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Integumentary System
Nursing 203 skin
108
Nursing
Undergraduate 2
09/12/2010

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Cards

Term
What does the hair bulb contain?
Definition
Melanocytes
Term
What does the hair papilla consist of?
Definition
A loop of capillaries
Term
Eccrine glands are?
Definition
Sweat glands. They secrete a clear odorless fluid
Term
Apocrine glands are?
Definition
Usually open onto the hair folicle. They secrete a milky sweat that causes odor. 
Term
How does the subcutaneous tissue help us?
Definition
It helps regulate heat and it provides nutrients
Term
pseudomonia's of the nail
Definition
Cause a green, black or brown discoloration of the nail with thickening or crumbling of the nail bed. 
Term
What do yeast infections look like on the nail?
Definition
Nail bed will turn white and separation from the nail plate can occur.
Term
Pallor
Definition
Loss of color. Seen in arterial insufficiency. Check the schlera, lips, tongue, buccal mucosa, nail beds, and palms for a ashen color. 
Term
Cyanosis
Definition
Causes skin to appear blue tinged esp in the nialbeds and conjunctivial areas. 
Term
How can you differentiate central cyanosis from peripheral cyanosis?
Definition
Look for central cyanosis in the oral mucosa.
Term
peripheral cyanosis
Definition
Blue tint in fingers or extremities due to inadequate circulation.
Term
What is central cyanosis?
Definition
Results from cardiopulmonary problem
Term
Jaundice
Definition
Yellow skin, esp. in the sclera, oral mucosa, and palms. 
Term
Acanthosis nigricans
Definition
Roughening and darkening of the skin in localized areas eso the posterior neck. Suggest diabetes mellitus. [image][image]
Term
A foul odor may suggest...?
Definition
A disorder of the sweat glands or poor hygene
Term
What is characterized by a butterfly rash across the bridge of the nose?
Definition
discoid lupus eryematosus
Term
Melanin is common with what skin color?
Definition
Olive and darker skin
Term
Carotene is found in what skin color?
Definition
Yellow skin colors
Term
Erythema
Definition
Skin redness and warmth. It is found in allergic reactions, trauma, and inflammation
Term
Virtiligo
Definition
Patchy white skin. Found typically in people of color. Uncle Scott. 
Term
Straie
Definition
Strech marks
Term
Seborrheic keratosis
Definition
A warty or crusted region of a pigmented lesion
Term
Nevus
Definition
Mole
Term
Cutaneous tags
Definition
Raised yellow papules with a depressed center
Term
Cherry Angiomas
Definition
Small red, raised spots. Typically found with the aging
Term
What do you do if you suspect a fungus?
Definition
Shine a woods light. Blue green flourencence indicates a fungal infection
Term
What type of skin is seen in hypothyroidism?
Definition
Rough, flackey, dry skin
Term
VERY thin skin can be found in?
Definition
Clients with arterial insufficiency or those on steroid therapy. 
Term
Diaphoresis
Definition
Excess sweating. Is common with hyperthyroidism
Term
What skin type is common with hypotension?
Definition
Clammy skin
Term
Very cold skin could mean?
Definition
Shock, hypotension, and arterial disease. 
Term
Why are older clients skin dryer?
Definition
Because as you age, sebum production decreases
Term
What is mobility?
Definition
How easily the skin can be pinched
Term
Turgur
Definition
refers to the skins elasticity and how quickly the skin returns to it's original state. 
Term
Decreased mobility can be seen in...?
Definition
patients with edema
Term
Decreased turgur of 30 seconds can indicate?
Definition
It can indicate dehydration
Term
What is edema?
Definition
Swelling relating to the accumilation of fluid in the tissue
Term
Coppor red hair in African Americans can indicate?
Definition
Severe malnutrition
Term
Tinea Capitis
Definition
Scalp ring worm. A fungal disease with characteristic pustules on the scalp
Term
Dermatitis
Definition
Excessive scaliness of the scalp
Term
What is the name of infections of the hair follicle?
Definition
Folliculitis. Pustules surrounded by erythemia
Term
Alopecia
Definition
patchy hair loss
Term
Early and late clubbing can result from...?
Definition
Can occur from hypoxia
Term
Spoon Nails
Definition
Results from anemia
Term
Beau's lines
Definition
Is a direct results from acute illnes and will eventually grow out
Term
Thickened toenails could indicate...?
Definition
A decrease in circulation
Term
Paronychia
Definition
Inflmmation, indicates an infection
Term
Onycholysis
Definition
Detachment of nail bed from nail plate
Term
Macule
Definition
<1 cm. Flat. Circumscribed border
Term
Patch
Definition
>1 cm. Flat. May have an irregular border
Term
What are some examples of a macule or patch?
Definition
Freckles, flat moles, petechiae, rubella, vitiligo, port wine stains, ecchymosis
Term
papule and plaques
Definition
Elevated. palpable. solid mass. circumscribed border
Term
Papule and examples
Definition
<.5 cm, raised. Elevated moles. Warts. Litchen planus.
Term
plaques and examples
Definition
>.5 cm. raised. Psoriasis. Actinic keratosis.
