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Health Assessment-10
10
74
Nursing
Undergraduate 1
10/13/2012

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Cards

Term
Integumentary System
Definition
conclude skin and accessory structures
Term
Accessory Structures
Definition
hair, nails, swear glands, and sebaceous glands
Term
Layers of the Skin
Definition
epidermis, dermis, subcutaneous
Term
Epidermis
Definition
thin, outtermost layer of skin composed of stratified squamous epithelium; 30 layers of dead keratinized cells
Term
Dermis
Definition
made up of vascular connective tissue; dilates and constricts to external temps, internal(anxiety & hemorrhage); this is where you sensory nerves are
Term

Subcutaneous Layer

(Hypodermis)

 

Definition
anchor for upper structures, composed of loose connective tissue with fat that helps retain heat, protective cushion, and provide calories
Term
2 Types of Sweat Glands
Definition
Eccrine & Apocrine
Term
Eccrine Sweat Gland
Definition
regulate body temp by water secretion through the skin's surface; most numerous and widespread sweat glands on body
Term
Apocrine Sweat Gland
Definition
larger & deeper than eccrine glands; only in axillae, nipples, areolae, anogenital area, eyelids, and external ears; odorless secretions
Term
SEbaceous Glands
Definition
secrete a lipid-rich substance, sebum, which keeps the skin and hair from drying out; all areas except palms & soles (sebum secretion by sex activity varies thruout life)
Term
Risk factors of Skin, Hair, & Nails
Definition
systemic disease, infection, family history of skin cancer or autoimmune disease, immobility, excessive sun exposure(m), exposure to chemicals or allergens(m), medications(m) Pg. 114
Term
"Coining"
Definition
practiced by Cambodians & Veitnamese; body is rubbed vigorously with a coin while exerting pressure until red marks appear on bony prominences of rib cage, back, and chest; mistaken for abuse
Term

"Cupping"

 

Definition
treatment for arthritis, stomach aches, bruises, and paralysis; cup is heated and placed on skin. may leave a reddened area, Latin America & Russian Cultures
Term

Early Signs of Melanoma

A-F

Definition

A-assymetry, B-border, C- color, D-diameter, E-elevation, F-Feeling

Look in Book for details on Pg. 119

 

Term
Palpate Skin for ?
Definition
texture, temp, moisture, mobility, turgor, and thickness
Term
Texture
Definition
skin should be smooth, soft, intact tih an even surface
Term
Temp
Definition
evaluate using dorsal aspect of your hands; shud be warm
Term
Moisture
Definition
normally dry
Term
Mobility & Turgor
Definition
assessed by picking up and slightly pinching the skin on the forearm or under clavicle; shud move easily and return immediately
Term
Skin Thickness
Definition
varies based on age and area of the body; skin thickens until adulthood, and then decreases after 20
Term
Hirsutism
Definition
hair growth in women with an increase of hair on the face, body, and pubic area; may be a sign of an underlying endocrine disorder, menopause, and SE's of medicine
Term
Normal Nails
Definition
smooth and rounded and flat in the center and slightly curved downward at the edges, pink and blanch with pressure
Term
Clubbing of nails
Definition
when angle of the nail base exceeds 180 degrees
Term
Primary skin Lesions
Definition
Macule, Papule, Patch, Wheal, Nodule, Vesicle, Bulla, Pustule
Term
Macule
Definition
a flat, circumscribed area that is a change in the color of the skin; less than 1 cm in diameter. Ex:freckles
Term
Papule
Definition
an elevated, firm, circumscribed area less than 1 cm in diameter; Wart
Term
Patch
Definition
a flat, nonpalpable, irregular shaped macule more than 1 cm in diameter; Adam R's leg
Term
Wheal
Definition
elevated irregular-shaped area of cutaneous edema; solid, transient; variable diameter; insect bites
Term
Nodule
Definition
elevated, firm, cicrumscribed lesion; deeper in dermis than a papule; 1-2 cm in diameter; melanoma or neurofibroma
Term
Vesicle
Definition
elevated, circumscribed, superficial, not into dermis; filled with serous fluid; less than 1 cm in diameter; varicella or chicken pox
Term
Bulla
Definition
vesicle greater than 1 cm in diameter; blister
Term
Pustule
Definition
elevated, superficial lesion; similar to a vesicle but filled with purulent fluid; acne
Term
Secondary Skin Lesions
Definition
keloid, fissure, ulcer, atrophy
Term
Keloid
Definition
irregul-shaped, elevated, progressively enlarging scar; grows beyond boundary of womb; following surgery
Term
Fissure
Definition
linear crack or break from the epidermis to the dermis; may be moist or dry; athlete's foot
Term
Ulcer
Definition
loss of epidermis and dermis; concave; varies in size; pressure ulcer
Term
Atrophy
Definition
thinning of the skin and loss of skin markings; skin appears translucent and paperlike; aged skin
Term
Vascular Skin Lesions
Definition
Petechiae, ecchymosis, nevus
Term
Petechiae
Definition
tiny, flat, reddish purple nonblanchable spots in the skin less than 0.5 cm in diameter; pinpoint size; from tiny hemorrhages
Term
Ecchymosis
Definition
a reddish purple, nonblanchable spot of variable size; bruise
Term

