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40 Cards in this Set
- Front
- Back
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Name some common peristomal skin conditions
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folliculitis
candidiasis irritant dermatitis pseudoverrucous lesions mechanical trauma radiation concerns |
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Name some complex peristomal skin conditions
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allergic contact dermatitis
peristomal varices (caput medusa) Parastomal ulcers psoriasis |
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What is the most common peristomal skin complication?
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irritant dermatitis
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Folliculits
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Inflammation of hair follicle due to traumatic removal of hair with resultant infection.
Usually caused by staph aureus |
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What are the clinical features seen with folliculitis?
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Lesions arise from hair follicle
erythematic, pinpoint pustules or papules solitary or many itchiness tend to be superficial |
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|
Name some common peristomal skin conditions
|
folliculitis
candidiasis irritant dermatitis pseudoverrucous lesions mechanical trauma radiation concerns |
|
|
Name some complex peristomal skin conditions
|
allergic contact dermatitis
peristomal varices (caput medusa) Parastomal ulcers psoriasis |
|
|
What is the most common peristomal skin complication?
|
irritant dermatitis
|
|
|
Folliculits
|
Inflammation of hair follicle due to traumatic removal of hair with resultant infection.
Usually caused by staph aureus |
|
|
What are the clinical features seen with folliculitis?
|
Lesions arise from hair follicle
erythematic, pinpoint pustules or papules solitary or many itchiness tend to be superficial |
|
|
Name some common peristomal skin conditions
|
folliculitis
candidiasis irritant dermatitis pseudoverrucous lesions mechanical trauma radiation concerns |
|
|
Name some complex peristomal skin conditions
|
allergic contact dermatitis
peristomal varices (caput medusa) Parastomal ulcers psoriasis |
|
|
What is the most common peristomal skin complication?
|
irritant dermatitis
|
|
|
Folliculits
|
Inflammation of hair follicle due to traumatic removal of hair with resultant infection.
Usually caused by staph aureus |
|
|
What are the clinical features seen with folliculitis?
|
Lesions arise from hair follicle
erythematic, pinpoint pustules or papules solitary or many itchiness tend to be superficial |
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Cellulitis
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Serious infection usually caused by streptococci
See erythema, heat, pain, swelling Tx: systemic antibiotics incision and drainage modification of pouching sys. |
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Candidiasis
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AKA Monilia
Most common cutaneaous Candida species is C. albicans PREDISPOSING CONDITIONS: DM Immunosuppressive Medications: antibiotics anemia surgery CLINICAL FEATURES: advancing border |
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Chemical
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Corrosive or caustic agents that come in contact with skin and cause tissue destruction.
TYPES: irritant dermatitis crystals pseudoverrucous lesions (hyperplasia) |
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Describe irritant dermatitis
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erythematous in appearance, shallow, moist, and painful
Irritation is localized to the trauma area. |
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Describe crystals
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Urinary stomas only
Etiology: alkaline urine, poor hygiene, improper cleansing of equipment Composition: Ca, Mg, and ammonium phosphates |
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Name some common peristomal skin conditions
|
folliculitis
candidiasis irritant dermatitis pseudoverrucous lesions mechanical trauma radiation concerns |
|
|
Name some complex peristomal skin conditions
|
allergic contact dermatitis
peristomal varices (caput medusa) Parastomal ulcers psoriasis |
|
|
What is the most common peristomal skin complication?
|
irritant dermatitis
|
|
|
Folliculits
|
Inflammation of hair follicle due to traumatic removal of hair with resultant infection.
Usually caused by staph aureus |
|
|
What are the clinical features seen with folliculitis?
|
Lesions arise from hair follicle
erythematic, pinpoint pustules or papules solitary or many itchiness tend to be superficial |
|
|
Name some common peristomal skin conditions
|
folliculitis
candidiasis irritant dermatitis pseudoverrucous lesions mechanical trauma radiation concerns |
|
|
Name some complex peristomal skin conditions
|
allergic contact dermatitis
peristomal varices (caput medusa) Parastomal ulcers psoriasis |
|
|
What is the most common peristomal skin complication?
|
irritant dermatitis
|
|
|
Folliculits
|
Inflammation of hair follicle due to traumatic removal of hair with resultant infection.
Usually caused by staph aureus |
|
|
What are the clinical features seen with folliculitis?
|
Lesions arise from hair follicle
erythematic, pinpoint pustules or papules solitary or many itchiness tend to be superficial |
|
|
Pseudoverrucous lesions
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AKA PEH (pseudoepitheliomatous hyperplasia)
Horny layer absorbs the fluids See raised lesions with warty appearance Appear gray/white or reddish brown Painful Use long wearing barriers Correct urine pH (keep pt well hydrated) |
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What type of stoma plate would you use around a stoma that has undergone radiation?
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flexible, gentle stoma plate. Avoid extended wear.
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Pseudoverrucous lesions
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AKA PEH (pseudoepitheliomatous hyperplasia)
Horny layer absorbs the fluids See raised lesions with warty appearance Appear gray/white or reddish brown Painful Use long wearing barriers Correct urine pH (keep pt well hydrated) |
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What is peristomal varices
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AKA Caput Medusa
Bluish purple discoloration of skin around the stoma; the area blanches when pressed and displays irregular, small blood vessels. Pt will have underlying liver disease. |
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What is peristomal varices
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AKA Caput Medusa
Bluish purple discoloration of skin around the stoma; the area blanches when pressed and displays irregular, small blood vessels. Pt will have underlying liver disease. |
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Parastomal ulcers
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Associated most commonly with Crohn's disease
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Pyoderma Gangrenosum
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Lesions can be multiple or solitary
Begin as red lesions that becomes indurated and ulcerated. Base enlarges, discharging purulent and hemorrhagic exudate (bleeds and hurts) See: Dusky halo with blue/purple margin Exquisite pain Symptoms go away if the rectum is removed |
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Psoriasis
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Loves sites with repetative trauma
Chronic genetic skin disease that can occur in ther peristomal region and present pouching problems. See: discrete erythematous papules and plaques covered by a silvery white scale. Hydrocolloids are good for dry coverage. Use a non-adherent pouching system |
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Pemphigus
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autoimmune disorder characterized by blisters, bulla, erosions, and crusts.
Evaluate for a non-adherent sys. |
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Mucocutaneous separation
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Use softer convexities to prevent tension on compromised suture line
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