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10 Cards in this Set

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Anemia (decreased hematocrit) or shock (decreased perfusion, vasoconstriction)

Light skin: generalized pallor


Brown skin appears yellow brown, dull


Black skin appears ashen gray, dull


Skin loses healthy glow

Check areas with least pigmentation such as conjunctivae, mucous membranes

Local arterial insufficiency

Light skin: marked, localized pallor (i.e. lower extremities, especially when elevated)


Brown skin: ashen gray, dull; cool to palpation

Albinism

Total absence of pigment melanin throughout the intrgument


Light skin: whitish pink


Brown skin: tan, cream, white

Vitiligo

Patchy depigmentation from destruction of melanocytes


Light skin: patchy milky-white spots, often symmetric, bilaterally


Brown skin: same

Cyanosis

Increased amount of unoxygenated hemoglobin


Light skin: dusky blue; peripheral - nail beds dusky


Brown skin: dark but dull, lifeless; only severe is seen in skin

Central: chronic heart and lung disease cause arterial desaturation; peripheral: exposure to cold, anxiety

Hyperemia

Increased blood in engorged arterioles


Light skin: red, bright pink


Brown skin: purplish tinge, difficult to see


Palpate for increased warmth with inflammation, taut skin, & hardening of deep tissues

Inflammation, fever, alcohol intake, blushing

Polycythemia

Increased RBCs, capillary stasis


Light skin: ruddy blue in face, oral mucosa, conjuntiva, hands and feet


Brown skin: well concealed by pigment; check for redness in lips

Carbon Monoxide Poisoning

Light skin: bright cherry red in face and upper torso


Brown skin: cherry red color in nail beds, lips and oral mucosa

Venous stasis

Decreased blood flow from area, engorged venules


Light skin: dusky rubor of dependent extremities; a prelude to necrosis with pressure sore


Brown skin: easily masked; use palpation for warmth or edema

Jaundice

Increased serum bilirubin from liver inflammation or hemolytic disease such as after severe burns, some infections

Light skin: yellow in sclera, hard palate, mucous membrane then over skin


Brown skin: check sclera for yellow near limbus; best noted in junction of hard & soft palate also palms