integuementary system and problems

  1. ecchymosis
    large, bruise like lession
  2. pallor
    pale skin
  3. Macule
    • flat
    • not raised
    • less than 1cm
  4. papule
    • raised
    • less than 1 cm
    • "wart, mole, basal cell carcinoma"
  5. vesicle
    • raised
    • serous fluid filled
    • "varicella, shingles, burn"
  6. pustule
    • superficial
    • purulent or pus filled
    • "acne, impetigo"
  7. plaque
    • elevated
    • superficial
    • solid lesion
    • collection of papule and nodule
  8. wheal
    • firm
    • edematous
    • irregular shape
    • "insect bite"
  9. interigo
    • redness
    • inflamation at skin folds
    • keep dry
  10. petechiae
    • pin point deposit of blood
    • visible through mucous membrane
  11. cherry angioma
    • red raised bumps
    • palpate for color change
  12. seborrheic keratosis
    • overgrowth
    • cells produce cebum oil
    • crusty
  13. telangiectasia
    • dialated, superficial blood vessles
    • common on face and thighs
  14. actinic keratosis
    • before sun
    • growth
    • "horns"
    • pre cancerous
  15. keloid
    • overgrowth of scar tissue
    • raised
    • no treatment
    • "piercings"
  16. vitiligo
    • absent of pigmentation
    • autoimmune
  17. naevus of ota
    • gray or blue gray birth mark
    • normal/abnormal
    • face or sclera
  18. traction alopecia
    hair loss
  19. pseudofolliculitus
    inflamatory response to in grown hairs
  20. broad spectrum sunscreen
    • UVA(tanning) and UVB(sunburn)
    • spf 15
    • 20-30 min before exposure
    • every 2 hours
  21. ABCDE
    malignant skin neoplasms

    • asymetery
    • borders
    • color
    • diameter(6mm or more)
    • evolving
  22. malignant skin neoplasms risk factors
    • fair skin
    • sun exposure
    • family hx
    • equator
    • PUVA(treatment for cirrohsis)
  23. pt with hx of skin cancer should use an spf of
    30
  24. non melanoma skin cancers
    • -they develop in the basement of the membrane
    • -basal and squamous
    • -sun exposed areas
  25. actinic keratosis
    • -hyperkeratotic papules and plaques on sun exposed areas
    • -hard keratotic scale or horn
    • -precancerous, premalignant form of squamous
  26. actinic keratosis described
    • irregular shape
    • flat
    • erythematous papule
    • indistinc borders
  27. basal cell carcinoma
    • more common
    • small slowly enlarging papule
    • elevated
    • curled borders
    • at site of trauma
    • locally invasive
  28. squamous cell carcinoma
    • -more deadly
    • -head and neck
    • -malignant neoplasm
    • -smoking and renal transplant
  29. squamous cell carcinoma described
    • -thin, scaley erythmeous plaque
    • -firm nodules with indistinct borders
    • -horns
  30. malignant melanoma
    a neoplastic growth of melanocytes anywhere on the skin, eyes or mucos membrane
  31. malignant melanoma description
    • -irregular color, border, surface
    • -flat or elevated
    • -often dark brown or black
    • -greater than 1 cm
    • -males:back and chest
    • -females: legs and back
  32. malignant melanoma diagnostic
    • -excisional biopsy
    • -dermoscopic exam
  33. atypical/dysplastic nevus
    • -may be precursur of malignant melanoma
    • -high risk for cancer
    • -most common site is back
  34. atypical/dysplastic nevus described
    • -freckles
    • -more than 40
    • -irregular border
    • -notched
    • -greater than 5 mm
  35. bacterial skin infection from streptococci
    • impetigo
    • erysipelas
    • cellulitis
    • lymphangitis
  36. bacterial skin infection from s. aureus
    • impetigo
    • folliculitus
    • cellulitis
    • furuncles
  37. impetigo etiology
    associated with poor hygeine, children and low immune
  38. impetigo describe
    • -face and chin
    • -thick honey colored crust
    • -erythme
    • -pruritic
  39. folliculitus etiology
    • -in areas subject to friction, rubbing, moisture or oil
    • -increased with DM
  40. folliculitus describe
    • -bacterial infection of hair follicle
    • -small pustule at hair folicle
  41. furuncle etiology
    deep infection around hair follicle
  42. furuncle describe
    • -tender erythmaceous area around follicle
    • -pus, painful
  43. carbuncle
    multiple furuncles
  44. cellulitus etiology
    inflamation of SQ tissue
  45. cellulitus describe
    • hot, tender
    • erythmacous and edemacous
    • diffused border
    • chills, malaise and fever
  46. eryspelas etiology
    • superficial cellulitus in the dermis
    • bacterimia possible
    • fever, wbc count, malaise
  47. eryspelas describe
    red, hot sharply demarcted plaque that is indurated and painful
  48. shingles etiology
    • -activation of the varicella zoster virus
    • -contagious to anyone who has not had varicella or is immuno suppresed
  49. shingles description
    • -linear
    • -grouped vessicles and pustules
    • -chickenpox
    • -burning, pain, neuralgia
  50. shingles meds
    • -antiviral
    • -silvadene
    • -acyclovere
    • -gabapentin
    • vaccine zostavax >50
  51. verruca vulgaris etiology
    • -caused by hpv
    • -greater in youth and immunosup
  52. verruca vulgaris describe
    • -circumsized
    • -hypertroph
    • -flesh colored papule
  53. plantar warts etiology
    caused by hpv
  54. plantar warts describe
    • bottom of foot
    • grow inward
  55. candidiasis etiology
    -appears in warm moist areas
  56. candidiasis describe
    • -white mouth
    • -vaginal
    • -diffuse papular red rash with pin point lessions around edges
  57. tinea cruris etiology
    • various dermatophytes
    • "jock itch"
  58. tinea cruris describe
    • -well defined scaly plaque in groin
    • -does not affect mucos membrane
  59. tinea unguium
    • nails
    • toenails
    • scaliness under distal nail plate
  60. bees and wasps
    • cool compress
    • antipruritic
    • antihistamines
  61. bedbugs
    • chlorocyclohexane
    • antihistamine 
    • corticosteriods
  62. pediculosis
    • benzene or pyrethins for body
    • natroba for scalp
  63. scabies
    • permethrin
    • abx
  64. ticks
    • doxcycline or tetracycline
    • iv abx
  65. allergic contact dermatitis
    • absorbed agent acts as antigen 
    • 2-7 days after contact
    • red papules and plaques
  66. urticaria
    • erythmea and edema
    • raised or irregular shaped wheales varying in size
  67. wet compress
    for superficial skin problems that involve inflamation, itching and infection
Author
ChelseaL
ID
340025
Card Set
integuementary system and problems
Description
integuementary system and problems
Updated