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Health Assessment Ch. 12
test
86
Nursing
Undergraduate 2
10/01/2013

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Term
Epidermis
Definition
outer most layer of skin, highly differentiated
Term
stratum germinativum
Definition
basel cell layer, part of epidermis
Term
stratum corneum
Definition
horny cell layer, part of epidermis
Term

dermis

 

Definition

inner layer of skin

blood vessels

supportive

connective, collagen, or elastic tissue

Term
subcutaneous layer
Definition
layer of adipose tissure under dermis
Term
lanugo
Definition
hair on new borns to keep them warm
Term
sebaceous glands
Definition
produce a protective lipid structure, sebum, secreted through hair follicles
Term
eccrine glands
Definition
coiledd tubules that open directly onto the skin surface and produce a dilute saline solution called sweat
Term
aprocrine glands
Definition
produce a thick, milky secretion and open into the hair follicles
Term
stevens-johnson
Definition
people molt their skin due to medication reaction
Term
pruitus
Definition
itchy
Term
alopecia
Definition
loss of hair on entire body
Term
pallor
Definition
paleness or white
Term
erythema
Definition
redness
Term
cyanosis
Definition
bluish-gray, caused by lack of oxygen
Term
vitilgo
Definition
loss of pigmentation in skin, can be blotchy or entire skin
Term
hypothermia
Definition
really cold, ex. shock
Term
hyperthermia
Definition
really hot, ex. fever or sunburn
Term
diaphoresis
Definition
excessive sweating
Term
dehydration
Definition
not enough water
Term
exudate
Definition
drainaige
Term
hirutism
Definition
females have too much androgen, grow hair like males
Term
clubbing
Definition
change in shape of nails, caused by chronic low oxygen levels
Term
ABCDE of self examination
Definition

Asymmetry

border

color 

diameter

elevation or enlargement

Term
annular lesion
Definition
circular
Term
confluent lesion
Definition
blothy, circular lesions coming together in a larger area
Term
discrete lesion
Definition
individulized, small, singular lesions
Term
grouped linear
Definition
discrete lesions grouped together
Term
polycystic
Definition
annular leasions grow together in a smaller area
Term
zosteriform
Definition
follows dermatomes on body, does not cross midline
Term
target
Definition
resembles iris of ete, concentric rings of color in the lesions
Term
linear lesions
Definition
formation of a line
Term
macule
Definition
color change only, flat and circumscribed, less than 1cm
Term
papule
Definition
raised, superficial thickening, less than 1cm
Term
plaque
Definition
papules coalesce to form surface elevation, greater than 1cm
Term
noduel
Definition
solid, elevated, hard or soft, greater than 1cm, deeper into dermis
Term
wheal
Definition
superficial, red, raised, irregular shape due to edema
Term
tumor
Definition
greater than 3cm, firm or soft, deeper into dermis
Term
uricaria
Definition
wheals coalese to form extensive reaction (pruritic)
Term
vesicle
Definition
elevated cavity containing free fluid, up to 1cm
Term
cyst
Definition
fluid filled, encapsulated under the skin
Term
bulla
Definition
vesicle larger than 1cm
Term
pustula
Definition
pus filled cavity, circumscribed and elevated
Term

crust

 

Definition
dried out exudate, secondary
Term
scale
Definition
desiccated flakes of skin, dry or greasy, silvery or white, from shedding of dead excess keratin cells, secondary
Term
fissure
Definition
linear crack with abrupt edges, extends into dermis, secondary
Term
ulcer
Definition
deeper depression extending into dermis, secondary
Term
excoriation
Definition
self-inflicted abrasion, secondary
Term
scar
Definition
after a skin lesion is repaired, normal tissure is lost and replaced with connective tissure (collagen), secondary
Term
atrophic scar
Definition
the resulting skin level is depressed with loss of tissue, thinning of the epidermis, secondary
Term
lichenification
Definition
thickening of the skin from prolonged scrathing, produces tightly packed sets of papules, secondary
Term
keloid
Definition
hypertropic scar, skin level is elevated by excess scar tissue
Term
hemangiomas
Definition

abnomal abundance of vascular tissue 

port wine stain

strawberry mark 

carenous hemangioma

Term
telangiectases
Definition

permanent dialation of small blood vessels that are visible on the skin surface

spider or star angioma

venous lake

Term
purpruic lesions
Definition
caused by outflow of blood from breaks in a vessel
Term
petechiae
Definition
tiny red-brown pin point lesions, less than 3mm, usually r/t capillaty fragility
Term
purpura
Definition
confluent and extensive patch of petechiae, greater than 3mm, flat red purple
Term

pattern injury

 

Definition
bruise or wound whose shape suggests the instrument or weapon that caused it
Term
hematoma
Definition
elevates the skin, bruise you can feel
Term
ecchymosis
Definition
reddish-purple, nonblanchable spot of variable size, caused by trauma to blood vessels that leads to bleeding under the tissue
Term
diper dermatitis
Definition
red, moist maculopopular patch with poorly defined borders in diaper area
Term
contact
Definition
type of dermatitis, inflammatory reaction of skin
Term
seborrheic
Definition
type of dermatitis, scaly white or yellowish plaques most commonly found on scalp, eybrows, eyelids, ears, axillae, chest, back
Term
psoriasis
Definition
plaque, chronic skin disorder, well circumscribed, raised lesions, silvery scales, common on knees and elbows
Term
impetigo
Definition
contagious, bacterial infection, most common in children, red macule that turns into vesicle or bullae, then forms honey colored crust
Term
varicella
Definition
chickenpox, highly contagious, spread by droplets, lesions first appear as macules on truck then spread to extremities and face
Term
candidiasis (intertrigo)
Definition
fungal infection caused by candid albicans, infects superficial layers of skin, large patch of scaly red rash with sharply demarcated borders
Term
tinea infections
Definition
fungal infections involving hair, skin and nails, circular lesions with clear center, spread by contact
Term
Herpes Zoster (shingles)
Definition
cause by dormany herpes varcella virus, acute, painful. linearly grouped vesicles that follow a dermatome, will crust over
Term
Basal Cell Carcinoma
Definition
most common form of skin cancer, nodular, pigmented lesion with depressed center and rolled borders
Term
squamous cell carcinoma
Definition
invasive, red, scaly patch with dermarcated boarders, soft, mobile and elevated skin cancer
Term
malignant melamoma
Definition
malignant proliferation of cells, variation in color of a nevi which may involve flaking, scaling or drainage
Term
kaposis sarcoma
Definition
malignant neoplasm often seen with AIDS, dark purple bluish lesions that start on lower extremities, painful and pruritic, tumorous skin cancer
Term
Seborrheic Dermatitis
Definition
Craddle Cap
Term
tinea capititis
Definition
scalp ringworm
Term
alopecia areata
Definition
lose clumps of hair, autoimune
Term
trichotillomania
Definition
pull out hair
Term
pediculosis capitis
Definition
head lice
Term
folliculitis
Definition
bacteria in hair follicle
Term
hirsutism
Definition
female has too much androgen,  grows hair like a male
Term
furuncle and abscess
Definition
starts from infected hair follicle but get deeper (abscess)
Term
paronychia
Definition
inflammation aroung the fingernail nail bed
Term
beau's line
Definition
transverse grooves going across nail bed
Term
splinter hemorrhages
Definition
dark "splinter" under nail, bacterial
Term
pitting
Definition
grooves or dents in the nail
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