Other Systems_Integ_Diff Diagnosis

The flashcards below were created by user Tanuisha on FreezingBlue Flashcards.

  1. What is Clubbing?
    Thickened and rounded nail end with spongy proximal fold
  2. What is clubbing indicative of? - 5
    • Cardiac - cyanosis
    • Lung - cancer, chronic hypoxia
    • GI - Crohn's; Ulcerative colitis
    • Biliary cirrhosis
    • Neoplasm
  3. Test for clubbing - name + describe
    • Schamroth’s window test
    • Loss of diamond shaped space when nails from hands are placed back to back
  4. Splinter hemorrhages - define + what it indicates
    • Small areas of bleeding under nails
    • Potential cardiac or renal signs
  5. Cherry red skin color on palms means what?
    Liver or renal issues
  6. Halo of erythema, warmth, and swelling may indicate what?
    Infection (cellulitis)
  7. Trophic changes may indicate what?
    Poor arterial nutrition
  8. Cyanosis skin color indicates what? - 4
    • Cardiac - CHF
    • Advanced lung disease
    • Venous obstruction
    • Arterial obstruction
  9. Temporary pallor seen w/what? - 5
    • Arterial insufficiency and syncope
    • Chills
    • Shock
    • Vasomotor instability
    • Nervousness
  10. Yellow skin color indicates what? - 2
    • Jaundice, liver disease
    • Look for yellow color in sclera of eyes, lips, skin
  11. Brown skin color indicates what?
    INC pigmentation associated w/venous insufficiency (i.e., hemosiderinosis)
  12. Local warmth of reddened areas may indicate what? - 2
    • Inflammation
    • Cellulitis
  13. Hirsutism - define + seen w/what pathologies (3)?
    • Male pattern hair growth in women
    • Polycystic ovary syndrome
    • Cushing’s
    • Tumor
  14. What is Hidrosis?
    • Moist skin (hyperhidrosis)
