Shared Flashcard Set

Details

Skin
Skin Assessment
29
Nursing
Graduate
05/14/2012

Additional Nursing Flashcards

 


 

Cards

Term
Skin Functions
Definition

1. Controls fluids

2. Regulates temperature

3. Protects against invasion from microbial and foreign bodies

4. Protects against damage from the UV rays of the sun

5. Touch

Term
Epidermis
Definition
  • The outermost layer of the skin.
  • Consists of the stratum corneum and the cellular stratum.
  • Forms protective barrier of the skin.
  • Contains waterproofing protein keratin.
Term
Keratin
Definition

Waterproofing protein.

Contained in the epidermis.

Restricts water loss and penetration of a variety of substances through the skin.

Term
Dermis
Definition
  • A richly vascular layer consisting largely of fibroblasts and collagen.
  • Contains a large network of sensory nerve fibers.
  • Provides sensations of pain, itch, and temperature.
  • Contains autonomic nerve fibers that innervate blood vessels, the arrectores pilorum muscles, the sweat glands, sebaceous glands, hair, and nails.
Term
Sweat Glands
Definition
In the dermis; control thermoregulation by releasing water through the skin.
Term
Eccrine Sweat Glands
Definition
Distributed throughout the body except for the lip, margins, eardrums, nail beds, inner surface of the prepuce, and the glans penis.
Term
Sebum
Definition
The oil produced by the sebaceous glands. A lipid-rich substance that helps lubricate the skin and hair.
Term
Apocrine Sweat Glands
Definition
Are larger and deeper than the eccrine glands and secrete an odorless white fluid in response to emotional or physical stimuli.
Term
Sebaceous glands
Definition
Arise from the hair follicles deep within the dermis.
Term
Subcutaneous layer
Definition
Composed of adipose tissue. Connects the dermis to underlying organs and provides insulation and shock absorption; generates heat for the body. Provides a reserve of calories for use by the body.
Term
Stratum Corneum
Definition
Develops between 23 and 25 weeks gestation. Premies born without this top layer of skin, and have no protective barrier. Not able to control water loss.
Term
Macule
Definition
Flat, circumscribed lesion, <1cm, usually rounded but may be oval, van be vascular hyper/hypopigmented
Term
Macule/Patch Examples
Definition
Freckle, cafe au lait spot, vitiligo, flat mole (nevus), blue-gray macules of the neonate, mongolian spot, port-wine stain
Term
Patch
Definition
Flat, circumscribed lesion, >1cm, lesions usually rounded but may be oval, can be vascular, hyper/hypopigmented
Term
Papule
Definition
Circumscribed elevated lesions, <1cm
Term
Plaque
Definition
Circumscribed elevated disc-shaped lesion >1cm; commonly formed by confluence of papules
Term
Vesicle
Definition
Fluid filled papule, <1cm
Term
Bulla
Definition
Raised, fluid filled >1cm (big blister)
Term
Pustule
Definition
Pus filled papule
Term
Wheal
Definition
Irregular border, distinctive type of solid elevation formed by local, superficial, transient edema; whit to pink, blanches; variable size and shape.
Term
Skin Turgor
Definition

Assessment of hydration and nutritional status. Pinch fold of childs skin over the abdomen.

<2 sec=5%loss of body weight

2-3 sec=5-8% loss of body weight

3-4 sec=9-10% loss of body weight

>4 sec=>10%loss of body weight

Term
Acrocyanosis
Definition
Bluish coloration of hands and feet present at birth; may perist up to 24 hrs; circumoral cyanosis also may be present; no treatment needed if gone after 24 hrs
Term
Accessory Tragi
Definition
Pedunculated, flesh colored, soft, round papules usually arising on or near the tragus. May occur anywhere from corner of ear to mouth and require surgical removal; do not tie off with suture.
Term
Jaundice
Definition
Yellow coloration of skin and sclera caused by deposition of bile pigment resulting from hyperbilirubinemia; Draw bili level
Term
Cutis Marmorata
Definition
Reddish-blue mottleing or marbling of skin in response to changes in temperature; caused by dilation of capillaries and venules. Benign color variation, no tx needed unless doesn't disappear with warming.
Term
Erythema Toxicum
Definition
Small white to yellow papules, vesicles with erythematous base; occurs in respose to rubbing; starts as early as 24 hrs of life, may continue until 2 weeks old; Common benign skin lesion; Eosinophils in smear from papule confirm dx.
Term
Miliaria rubra, m. crystallina, m. pustulosa
Definition
Clear thin vesicles or discrete erythematous papules seen primarily over forhead, neck, in creases, groin; Occurs as a reult of obstructed sweat glands in humid environment. Eliminate heat, humidity, to many clothes
Term
Transient neonatal pustular melanosis
Definition
Vesicles that rupture leaving collaret of scale and pigmented macule; macules may remain for up to 3 months after birth; Benign, no tx.
Term
Impetigo
Definition
Contagious infection of skin caused by staph or strep bacterial invasion; begins as small erythematous macule that changes to vesicle or bulla and often ruptures leaving honey colored crust. Antibiotics.
Supporting users have an ad free experience!