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25 Cards in this Set
- Front
- Back
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Primary Skin Lesions: MACULE
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Circumscribed, flat area with a change in skin color
EX. freckles, petechiae, measles, flat mole |
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Primary Skin Lesions: PAPULE
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Elevated, solid lesion; <0.5 cm in diameter
EX. wart (verruca), elevated moles, lipoma, basal cell carcinoma |
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Primary Skin Lesions: NODULE
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Elevated, solid lesion; that is >0.5 cm in diameter
EX. wart (verruca), elevated moles, lipoma, basal cell carcinoma |
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Primary Skin Lesions: VESICLE
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Circumscribed, superficial collection of serous fluid; <0.5 cm in diameter
EX. varicella (chickenpox), herpes zoster (shingles), second-degree burn |
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Primary Skin Lesions: BULLA
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larger vesicle
EX. varicella (chickenpox), herpes zoster (shingles), second-degree burn |
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Primary Skin Lesions: POSTULE
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Elevated, superficial lesion filled with purulent fluid
EX. acne, impetigo |
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Primary Skin Lesions: WHEAL
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Firm, edematous, irregularly shaped area; diameter variable
EX. insect bite, urticaria |
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Secondary Skin Lesions: FISSURE
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Linear crack or break from the epidermis to dermis; dry or moist
EX. athlete's foot, cracks at corner of the mouth |
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Secondary Skin Lesions: SCALE
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Excess, dead epidermal cells produced by abnormal keratinization and shedding
EX. flaking of skin after a drug reaction or sunburn |
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Secondary Skin Lesions: SCAR
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Abnormal formation of connective tissue that replaces normal skin
EX. surgical incision, healed wound |
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Secondary Skin Lesions: ULCER
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Loss of the epidermis and extending into dermis; crater-like; irregular shape
EX. pressure ulcer, chancre |
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Secondary Skin Lesions: ATROPHY
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Depression in skin resulting from thinning of the epidermis or dermis
EX. aged skin, striae |
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Secondary Skin Lesions: EXCORIATION
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Area in which epidermis is missing, exposing the dermis
EX. abrasion, scratch |
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EXUDATE
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drainage: fluid and electrolytes
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Skin Breakdown Causes Include x4
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- impaired mobility
- shear - friction - moisture |
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Impaired Mobility
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inability to independently change position are at risk because they cannot change or shift off of bony prominences
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Shear
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Force exerted parallel to skin resulting from both gravity pushing down on the body and resistance (friction) between the client and a surface.
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Friction
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Force of two surfaces moving across one another, such as the mechanical force exerted when the body is dragged across another surface
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Moisture
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Presence and duration of moisture on the skin reduces the skin’s resistance to other physical factors
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Pressure Ulcer: STAGE 1
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Intact skin with nonblanchable redness
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Pressure Ulcer: STAGE 2
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Partial-thickness skin loss involving epidermis, dermis, or both
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Pressure Ulcer: STAGE 3
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Full-thickness tissue loss with visible fat
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Pressure Ulcer: STAGE 4
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Full-thickness tissue loss with exposed bone, muscle, or tendon
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Paresthesia
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numbness or tingling in the toes or feet
(produces loss of pressure and deep pain sensations injuries often go unnoticed by patient) |
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Hyperemia
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simply means redness
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