Clinical Synthesis, 3, Skin

Front 1

what are the roles of skin

Back 1

-protection
-thermoregualtion
-innate immunity
-sensory function

Front 2

what consists of the skin assessment

Back 2

-pigment should be consistent
-temperature
-turgor
-moisture
-texture
-determine cause to why skin changed its appearance

Front 3

what are possible causes for skin to look:
Pallor

Back 3

-pain
-edema
-anxiety
-not feeling well
-rhenoids

Front 4

what are possible causes for skin to look:
cyanosis

Back 4

-decreased O2
-cold

Front 5

what are possible causes for skin to look:
erythema

Back 5

-fever
-sunburn
-inflammation
-CO2 posioning

Front 6

what are possible causes for skin to look:
jaundice

Back 6

-liver dysfunction

Front 7

what are possible causes for skin to look:
vitiligo

Back 7

-born with or can develop with age.
-is a variation in skin tone

Front 8

what are possible causes for skin to look:
bruising

Back 8

-abuse
-clotting issues
-nutrition deficient
-heparin

Front 9

how do you establish a baseline when looking at skin

Back 9

-look at soles of feet, palms of hands
-use natural daylight if possible

Front 10

What are the components for "temperature"

Back 10

-heat
-cold
-moisture/dryness (lips, eyes)
-diaphoresis (accompanied by chest pain?)
-clamminess

Front 11

what do you need to check for in regards to lesions

Back 11

-type
-size/depth
-granulation status
-presence of scar tissue
-dressing
-drainage
-ABCs

Front 12

what are the ABCs of skin

Back 12

-asymmetry
-border irregularity
-color
-diameter (6mm)
-evolution
-elevation
-surface

Front 13

what color may moles appear

Back 13

black, blue, white, modeled

Front 14

if an incision is XXXX what type of surgery may they have had:
R upper quadrant

Back 14

gall bladder

Front 15

if an incision is XXXX what type of surgery may they have had:
Right lower quadrant

Back 15

appendictumy

Front 16

if an incision is XXXX what type of surgery may they have had:
medial inguinal line

Back 16

c-section
hysterctomy

Front 17

if an incision is XXXX what type of surgery may they have had:
L lower quadrant, below inguinal ligament

Back 17

hernia

Front 18

if an incision is XXXX what type of surgery may they have had:
R of umbilicus

Back 18

liver biopsy
standard incision

Front 19

if an incision is XXXX what type of surgery may they have had:
linea alba and to left of umbilibus

Back 19

liver biopsy
standard incision

Front 20

if an incision is XXXX what type of surgery may they have had:
left upper quadrant under ribs

Back 20

kidney

Front 21

what words can be used to describe the texture of skin

Back 21

-rough
-scaly
-dry
-thick
-smooth
-oily
-thin

Front 22

what is cradle cap

Back 22

overproduction of oils

Front 23

Describe normal turgor

Back 23

rises easily and also returns to normal position, snaps backs

Front 24

describe abnormal turgor

Back 24

tents and doesn't assume normal position

Front 25

where do you check of turgor in most people, and in elderly

Back 25

in most people check near clavicle or forearm
for elderly check at sternum

Front 26

what consists of special assessments for skin

Back 26

-pressure ulcers
-nail beds
-lymph nodes

Front 27

what is stage 1 of pressure ulcer

Back 27

skin changes observable (temperature)

Front 28

what is stage 2 of pressure ulcer

Back 28

epidermis and dermis layers are damaged, ulcer is superficial and presents as an abrasion, blister or shallow crater

Front 29

what is stage 3 of pressure ulcer

Back 29

damage through to subcutaneous tissues, does not extend through fascia, appears as a deep crater

Front 30

what is stage 4 of pressure ulcer

Back 30

involvement of muscle,bone, tendon, joint capsule, or other supporting, structures

Front 31

what are some follow up questions when assessing skin and seeing something questionable

Back 31

-how long have you had this
-has it changed
-has your doctor seen it
-itch, pain, sore, burning
-anyone else in the house have this
-any new medications
-any recent travel, exposure
-anywhere else on your body
-trouble breathing/swallowing
-any other sxs of any other type anywhere on body

Front 32

Skin lesions can be:

Back 32

-hereditary
-systemic
-associated with inflammation/injury

Front 33

what systemic conditions can be associated with skin lesions

Back 33

-paraneoplastic syndromes
-endocrine systemic disorders
-vascular insufficiency
-metabolic disorders