    • INC perspira­tion
  15. Dry skin (hypohidrosis) can indicate what? - 4
    • Dehydra­tion
    • Ichthyosis
    • Hypothyroidism
    • Seen in later stages of diabetes mellitus
  16. Urticaria - define + indicates what?
    • HIVES - Smooth, red, elevated patches of skin
    • An allergic response to drugs or infection
  17. Xeroderma - define + indicates what?
    • Excessive dryness of skin w/shedding of epithelium
    • Deficiency of thyroid function + Diabetes
  18. What is Ecchymosis?
    BRUISE
  19. What is Petechiae?
    Tiny red/purple hemorrhagic spots on skin
  20. Pruritus - define + when is it common (3)
    • Itching
    • Diabetes
    • Drug hypersensitivity
    • Hyperthyroidism
  21. Turgor - define + test
    • Hydration status
    • Lift skin on back of hands
  22. Macule
    Flat spot up to 1 cm
  23. Palpable elevated solid mass - 3
    • Papule = <1 cm
    • Plaque = >1 cm
    • Nodule = marble like
  24. Wheal
    Irregular, localized, skin edema
  25. Benign tumors - 3
    • Seborrheic keratosis
    • Actinic keratosis
    • Benign nevus
  26. Actinic keratosis - 2
    • Flat, round, irregular lesions covered by dry scale on sun-exposed skin
    • Precancerous
    • Can lead to squamous cell carcinoma
  27. Benign nevus - 4
    • Sharply defined borders
    • Uniform color
    • < 6mm
    • Flat or raised
  28. Name malignant tumors - 4
    • Basal cell carcinoma
    • Squamous cell carcinoma
    • Malignant melanoma
    • Kaposi’s Sarcoma
  29. Basal cell carcinoma - 3
    • Raised patch w/ivory appearance OR reddened area of eczema
    • Rolled border
    • Indented center
  30. Squamous cell carcinoma - 3
    • Flat red area
    • Poorly defined margins
    • Ulcer or nodule
  31. ABCDEs of Malignant Melanoma
    • A - asymmetry
    • B - border
    • C - color
    • D - diameter
    • E - elevation
  32. Diameter of malignant melanoma
    > 6mm
  33. Kaposi’s sarcoma - define & S/S (4)
    • MALIGNANT tumor d/t human herpes virus
    • Red or dark purple/blue macule
    • Progress to nodules or ulcers
    • Itching
    • Pain
  34. Dermatitis - acute, subacute, chronic - 3 each; avoid use of what?
    • Acute - Red, oozing, crusting rash
    • Subacute - erythema, scaling, scattered plaques
    • Chronic - thickened skin, fibrotic nodules
    • AVOID USE OF ALCOHOL
  35. Stasis dermatitis - results from what? looks how?
    • Result of venous insufficiency
    • Look - dry skin w/shallow ulcers
  36. Impetigo - 3
    • Contagious superficial skin infection caused by staphylococci or streptococci
    • Common in Children & elderly
    • Look - inflammation; small pus-filled vesicles; itching
  37. Herpes 1 (herpes simplex) vs Herpes 2
    • Both - Viral infection
    • 1 - cold sore or fever blister
    • 2 - genital
  38. Herpes 2 & newborns
    May cause meningoencephalitis - can be fatal
  39. Herpes zoster (shingles) - 5
    • Viral infection caused by varicella-zoster virus (chickenpox)
    • Fever, Chills
    • Malaise
    • GI disturbances
    • Ocular complications w/(CN) III involvement - eye pain, corneal damage, loss of vision
  40. Shingles - PT contraindication - 2
    • Heat
    • Ultrasound
    • Both can INC severity of symptoms
  41. Management of warts - 4
    • Cryotherapy
    • Acids
    • Electrodessication and curettage
    • Over-the-counter medications
  42. Tinea corporis - 4
    • Ringworm - Fungal infection of hair/skin/nails
    • Forms ring-shaped patches w/vesicles or scales
    • Itchy
    • Transmission is through direct contact
  43. Tinea pedis - define + S/S (4)
    • Athlete's foot - Fungal infection of foot, typically between toes
    • Erythema
    • Inflammation
    • Pruritus, itching
    • Pain
  44. Cellulitis - Describe look; Tx (3)
    • Skin is hot, red, and edematous
    • Antibiotics
    • Elevation of part
    • Cool, wet dressings
  45. If cellulitis goes untreated what can occur? - 4
    • Lymphangitis
    • Gangrene
    • Abscess
    • Sepsis
  46. Who is at INC risk for cellulitis?
    • Elderly
    • Individuals w/diabetes, wounds, malnutrition, or on steroid therapy
  47. Psoriasis - define, look, location
    • Chronic autoimmune disease of skin
    • Erythematous plaques covered w/silvery scale
    • Location - ears, scalp, elbows, knees, genitals
  48. Precipitating factors for psoriasis - 8
    • Trauma
    • Infection
    • Pregnancy
    • Endocrine changes
    • Cold weather
    • Smoking
    • Anxiety
    • Stress
  49. Psoriasis - medical (topical & meds) & PT management - 2
    • PT - Long-wave ultraviolet (UV) light
    • Topical - corticosteroids, occlusive ointments, coal tar
    • Meds - Immunosuppressive - methotrexate
  50. Systemic lupus erythematosus (SLE)? - 5
    • Chronic, systemic inflammatory disorder
    • Affects skin, joints, kidneys, heart, nervous system, mucous membranes
    • Can be fatal
    • Most affected - young women
    • Red rash w/raised, red, scaly plaques
  51. Systemic lupus erythematosus (SLE) - S/S - 9
    • Fever/Malaise
    • Butterfly rash across bridge of nose
    • Photosen­sitivity
    • Skin lesions
    • Chronic fatigue
    • Arthralgia, arthritis
    • Anemia
    • Hair loss
    • Raynaud's phenomenon
  52. What to observe for w/Systemic lupus erythematosus (SLE)?
    Side effects of corticosteroids
  53. Side effects of corticosteroids - 6
    • Edema
    • Weight gain
    • Acne
    • Hypertension
    • Bruising
    • Purplish stretch marks
  54. What is long-term use of corticosteroids associated with? - 7
    • INC susceptibility to infec­tion (immunosuppressed patient)
    • Osteoporosis
    • Myopathy
    • Tendon rupture
    • Diabetes
    • Gastric irrita­tion
    • Low potassium
  55. Scleroderma - 4
    • Chronic, autoimmune disease of connec­tive tissues
    • Causes fibrosis of skin, joints, blood vessels, internal organs
    • Symmetrical
    • Skin - Taut, firm, edematous, firmly bound to subcutaneous tissues
  56. What is scleroderma usually accompanied by?
    Raynaud's phenomenon
  57. Precautions w/sclerosed skin - 3
    • Sensitive to P
    • Acute HT may occur, stress regular BP checks/vital sign monitoring
    • Pulmonary HT can lead to R sided heart failure in severe cases
  58. Polymyositis - 5
    • Disease of connective tissues
    • Onset - Rapid, severe
    • Symmetrical distribu­tion
    • Proximal mms - shoulder/pelvic girdles, neck, pharynx
    • Interstitial lung disease
  59. Polymyositis - PT - 2
    • Fatigue management/conservation of energy principles
    • Low level aerobic/resistance - additional mm damage w/too much exercise
  60. Hypothyroidism & hair
    Thinning hair
  61. Hyperthyroidism & hair
    Silky hair
  62. What is it?
    Image Upload 1
    Systemic lupus erythematosus
  63. What is it?
    Image Upload 2
    Impetigo
  64. What is it?
    Image Upload 3
    Psoraisis
  65. What is it?
    Image Upload 4
    Urticaria
  66. What is it?
    Image Upload 5
    Basal cell carcinoma
  67. What is it?
    Image Upload 6
    Kaposi’s sarcoma
  68. What is it?
    Image Upload 7
    Cellulitis
  69. What is it?
    Image Upload 8
    Scleroderma
  70. Induration - d/t what? causes what?
    • Local edema
    • Causes firmness in skin
Author
ID
321399
Card Set
Other Systems_Integ_Diff Diagnosis
Description
Other Systems_Integ_Diff Diagnosis
Updated
Show Answers