Skin Conditions in Children

  1. What is the skin of preterm infants like?
    • gelatinous
    • thin
    • loses tremendous amounts of heat and fluid 
    • absorbs toxin and medications easily 
    • friable and easily damaged
  2. What percautions do you want to take with pre-term infant skin?
    • Limit tape
    • Avoid adherents-benzoin
    • If using CHG-remove with sterile NS wipes
    • Avoid perfumed substances
  3. What are Eccrine glands?
    • the secrete oderless, watery fluid (NA, CL, Urea)
    • located in dermis and all over body except the palms of the ahdns and soles of the feet 
    • present in newborns, but function is immature
  4. Eccrine glands function well by ________ of age
    2-3 years
  5. Melanin reaches adults levels by
    1 year
  6. Vascularization developed by _______ year of life
  7. Apocrine glands develop at
  8. Normal variations in kids of color
    • Color and texture of skin may vary from one part of body to another
    • May be increased areas of pigmentation in areas of thicker skin
    • Normal exfoliation of skin may produce gray scales
    • Color alterations may be difficult to access
    • Often have kinky, tightly knit, curly hair
  9. Another word for itching
  10. Thin, outermost layer of skin
    rapidly growing
    Contain melanocytes
  11. Middle layer of skin composed of connective tissue and contains nerves, muscles, hair follicles, sebaceous and sweat glands, lymph channels and blood vessels
  12. Connects the dermis to the muscle below
    Insulates the body from cold temps
    Sebaceous glands secrete sebum, which lubricates the skin and hair
    subQ fatty layer
  13. Aprocrine glands secretions contain
    more lipids and proteins and are responsible for body odors, axillary and genitals area
  14. Promade acne
    • African American 
    • Thick waxy substance used to style hair, takes several washes to remove, may cause acne of forehead and other areas of the face
  15. Traction alopecia
    Cornrows, dreadlocks or tight ponytails
  16. a solid raised lesion that has distinct borders and is less than 1 cm in diameter
  17. a raised solid lesion more than 1 cm. and may be in the epidermis, dermis or subQ tissue
  18. a solid, raised, flat-topped lesion greater than 1 cm. in diameter. It is analogous to the geological formation, the plateau
  19. Poison ivy is a ________rash
  20. raised lesions less than 1 cm. in diameter that are filled with clear fluid
  21. Circumscribed fluid-filled lesions that are greater than 1 cm in diameter
  22. circumscribed elevated lesions that contain pus. THey are most commonly infected (as in folliculitis) but may be sterile (as in pustular psoriasis
  23. an area of edma in the upper epidermis
  24. linear lesions produced by infestations of the skin and formation of tunnels ( eg, with infestation by the scabitic mite or cutaneous larva migrans)
  25. permentant dilation of superficial blood vessels in the skin and may occur as isolated phenoma or as part of a generlized disorder, such as ataxia telangiectasia
  26. consists of flakes or plates that represent compacted desquamated layers of stratum corneum. Desquamation occurs when there are peeling sheets of scale following acute injury to the skin
  27. the result of the drying of plasma or exudate on the skin

    crusting is different from scaling
  28. zerosis
    dry skin
  29. thinning or absence of the epidermis or subQ fat
  30. a thickening of the epidermis seen with exaggeration of normal skin lines. it is usually due to chronic rubbing or scratching of an area
  31. slightly depressed areas of skin in which part or all of the epidermis has been lost
  32. traumitized or abraded skin caused by scrathcing or rubbing
  33. linear cleavage of skin which extends into the dermis
  34. occurs when there is necrosis of the epidermis and dermis and sometimes of the underlying subQ tissue
  35. the permanent fibrotic changes that occur on the skin following damage to the dermis. may have secondary pigment characteristics
  36. a hard, usually darkened plaque covering an ulcer implying extensive tissue necrosis, infarcts or gangrene
  37. an exaggerated connective tissue response of injured skin that extend beyond the edges of the original wound
  38. smaller lesions of bleeding under the skin

    non blanchable when pressed

    when in doubt press on skin with glass slide
  39. larger lesions of bleeding under the skin
    purpura and echymoses

    non blanchable when pressed

    • purpura may be palpable
    • when in doubt press on skin with glass slide
  40. annular lesions
    ring shaped

    tinea corporis, erythema migrans ( associated with lyme disease) and granuloma annulare are three common examples
  41. Descrete lesions
    tend to remain separate. This is a helpful descriptive term but has little specific diagnostic significance
  42. Clustered leasions
    grouped together

    common ly seen in herpes simplex or with insect bites
  43. Confluent leasions
    run together
  44. Linear lesions
    occur in a line or band-like configuration

    poison ivy
  45. Satellite leasions
    commonly used to describe a portion of the rash of cutaneous candidiasis in which a beefy red plaque may be found surrounded by nuerous, smaller red macules located adjacent to the body of the main lesions
Card Set
Skin Conditions in Children
exam 1