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Integumentary System and Burns
Slides 1-13
79
Nursing
Graduate
02/27/2012

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Cards

Term
What is the body's largest organ?
Definition
Skin
Term
How much of your weight does the skin take up?
Definition
20%
Term
What are the accessory structures of the skin?
Definition
Hair
Nails
Glands
Term
What is the primary function of the skin?
Definition
Protect the body
Term
What is the skin a barrier against?
Definition
Microorganisms
UV radiation
Loss of body fluids
Stress of mechanical forces
Term
What are secondary functions of the skin?
Definition
Regulate body temperature
Assist with production of vitamin D
Provide touch and pressure receptors
Term
What are the three layers of the skin?
Definition
Epidermis
Dermis
Subcutaneous
Term
What are two types of cells in the epidermis?
Definition
Keratinocytes
Melanocytes
Term
What do keratinocytes make?
Definition
Keratin
Term
What does keratin do?
Definition
Provides strength to skin, hair, and nails
Term
What are types of cells in the dermis
Definition
Mast cells
Histocytes
Collagen
Elastin
Term
What are some structures in located within the dermis?
Definition
Hair follicles
Sebaceous and sweat glands
Blood and lymphatic vessels
Nerves
Term
What cells are located in the subcutaneous?
Definition
Adipocytes
Term
Which area of skin is common for injections?
Definition
Subcutaneous
Term
What are 2 common shots given subcutaneous?
Definition
Heparin
Insulin
Term
What type of shot do you get intradermally?
Definition
TB
Term
What are melanocytes responsible for?
Definition
Pigmentation
Term
How do you check for touch receptors in a diabetic?
Definition
Monofilament
Term
What is a name for touch/pressure perception?
Definition
Proprioception
Term
Macule
Definition
Flat, distinct, colored area of skin that is usually less than 10 millimeters wide, and does not include a change in skin texture or thickness.
Term
Papule
Definition
Solid, raised spot on the skin that is less than 1 centimeter wide
Term
Where do you commonly see a wheal?
Definition
TB shot
Term
Pustule
Definition
Small elevation of the skin containing cloudy or purulent material usually consisting of necrotic inflammatory cells
Term
Bulla
Definition
Blister
Term
Nodule
Definition
-Most frequently centered in the dermis or subcutaneous fat
-Similar to a papule
Term
What differentiates a nodule from a papule?
Definition
Depth of involvement
Term
Vessicle
Definition
Circumscribed, fluid-containing, epidermal elevation
Term
Cyst
Definition
Epithelial-lined cavity containing liquid, semi-solid, or solid material
Term
Telangiectasia
Definition
Spider vein
Term
Scale
Definition
Dry or greasy laminated masses of keratin that represent thickened stratum corneum
Term
Lichenification
Definition
Epidermal thickening characterized by visible and palpable thickening of the skin with accentuated skin markings
Term
Excoriation
Definition
A punctate or linear abrasion produced by mechanical means (often scratching), usually involving only the epidermis (scrape or from excess moisture)
Term
Fissure
Definition
Crack in the skin that is usually narrow but deep
Term
Where do you commonly see fissures?
Definition
Athlete's foot
Term
Erosion
Definition
Discontinuity of the skin exhibiting incomplete loss of the epidermis, a lesion that is moist, circumscribed, and usually depressed
Term
Atrophy
Definition
Loss of tissue
Term
What do pressure ulcers result from?
Definition
Any unrelieved pressure on skin
Term
What do pressure ulcers cause
Definition
Underlying tissue damage
Term
What forces cause a pressure ulcer?
Definition
Pressure
Shearing forces
Friction
Moisture
Term
What are risk factors for pressure ulcers?
Definition
Older adult
Immobility
Immobilization
Prolonged bed rest
Poor turning skills
Incontinence
Debilitation
Nutritional deficiencies
Term
True or False: People get pressure ulcers during surgery
Definition
True
Term
What injuries lead to immobility?
Definition
Spinal cord injuries
Strok
Term
What can lead to immobilization?
Definition
Traction
Surgery
Exam tables
lac of turning
Term
What is important in the OR to avoid pressure ulcers?
Definition
Repositioning
Term
Which stage of pressure ulcer is worst?
Definition
IV
Term
Stage I pressure ulcer
Definition
Nonblanchable erythema of intact skin
Term
Stage II pressure ulcer
Definition
Partial-thickness skin loss involving epidermis or dermis
Term
Stage III pressure ulcer
Definition
Full-thickness skin loss involving damage or loss of subcutaneous tissue
Term
Stage IV pressure ulcer
Definition
Full-thickness skin loss with damage to muscle, bone, or supporting structures
Term
True or False: Hospitals get reimbursed for hospital acquired pressure ulcers
Definition
False
Term
What is important to do for patients that come in with pressure ulcer
Definition
Documentation
Term
Keloid scar
Definition
Irregular, claw-like margins that extend beyond the original site of injury
Term
What is the appearance of a keloid?
Definition
Elevated
Round
Firm
Term
What is a keloid the result of?
Definition
Excessive collagen formation during dermal connective tissue repair
Term
Where is keloid most common?
Definition
Dark pigment skin
Burns
Term
What are factors in keloid formation
Definition
Dark pigment skin
Burn trauma
Foreign material in skin
Poorly aligned wound tension
Term
What is a type of dermatitis that occurs in the legs?
Definition
Stasis Dermatitis
Term
What does stasis dermatitis result from?
Definition
Venous stasis
Edema
Vascular trauma
Term
Clinical manifestations of stasis dermatitis
Definition
Erythema
Pruritus
Scaling
Petechiae
Ulcers
Term
What is pruritis?
Definition
Itching
Term
What is a primary cause of stasis dermatitis?
Definition
Chronic venous insufficiency
Term
What is a common name for dermatitis?
Definition
Eczema
Term
What are other types of dermatitis?
Definition
Contact (poison ivy)
Diaper rash
Term
What is a chronic proliferative skin disorder?
Definition
Psoriasis
Term
What kind of autoimmune disorder is psoriasis?
Definition
T-cell mediated autoimmune disorder
Term
What do you see an increase in with psoriasis?
Definition
Thickness of dermal and epidermal layers
Term
What are characteristics of psoriasis?
Definition
Scaly, thick, silvery, elevated lesions
Term
Where do you usually find psoriasis?
Definition
Scalp
Elbows
Knees
Term
What are 2 types of bacterial infections?
Definition
Folliculitis
Furuncles
Term
Folliculitis
Definition
Infection of hair follicles
Term
What is a common cause of folliculitis
Definition
Staph aureus
Term
Furuncles
Definition
Boils
Inflammation of hair follicles
Term
What do furuncles develop from?
Definition
-Folliculitis
-Spread through follicular wall into surrounding dermis
Term
What is a common cause of furuncles?
Definition
Staph aureus
Term
What are types of viral infections?
Definition
Herpes simplex
Herpes zoster
Term
What is a common name of herpes zoster
Definition
Shingles
Term
What are late signs of herpes zoster?
Definition
-Pain & paresthesia localized to the affected dermatomes
-Vesicular eruptions along a facial, cervical, or thoracic lumbar dermatome
Term
What are signs of urticaria?
Definition
Hives
Raised area of skin
Erythema
Edema
Term
What type of hypersensitive reaction is urticaria?
Definition
Type I (IgE mediated)
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