Integumentary System Lvnoct2006

Front 1

Flat, nonpalpable change in skin colo, with different sises, shapes, color; smaller than 1cm.

Back 1

Macule:

Hint 1

ex. rubella, scarlet fever freckles

Front 2

Palpabel solid raised lesion that is less than 1cm in diameter due to superficial thickening in the epidermis.

Back 2

Papule:

Hint 2

ex. ringworm, rosea, wart, mole

Front 3

Solid elevted lesion that is larger & deeper than a pupule.

Back 3

Nodule:

Hint 3

ex. fibroma , intradermal nevi

Front 4

A febrile condition caused by cutaneous dissemination of herpesvirus type 1, occurring most commonly in children, consisting of a widespread eruption of vesicles rapidly becoming umbilicated pustules; clinically indistinguishable from a generalized vaccinia. The two may be distinguished by electron microscopy or demonstration of inclusion bodies in smears, which are intranuclear in eczema herpeticum and intracytoplasmic in eczema vaccinatum.

Back 4

Eczema Eerpeticum

Hint 4

pustulosis vacciniformis acuta

Front 5

A benign neoplasm derived from fibrous connective tissue,

Back 5

Fibroma

Hint 5

Solid elevted lesion that is larger & deeper than a pupule

Front 6

A fluid-filled vesicle or blister greater than 100 cm in diameter appearing as a circumscribed area of separation of the epidermis from the subepidermal structure (subepidermal bulla) or as a circumscribed area of separation of epidermal cells (intraepidermal bulla) caused by the presence of serum, or occasionally by an injected substance.

Back 6

Bulla

Hint 6

contact dermatitis; burns

Front 7

A condition characterized by hemorrhage into the skin. Appearance of the lesions varies with the type of purpura, the duration of the lesions, and the acuteness of the onset. The color is first red, gradually darkens to purple, fades to a brownish yellow, and usually disappears in 2 or 3 weeks; color of residual permanent pigmentation depends largely on the type of unabsorbed pigment of the extravasated blood; extravasations may occur also into the mucous membranes and internal organs

Back 7

Purpura

Front 8

A circumscribed, evanescent papule or irregular plaque of edema of the skin, appearing as an urticarial lesion, slightly reddened, often changing in size and shape and extending to adjacent areas, and usually accompanied by intense itching; produced by intradermal injection or test, or by exposure to allergenic substances in susceptible persons; also encountered in dermatitis herpetiformis (Darier sign).

Back 8

Wheal

Hint 8

Syn:hives welt

Front 9

An eruption of itching wheals, usually of systemic origin; it may be due to a state of hypersensitivity to foods or drugs, foci of infection, physical agents (heat, cold, light, friction), or psychic stimuli

Back 9

Urticaria

Front 10

A small blister like raised area of the skin that contains serous fluid, up to 1cm in diameter

Back 10

Vesicle

Hint 10

Ex; poison ivy, shingles chicken pox
Tinea Pedis aka athletes foot

Front 11

A patch or solid raised lesion on the skin or mucous membrane that is greater than 1 cm in diameter

Back 11

Plaque

Hint 11

Ex; psoriasis Tinea Tonsurans

Front 12

Small elevation of skin or vesicle or bulla that contains lymph or pus

Back 12

Pustule: Primary

Hint 12

Ex; impetigo scabies acne pimples
by the dried serum pus or blood after drys and from the #2 lesion crust by the dried serum pus or blood then #2 lesion crust dries futher leaving a scab

Front 13

Traumatized abrasions of epidermis or linear scratch marks

Back 13

Excoriations #2 Lesion

Hint 13

eg: scabies, dermatitis, burns

Front 14

A mark left in the skin due to fibrotic changes following healing of wound sore surgical incision. 2.Fibrous tissue replacing normal tissues destroyed by injury or disease

Back 14

Scar

Hint 14

#2 Lesion

Front 15

A severe, unremitting type of chronic ringworm of the scalp and nails, with scarring and formation of crusts called scutula, caused by three dissimilar dermatophytes, Trichophyton schoenleinii (most commonly), T. violaceum, and Microsporum gypseum; it occurs more frequently in the Mediterranean countries, southeastern Europe, southern Asia, and northern Africa. Syn: honeycomb ringworm, crusted ringworm, tinea favosa

Back 15

Lichenification

Front 16

An inflammatory fungus infection of the scalp and beard, marked by pustules and a boggy infiltration of the surrounding parts; most commonly caused by Microsporum audouinii.

