ch. 12 healthy assessment

  1. 2 types of hair
    vellus hair-covers most of the body

    terminal hair-scalp, eyebrows, axillae, pubic area, face and chest
  2. sebaceous glands
    produce a protective lipid substance, sebum, that is secreted through hair follicles
  3. 2 types of sweat glands
    eccrine-saline solution called sweat

    apocrine-thick, milky secretion and open into hair follicles
  4. function of skin
    protection, prevents penetration, perception, temp, identification, communication, wound repair, absorption and excretion, production of vit. d
  5. senile purpura
    dark red discolored areas on elderly
  6. ABCDE
    asymmetry, border irregularity, color variatin, diameter greater than 6 mm, elevation or enlargement
  7. primary and secondary lesions
    primary-develops on previously unaltered skin

    secondary- when a lesion changes over time
  8. degree of nails
    • normal-160
    • curved-160 or less
    • early clubbing-180
  9. cafe au lait spot
    round or oval patches of light brown pigmentation-normal
  10. harlequin color change
    half red half white
  11. erythema toxicum
    rash that appears in first 3-4 days of life

    called flea bite rash

    no treatment needed
  12. cutis marmorata
    mottling in the trunk and extremities in response to room temp
  13. physiologic jaundice
    yellowing after 3rd or 4th day of life
  14. carotenemia
    yellow orange color in light pigmented skin with no yellowing of sclera or mucous membranes
  15. seborrheic keratosis
    do not become cancerous

    lesions that are raised, thick, look crusted, scaly and warty
  16. actinic (senile or solar) keratosis
    lesions that are red tan scaly plaques that increase over the years to become raised and roughened

    looks like dry skin around nose
  17. acrochordons
    skin tags
  18. sebaceous hyperplasia
    raised yellow papules with a central depression

    pebbly look
  19. annular
    • circular
    • -begins in center and spreads to periphery
  20. confluent
    lesions run together (hives)
  21. discrete
    lesions that remain separate from eachother
  22. gyrate
    twisted, coiled and spiral snakelike
  23. grouped
    cluster of lesions
  24. linear
    scratch, streak, line or stripe
  25. target
    resembles iris of eye
  26. zosteriform
    linear arrangement along a unilateral nerve route
  27. polycyclic
    annular lesions grow together
  28. macule
    flat and circumscribed less than 1 cm

  29. papule
    • can feel
    • less than 1 cm
    • moles
  30. patch
    macules greater than 1 cm
  31. plaque
    ex. psoriasis
  32. nodule
    solid, elevated, hard or soft, larger than 1 cm
  33. wheal
    slightly irregular shape

    ex: mosq. bite
  34. tumor
    larger than few cm
  35. uticaria

  36. vesicle
    elevated cavity containing free liquid

    up to 1 cm
  37. bulla
    larger than 1 cm

    usually single chambered

    ex. blister
  38. cyst
    encapsuled fluid filled cavity into dermis or subq tissues
  39. pustule
    turbid fluid (pus) in cavity
  40. fissure
    linear crack with abrupt edges
  41. erosion
    scooped shallow depression
  42. ulcer
    deeper depression into dermis
  43. excoriation
    self inflicted abrasion, superficial
  44. atrophic scar
    depressed with lots of tissue, thinning of epidermis
  45. lichenification
    intense scratching
  46. keloid
    hypertrophic scar

    elevated by excess scar tissue
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ch. 12 healthy assessment