Nevus Flammeus

(nevi-many roles)

Definition
type of angioma that involves the capillaries within the ksin producing an irregular macular patch that can vary from light red to dark red, to purple in color;port wine stain
Term
Pressure Areas in Ethnic & Culteral Variations
Definition
in dark skinned people, often are harder to see in early stages; applyin manual pressure to an area produces grayish or yellow-brown pallor that becomes purple; if remains purple, it indicates tissue damage
Term
Dermatitis
Definition
describes a variety of superficial inflammaroty conditions of the skin that can be acute or chronic
Term
Atopic Dermatitis
Definition
inflammation of the skin w/an unknown cause; it's commonly associated with hay fever, and asthma & thought to be familial
Term
Contact Dermatitis
Definition
inflammatory reaction of the skin in response to irritants or allergens such as metals, plants, chemicals, and detergent
Term
Seborrheic Dermatitis
Definition
chronic inflammation of the skin of unknown cause affecting individuals thruout their entire life, often periods of remission and exacerbation
Term
Stasis Dermatitis
Definition
inflammation of the skin on the lower legs most commonly seen in the older adult; stasis progresses to stasis ulcers if untreated
Term
Psoriasis
Definition
common chronic skin disorder that can occur at any age, but usually develops by age 20; cause is unknown; disease is mild to severe; lesions appear as well cicumscribed, slightly raised, erythematous plaques with silvery scales on the surface
Term
Warts (verruca)
Definition
small benign lesion caused by humans papilloma virus(HPV);more than 60 diff types; diff types of em' occur in many location in many sizes; any age
Term

Herpes Simplex

HSV1 & HSV2

Definition
HSV1-cold sores on nose, mouth, on tongue; HSV2-lesions on genitalia; last 2 weeks
Term
Herpes Simplex
Definition
triggered by sun exposure, stress, and fever
Term
Herpes Varicella
Definition
highly communicable viral infection, spread by droplets
Term

Herpes Zoster

 

Definition
shingles; accute inflammation by reactivation of virus
Term
Tinea Infections
Definition
caused by a number of dermophyte fungal infections involving skin, hair, and nails
Term
Tinea Corporis
Definition
ringworm
Term
Tinea cruris
Definition
jock itch
Term
Tinea pedis
Definition
athletes foot
Term
Candidiasis
Definition
caused by Candida albicans; found on skin, mucous membranes, GI tract, and vagina; causes infection under favorable environment, disease states, and systemic antibiotic administration pg. 143
Term
Cellulitis
Definition
acute streptococcal or staphylococcal infection of the skin and subcutaneous tiss; skin is red, warm to touch, and tender and appears indurated
Term
Impetigo
Definition
common and highly contagious bacterial infectioncaused by staphylococcal or streptococcal pathogens; usually in children in crowded situations w/poor hygiene; in summer time
Term
Furuncle or Abcess
Definition
boil; localized bacterial lesion caused by a staphylococcal pathogen; often from folliculitis; on it goes as a pustule, the center fills with sanguineous purulent exudate; red, hot and extremely tender
Term
Scabies
Definition
highly contagious infestation associated with the mit Sacopetes scabei; female mite burrows into the superficial layer of skin and lays eggs; direct skin-to-skin contact
Term
Lyme disease
Definition
occurs after a bite from a tick infected with Borrelia burgdorferi; Northeastern states
Term
Neoplasia
Definition
skin cancer-basal cell carcinoma, squamous cell carcinoma, melanoma, kaposi's sarcoma
Term
Basal Cell Carcinoma
Definition
most common form of skin cancer; afflicts light skinned ages 40-80; locally invasive and rarely metastasizes
Term
Squamous Cell Carcinoma
Definition
second-most skin cancer; invasive skin cancer that typically appears on the heead & neck due result ultraviolt light exposure
Term
Melanoma
Definition
most serious form of skin cancer; malignant proliferation of pigmented cells; arise from nevi; have flaky or scaly texture, brown to pink to purple or mixed pigmentation
Term
Kaposi's Sarcoma
Definition
malignant neoplasm that occurs in Con Tiss like cartilage, bone, fat, muscle, BV's, or Fibr Tiss
Term
Bruise(Ecchymosis)
Definition
discoloration of skin or mucous membrane caused by blood seeping into tissues
Term
Bites
Definition
always intentional and a common injury associated with abuse; tooth imprints
Term
Burns
Definition
frequently associated with abuse; MCT-immersion burn(hot WAter), contact burn-intentiaonally palcing a hot object on skin(branded pattern)
Term

Pediculosis

 

Definition
parasites that invade the scalp, body, or pubic hair regions; body-corporis; pubic-pubis
Term
Alopecia Areata
Definition
chronic inflammatory disease of the hair follicles resulting in hair loss on the scalp
Term
Onychomycosis
Definition
fungal infection of the nail plate cause by tinea unguium
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