Back 16

Tinea Kerion

Hint 16

boggy infiltration

Front 17

Ringworm or fungus infection of the hairless skin.

Back 17

Tinea Glabrosa

Front 18

An eruption consisting of a number of concentric rings of overlapping scales forming papulosquamous patches scattered over the body; it occurs in tropical climates and is caused by the fungus Trichophyton concentricum.

Back 18

Tinea Imbricata

Hint 18

Syn: Oriental ringworm, scaly ringworm, Tokelau ringworm

Trichophyton concentricum

Front 19

Ringworm of the hand, usually referring to infections of the palmar surface.

Back 19

Tinea Manus

Hint 19

tinea corporis
tinea circinata

Front 20

A fungus infection due to Exophiala werneckii, marked by dark lesions giving a spattered appearance and occurring most commonly on the palms of the hands

Back 20

Tinea Nigra

Hint 20

Syn: pityriasis nigra

Front 21

An eruption of tan or brown branny patches on the skin of the trunk, often appearing white, in contrast with hyperpigmented skin after exposure to the summer sun; caused by growth of the fungus Malassezia furfur in the stratum corneum with minimal inflammatory reaction.

Back 21

Tinea Versicolor

Hint 21

Syn: pityriasis versicolor

Front 22

Dermatophytosis of the feet, especially of the skin between the toes, caused by one of the dermatophytes, usually a species of Trichophyton or Epidermophyton; the disease consists of small vesicles, fissures, scaling, maceration, and eroded areas between the toes and on the plantar surface of the foot; other skin areas may be involved.

Back 22

Tinea Pedis

Hint 22

Syn: ringworm of foot, dermatomycosis pedis, athlete's foot
#2 LESIONS

Front 23

Ringworm of the nails due to a dermatophyte.

Back 23

Tinea Unguium

Front 24

A fungus infection of the beard, occurring as a follicular infection or as a granulomatous lesion;

Back 24

Tinea Barbae
AKA Tinea Sycosis

Hint 24

primary lesions are papules pustules-
Syn: ringworm of beard, folliculitis barbae,
tinea sycosis, barber itch

Front 25

A fungus infection dermatophytosis of the keratin component of hair, skin, or nails. Genera of fungi causing such infection are Microsporum Trichophyton, and Epidermophyton.

Back 25

Tinea

Hint 25

Syn: ringworm, serpigo 1

Front 26

A common form of fungus infection of the scalp caused by various species of Microsporum and Trichophyton on or within hair shafts, occurring most commonly in children and characterized by irregularly placed and variously sized patches of apparent baldness because of hairs breaking off at the surface of the scalp, scaling, black dots (see black-dot ringworm), and occasionally erythema and pyoderma.

Back 26

Tinea Capitis

Hint 26

Syn: ringworm of scalp

Front 27

a well-defined, scaling, macular eruption of dermatophytosis that frequently forms annular lesions and may appear on any part of the body.

Back 27

Tinea Corporis

Hint 27

Syn: tinea circinata, ringworm of body

Front 28

Tinea Capitis or Tinea Corporis caused by the fungus Trichophyton tonsurans; characterized by small plaques and fewer broken off hairs than in Tinea Capitis caused by other species.

Back 28

Tinea Tonsurans

Front 29

Inflammatory ringworm of the glabrous skin.

Back 29

Tinea Profunda

Hint 29

AKA Majocchi granulomas

Front 30

A severe, unremitting type of chronic ringworm of the scalp and nails, with scarring and formation of crusts called scutula, caused by three dissimilar dermatophytes, Trichophyton schoenleinii (most commonly), T. violaceum, and Microsporum gypseum; it occurs more frequently in the Mediterranean countries, southeastern Europe, southern Asia, and northern Africa.

