area; burning scale patches; vesicular and crusty
Not contagious
Massage proximal to decrease edema and facilitate venous return

24
Q

Psoriasis vulgaris

A

Chronic recurrent inflammatory scaling condition
Erythemous papules; silver scaly plaques
Not contagious
Local CI if open lesions, or due to client discomfort

25
Q

Cherry angioma

A

Benign neoplasm with superficial capillary proliferation
Red dome shaped papule
Not contagious
Avoid stretching skin, and vigorous techniques

26
Q

Venous lake

A

Benign neoplasm
Dilated capillaries on lips, face, ears of elderly
Dark blue, soft compressible spots
Not contagious
Avoid stretching skin, and vigorous techniques

27
Q

Dermatofibroma

A

Benign neoplasm; proliferation of fibroblasts
Hyperpigmented discrete papules; dimples when surrounding skin pinched
Not contagious
Not CI’d

28
Q

Epidermal inclusion cyst

A
Benign neoplasm
Idiopathic, possibly trauma related 
Raised nodule filled with smelly goo
Not contagious
Not CI'd.
29
Q

Hemangioma

A

Benign neoplasm
Superficial proliferation of blood vessels
Red to purple macules, often present at birth and resolve by puberty
Not contagious
Local CI for capillary hemangioma

30
Q

Lipoma

A

Benign proliferation of fatty tissue beneath dermis
Mobile, soft, slightly compressible tumour
Not CId

31
Q

Nevus

A

Mole

Benign proliferation of of normal skin components

32
Q

Seborrheic keratosis

A

Idiopathic superficial lesions. Morgan Freeman freckles.

Most common in Asian and black women.

33
Q

Actinic keratosis

A
Premalignant plaque, scale or papule
Due to chronic sun exposure
Lesions on face scalp hands
Fair complexions 
Avoid frictions or torque
34
Q

Basal cell carcinoma

A
Malignancy if epidermal basal cells
Sun exposure 
Rarely metastasizes 
Waxy translucent papule; raised border; central ulceration 
Local CI
35
Q

Malignant melanoma

A
Proliferation of melanocytes 
Cause not understood 
Can metastasize; potentially fatal 
Fair skin
ABCD
Local CI
36
Q

Squamous cell carcinoma

A
Rumour of malignant keratinocytes 
Sun exposure, smoking, immunosuppression
Rarely metastasizes 
Papules, plaques, nodules with crusty ulcerous portions 
Local CI
37
Q

Pallor

A

Decreased redness

May be a sign of Anemia, arterial insufficiency