Term
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Definition
Epidermis
Dermis
Subcutaneous (adipose or fat) |
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Term
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Definition
| Protein produced by keratinocytes, making the epidermis waterproof |
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Term
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Definition
| The white, crescent shaped portion of the nail at the lower end of the nail plate |
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Term
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Definition
| Produced by sebaceous glands. Mildly bacteriostatic substance that lubricates the skin and reduces water loss from surface. |
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Term
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Definition
Protection
Homeostasis (water balance)
Temperature regulation
Sensory organ
Vitamin D synthesis
Psychosocial |
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Definition
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Definition
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Definition
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Definition
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Definition
| Initial reaction to a problem that alters one of the structural components of the skin |
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Term
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Definition
| Changes in the appearance of a primary lesion |
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Term
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Definition
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Term
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Definition
| Thickening of skin, can come from continual rubbing of area due to itching |
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Term
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Definition
Asymmetry of shape
Border irregularity
Color variation within one lesion
Diameter greater than 6mm
Evolving or change in any feature |
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Term
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Definition
| Macules, nodules, patches, cysts, papules, vesicles, bullae, plaques, pustules, wheals, erosions |
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Term
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Definition
Primary Lesion
Flat lesions less than 1cm in diameter. Color different from surrounding skin. |
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Term
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Definition
| Elevated marble like lesions more than 1cm wide and deep |
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Term
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Definition
| Macules that are larger than 1cm in diameter. May or may not have some surface changes (slight scale or fine wrinkles) |
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Term
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Definition
| Nodules filled with either liquid or semisolid material that can be expressed |
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Definition
| Small, firm, elevated lesions less than 1cm in diameter |
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Term
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Definition
| Blisters filled with clear fluid. Less than 1cm in diameter |
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Definition
| Blisters filled with clear fluid. More than 1cm in diameter. |
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Definition
| Elevated, plateau like patches more than 1 cm in diameter that do not extend into the lower skin layers. |
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Term
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Definition
| Vesicles filled with cloudy or purulent fluid |
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Term
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Definition
| Elevated, irregularly shaped, transient areas of dermal edema |
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Term
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Definition
| Wider than fissures, but only involve the epidermis. Often associated with vesicles, bullae, or pustules |
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Term
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Definition
| Scales, ulcers, crusts and oozing, lichenifications, fissures, atrophy |
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Term
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Definition
| Visibly thickened stratum corneum. Appear dry and are usually whitish. Most often seen with plaques and pustules |
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Term
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Definition
| Deep erosions that extend beneath the epidermis and involve the dermis and sometimes subcutaneous fat |
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Term
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Definition
| Composed of dried serum or pus on the surface of skin, under liquid debris may accumulate. From broken vesicles, bullae, or pustules |
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Term
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Definition
| Palpably thickened areas of epidermis with accentuated skin markings. Usually caused by chronic rubbing and scratching |
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Term
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Definition
| Linear cracks in epidermis which often extend into dermis |
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Term
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Definition
| Characterized by thinning of the skin surface with loss of skin markings. Skin is translucent and paper like |
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Definition
| Small, reddish purple lesions that do not fade or blanch when pressure is applied |
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Definition
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Term
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Definition
| Excessive growth of body hair or hair growth in abnormal body areas |
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Definition
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Term
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Definition
| Inflammation of the skin around the nail |
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Term
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Definition
| Inflammation of the skin around the nail that persists for months |
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Term
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Definition
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Term
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Definition
| Healing in which the wound can be easily closed and dead space eliminated without granulation, which thus shortens the phases of tissue repair. Results in thin scar |
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Term
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Definition
| The formation of scar tissue for wound healing to occur |
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Term
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Definition
| Healing of deep tissues or wounds with tissue loss in which a cavity-like defect requires gradual filling of the dead space with connective tissue. Prolongs the wound healing process |
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Term
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Definition
| Delayed primary closure of a wound with a high risk for infection. Wound is intentionally left open for several days until inflammation has subsided and then is closed by first intention |
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Term
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Definition
| Skin is intact. Area is red and does not blanch |
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Definition
| Skin is not intact. There is a partial-thickness skin loss of the epidermis or dermis. |
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Term
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Definition
| Skin loss is full thickness. Subcutaneous tissues may be damaged or necrotic. Does NOT extend to muscle or bone. |
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Definition
| Skin loss is full thickness with exposed or palpable muscle, tendon, or bone. |
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Term
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Definition
| Black, grey, or brown nonviable, denatured collagen |
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Term
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Definition
| Separation of the skin layers at the wound margins from the underlying granulation tissue |
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Definition
| Superficial infection involving the hair follicle |
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Definition
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Term
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Definition
| Severe pain persisting after Shingles has resolved |
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Term
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Definition
| Infestation by human lice (head or body) |
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Term
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Definition
| Contagious skin disease caused by mite infestations |
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Term
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Definition
| Cysts, seborrheic keratoses, keloids, nevi |
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Term
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Definition
| Firm, flesh-colored nodules that contain liquid or semi solid material |
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Term
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Definition
| An overgrowth of a scar with excessive accumulations of collagen and ground substance |
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Term
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Definition
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Term
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Definition
| Squamous cell carcinoma, basal cell carcinoma, melanoma |
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Term
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Definition
| Cancer of the epidermis. Potentially metastatic. Chronic skin damage from repeated injury or irritation can predispose |
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Term
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Definition
| Arise from basal cell layer of epidermis. Metastasis is rare. UV exposure most common cause. |
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Term
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Definition
| Pigmented cancers arising from melanin-producing cells. Highly metastatic. |
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Term
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Definition
| Whiteheads and blackheads |
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Term
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Definition
| Often drug-induced immunologic skin reaction |
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Term
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Definition
| Abraded area where the skin is town or torn off. Can be due to scratching, funhal infection, incontinence, etc |
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Term
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Definition
| Caused by reactivated Varicella-zoster virus. S/S: burning/sharp/stabbing pain/aching/itching. Linear pattern of vesicles along a dermatome. |
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Term
| Treatment of Herpes Zoster |
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Definition
Antiviral agents
Systemic corticosteroids
Analgesics
Neuroleptics |
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Term
| Systemic factors that influence skin |
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Definition
General health and functioning
Incontinence
Nutrition
Blood sugar/diabetes
Infection
Medications
Stress
Smoking |
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Term
| What to address to optimize wound healing |
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Definition
Address etiology (most important)
Systemic factors (circulatoin, oxygenation, nutrition, diabetic management)
Local factors (infection, perfusion, edema, incontinence, pressure relief)
Topical therapy (last to be addressed) |
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Term
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Definition
Remove necrotic tissue
Maintain clean, moist wound surface
Identify and treat infection
Fill dead space
Absorb exudate
Insulate wound surface |
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Term
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Definition
Screening tool designed to determine pts risk of developing a pressure ulcer
6 subscales add together for a value from 6-23
Lower the score, higher risk of developing breakdown |
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Term
| What to assess when you find a pressure ulcer |
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Definition
Location on body
Size: length, width, depth, undermining, tunneling
Stage: I-IV
Wound bed type
Drainage: type, amt
Peri-wound skin: color, condition |
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Term
| Tissue types in wound bed |
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Definition
Epithelialization: pink and dry
Granulation: red and moist
Slough: yellow
Eschar: black |
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