Back 30

Tinea Favosa OR Favus

Hint 30

Syn: honeycomb ringworm, crusted ringworm

Front 31

A closed sac or pouch with consists of semisolid, solid, or liqid material

Back 31

Cyst

Hint 31

eg: sebaceous cyst

Front 32

Thickening and hardening of skin from contiumed irritationb such as intense scatching looks like a surface of mass; rough leathery thick skin

Back 32

Lichenification

Hint 32

ex: sun worshiper that is 25 and she looks55

Front 33

An open sore or lesion that extends to the dermis

Back 33

Ulcer

Hint 33

Ex:Pressure Ulcer, burns

Front 34

A slit or crack like sore that extends into dermis usually due to continues imflammation & drying

Back 34

Fissure

Hint 34

eg: anal fissures Tinea pedis(athletes foot)

Front 35

Dry exfoliation of dead epidermis that may develop from inflammatory changes

Back 35

Scales

Hint 35

cradle cap, psoriasis, very dry skin

Front 36

Pressure ulcers described in 3 colors and indicates what

Back 36

Black indicate necrosis

Yellow wounds have exudate & infected

Red are pink or red and are in healing stage

Front 37

Chronic Eczema problems and psoriasis What treatment would apply & name a medication?

Back 37

Medication tar bath
Almar Tar or Bainetar

Hint 37

15-30 min

Front 38

Wet compresses for acute weeping crusted inflammed or ulcerative lesions Why how often how long what different medication

Back 38

1 To decrease inflammation, cleanse dry wound continued drainage of infected areas.
2 Can Be cool tap h2o, normal saline, aluminum acetate solution (Burrow's solution or Magnesium sulfate.
3 Saturate dressing w/ solution before appling.
4 wet dressing q3-4 hrs for 15 -30 min.

Hint 38

prescribe no longer 72 hr because skin could become either drying or macerated

Front 39

Balneotherapy what is it

Back 39

Therapeutic bath useful 2 apply medication to lg areas of skin as well as for debridement or removeing old crust old medication or to relieve itching or inflammation. Avoid hot baths

Hint 39

treatment last 15-30min

Front 40

Cool compresses are used for how long & why

Back 40

reapplied q 10-15min cause dressing gets warm from body heat.

Front 41

Scraping scales position patient so skin lesion is verticle. Place the slide where? to get a skin culters to determine presence of fungi bacteria and viruses

Back 41

place slide against skin and below lesion and scrape & treated w 10 percent potassium hydroxide (KOH) sent to lab

Front 42

Wound healing first second and third intentions name them

Back 42

1. edges of wound are approximated with staples or sutures
2. wound is left open & allowed to heal by granulation
3. wound is infected and ledt open until no evidence of infection and wound is then surgically closed.

Hint 42

1. intention healing-minimal scarring
2. intention healing- scarring usually extentive with prolonged healing
3.intention healing-craters and will it heal

Front 43

A scab formed by dry serum, pus, or blood

Back 43

Crust

Hint 43

ex; infected dermatitis, impetigo

Front 44

Occlusive dressing may cause skin atrophy folliculitis, maceration, erythema & systemic absorption of medication to prevent these complications the dressing is remove how many hours qd

Back 44

12 out 24 qd

Front 45

Ulcer can be cleaned by irrigation sytem with pressure between 4-15lbs per sq in. >4lbs wont cleanse and <15lbs will damage tissue. How much solution would you use? What mL syringe & what gauge of needle used?

Back 45

1. Either 250mL of tap h2o or normal saline is enough to cleanse.
2. If wound is red use 30-60 mL needleless syringe should prevent trauma and bleeding. If bleeding occurs wound healing has been impaired.
3. IF wound has be dx with infection a 30-60mL syringe & 18 guage needle is needed to help remove bacteria

Hint 45

ex: other cleansing; hydrotherapy whirlpool, handheld shower head