Term
Nodule and tumor
Definition
Elevated, solid, palpable mass. Extends into the dermis
Term
Nodule
Definition
.5-2.0 cm's. circumscribed. Lipoma. Squamous cell carcinoma. Poorly absorbed injection. dermatofibroma. 
Term
Tumor
Definition
> 1-2 cm's. Does not always have a definable border. Larger limpoma. Carcinoma. 
Term
Vesicle and Bulla
Definition
Contains serious fluid. Circumscribed elevated mass. 
Term
Vesicle
Definition
<.5 cm's. Herpes. Varicella. Poison ivy. second degree burns
Term
Bulla
Definition
>.5 cm's. Pemphigus, contact dermatitis. large burn blisters. Bullus impetigo. Poison Ivy. 
Term
Wheal
Definition
Elevated mass with transiet borders. irregular. Size and color vary. Caused by serious fluid moving to dermis. Insect bites. Urticaria. 
Term
Pustule
Definition
Pus filled vesicle. Acne. Impetigo. Furuncles. Carbuncles. 
Term
Cyst
Definition
Fluid filled capsules usually found in the subcutaneous tissue or the dermis. 
Term
Discoid lesion
Definition
Round or oval shape
Term
Annular lesion
Definition
circular lesion with a central clearing like crator. 
Term
Target lesion
Definition
circular and annular with central activity.
Term
Inertriginous distribution
Definition
Where skin comes in contact with itself
Term
Exposed distribution
Definition
Limited to areas exposed to the sun or air. 
Term
Scattered distribution
Definition
Disbursed either densely or widely
Term
Localized distribution
Definition
Limited to a specific area
Term
Regionalized distribution
Definition
Limited to one area of the body
Term
Generalized distribution
Definition
Distributed all over the body
Term
Muehrcke's Lines
Definition
Can indicate trauma or can be associated with metabolic stress. It looks like white lines on the nail
Term
Scabies
Definition
Mites that burrow under the skin and cause lesions. Appear in a straight or a zig zag line. 
Term
Herpes Zoster
Definition
A group of bright red vessicles that occur a long a nerve root. Vessicles are unlateral and appear mostly on the bodies trunk. Causes pain
Term
Tinea Corporis
Definition
ring worm. 
Term
Dermatomal configurations
Definition
Lesions that form a line along a dermatome
Term
Confluent configurations
Definition
The lesions are so cose togther that you can't identify individual lesions. 
Term
Grouped configurations
Definition
lesions are grouped together into individual groups
Term
discrete lesions
Definition
Individual lesions are separate and distinct
Term
Linear configuration
Definition
lesion goes in a straight line like a scratch or a streak
Term
Zosteriform configuration
Definition
Linear lesions clustered along a a nerve route
Term
Polycylic configurations
Definition
Circular lesions that tend to run together
Term
What does pitting of the nail suggest?
Definition
Psoriasis
Term
Paronychia
Definition
Swelling of the skin that surrounds the nail. It is a sign of a local infection
Term
Petechia
Definition
Red or purple macules. 1-2 mm. Associated with bleeding tendencies. Emboli of the skin. 
Term
Ecchymosis
Definition
Round or irregular macula region. much larger than petechia. black, yellow, and green hues. Associated with trauma and bleeding tendencies. 
Term
How is a hematoma related to ecchhymosis?
Definition
A hematoma is an elevated ecchymosis
Term
Spider angioma
Definition
red arteriole lesion. rare to find it bellow the waist. Associated with liver disease, pregnancy, and vitamin b deficiency
Term
Telangiectasis
Definition
Spider like vein shape. Blue or red color. Will NOT blanch when pressue is put on it. Associated with increased venous pressure states
Term
Abrasion (excoriation)
Definition
The wearing down of the epidermis of skin due to friction. Can result in bleeding or weeping of serous fluid
Term
Angioma
Definition
A usually benign tumor consisting primarily of blood vessels and lymphocytes
Term
Annular
Definition
Forms a ring
Term
Atrophy
Definition
decreasing in size or wasting away of a particular body part or tissue
Term
confluent
Definition
flowing or coming together
Term
Dermatitis
Definition
Inflamation of the skin
Term
Ecchymosis
Definition
The escape of blood into the tissues from ruptured blood vessels resulting in black/blue/ or purple spots on the body
Term
Erosion
Definition
the superficial destruction of a surface area
Term
Hemangioma
Definition
A usually benign tumor made up of blood vessels which commonly results in elevation of the skin
Term
Hematoma
Definition
A mass of clotted blood that forms in an organ, tissue, or organ space as a result of a broken blood vessel
Term
Keloid
Definition
a thick scar resulting from the excessive growth of fibrous tissue. Common with radiation burns and regular burns.
Term
Keratosis
Definition
A disease of the skin marked by excessive hornyness of the skin
Term
laceration
Definition
A torn or ragged wound
Term
Litchenification
Definition
A process by which the skin becomes hardened and leatherly due to skin irritation
Term
Nevus flammeous
Definition
port wine stain
Term
Pruritis
Definition
Localized itching due to irritation of the sensory nerves
Term
Purpura
Definition
reults from a hemorrhagic stage resulting in purple coloring
Term
urticaria
Definition
hives
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