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17 Cards in this Set
- Front
- Back
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AGING & SKIN
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loss of subcutaneous tissue
loss of elastic fibers decr water, sebaceous gland activity incr capillary fragility incr melanocytes decr blood supply decr ability to heel hair grays |
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SKIN ASSESSMENT
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even skin tone
good turgor no lesions pink round nails shiny full hair w/appropriate distribution intact scalp forehead pinna assess for color in sclera, conjunctiva, nail beds, lips, buccal membranes petechiae, purpura note body odor, needle track, tattoos warm, dry, intact open areas, lesions, scars, excoriation |
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problems with skin
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sun exposure
irritants & allergens (soap) radiation hygiene-elders dust not scrub nutrition-well bal diet |
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MOST COMMON SKIN NEOPLASM
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malignant skin neoplasm
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CHAR OF MALIGNANT SKIN NEOPLASM
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most common
slow growing persistent lesion does not heal early tx favorable outcome |
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R/F MALIGNANT SKIN NEOPLASM
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fair skin
hx chronic sun exposure family hx |
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ABCD
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asymmetry
border irregularity color varies diameter is > 6mm |
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2 TYPES NONMELANOMA SKIN CANCER
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basal cell carcinoma
squamous cell carcinoma |
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MOST COMMON NONMELANOMA SKIN CANCER
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basal cell carcinoma
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CHAR OF BASAL CELL CARCINOMA
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locally invasive malignancy from epidermal basal cells
most common least lethal pearly papule w/slight erythema 95% cure rate tx: surgery or radiation |
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CHAR OF SQUAMOUS CELL CARCINOMA
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malignant neoplasm of keratinizing epidermal cells
sun exposed skin smoking very aggressive potential to metastasize, leading to death firm nodules with indistinct borders w scaling & ulceration |
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DEFINE MALIGNANT MELANOMA
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tumor in cells producing melanin
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CHAR OF MALIGNANT MELANOMA
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metastasizes to any organ<BR>most deadly form<BR>most common ages 25-29<BR>women-lower legs<BR>men-trunk, head, neck<BR>tx:surgery, chemo, immunotherapy, radiation
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define cellulitis
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inflammation of subcutaneous tissue
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char of cellulitis
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bacterial s. aureus & strep infection
hot, tender, red, edematous c/o chills, malaise, fever tx moist heat, immobilization, elevation, antibiotics |
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activation of varicella zoster virus
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herpes zoster
aka Shingles |
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char of shingles
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potentially contagious if not had varicella
c/o burning pain & neuralgia before breakout tx acyclovir, wet compresses, white petrolatum to lesions neurontin for pain may scar zostravax vaccine to prevent shingles for those >60 who have had chickenpox |
