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flushing
red warm condition of human skin
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vitiligo
patches of hypopigmented skin
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cyanosis
blue color of skin - related to lack of oxygen
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erythema
intense redness of the skin
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petechiae
red bumps around eye
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striae
- silvery white linear jagged pigment marks
- stretch marks
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nodule
skin lesionĀ - solid , elevated hard or soft larger than 1cm
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pustule
- turbid fluid in the cavity
- circumscribed and elevated
- ex. acne
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papule
something you can feel caused by superficial thickening of the epidermis
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cyst
encapsulated fluid filled cavity in the dermis or sq layer, tensely elevating skin.
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scale
flakes of skin that are dry or greasy, silvery or white from shedding of dead excess keratin cells
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crust
the thickened dried out exudate left when vesicles/pustules burst or dry up
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keloid
- a hypertrophic scar
- skin lvl elevated by excess scar tissue
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senile lentigines
liver spots
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Braden Scale
- used to predict risk of pressure sores
- 23 points possible, anyone below 18 points is at risk
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tachypnea
- increased respiratory rate above 24
- quick shallow breaths
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bradypnea
- respiratory rate less than 12
- abnormally slow breathing
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apnea
absence of breathing
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Kussmaul's Breathing
hyperventilation that accompanies dka
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Adventitious Breath Sounds
abnormal breath sounds
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chest symmetry
rise and fall bilaterally
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Cheyne-Stokes Breathing
- deep to shallow breathing with periods of apnea
- end of life breathing
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Dyspnea
difficulty breathing
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Orthopnea
- ability to breath in upright sitting or standing positions.
- bed- high Fowlers, table across bed w/pillows for pt to lean over while breathing
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hemoptysis
presence of blood in sputum
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wheeze
- high pitched or whistling sound occurring on expiration
- adventitious breath sound
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a-p diameter
- 1:2 norm
- 1:1 abnormal except in babies
- measurement of chest
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aspiration
breathing in anything except air
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