Unit 5A.1: General Overview & SKIN Assessment | Skin, Hair, Nails, Head, Ears

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160 Terms

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Cephalocaudal

Another name for the Head-to-Toe Assessment

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  1. Dermis

  2. Epidermis

    1. Stratum Corneum

    2. Stratum Lucidum

    3. Stratum Granulosum

    4. Stratum Germinativum

2 Layers of Skin (and Sublayers if applicable)

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Sebum

Oily‬‭ substance ‬‭that‬‭ lubricates‬‭ hair ‬‭and ‬‭skin‬‭ and‬ reduces‬‭ water ‬‭loss ‬‭through‬‭ skin‬‭ which‬‭ also‬‭ has ‬‭some‬ fungicidal and bactericidal effects‬

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  1. Ask client to remove all clothing and jewelry

  2. Have client sit comfortably

  3. Ensure privacy

  4. Maintain comfortable room temperature

How to Prepare the Client Prior to Collecting Objective Data

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INSPECTION:

  1. General skin colorations

  2. Odors emanating from the skin

  3. Color Variations

PALPATION:

  1. Moisture

  2. Temperature

  3. Texture

  4. Thickness

  5. Mobility & Turgor

  6. Edema

INSPECTION:

  1. Lesions

What is the procedure for skin assessment?

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  1. Examination Light, Penlight

  2. Mirror for Client’s Self-Examination of Skin

  3. Magnifying Glass, Centimeter Ruler

  4. Gloves, Wood’s Light

  5. Examination Gown or Drape

Equipment Needed During Skin, Hair, Nails, Head, Ears Assessment

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Evenly colored skin tone s̅ unusual or prominent discoloration.

Normal Finding for General Skin Coloration

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  1. Freckles

  2. Vitiligo

  3. Striae

  4. Seborrheic Keratosis

  5. Scar

  6. Mole (Nevus)

  7. Cutaneous Tags

  8. Cutaneous Horns

  9. Cherry Angiomas

Common Skin Variations

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Freckles

Common Skin Variation

  • Sun exposed skin

  • Common in Caucasians

<p>Common Skin Variation</p><ul><li><p>Sun exposed skin</p></li><li><p>Common in Caucasians</p></li></ul><p></p>
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Vitiligo

Common Skin Variation

  • Uneven patches on the skin

  • Common in African Americans

<p>Common Skin Variation</p><ul><li><p>Uneven patches on the skin</p></li><li><p>Common in African Americans</p></li></ul><p></p>
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Striae

Common Skin Variation

  • “Stretch marks”

  • Usually permanent unless given professional treatment

<p>Common Skin Variation</p><ul><li><p>“Stretch marks”</p></li><li><p>Usually permanent unless given professional treatment</p></li></ul><p></p>
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Seborrheic Keratosis

Common Skin Variation

  • Common in elderly patient

  • Warty & crusty pigmented skin/lesion

  • Can be removed by minor surgery

<p>Common Skin Variation</p><ul><li><p>Common in elderly patient</p></li><li><p>Warty &amp; crusty pigmented skin/lesion</p></li><li><p>Can be removed by minor surgery</p></li></ul><p></p>
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Scar

Common Skin Variation

  • Remnant of the wound

  • Common for patient who undergoes surgery

<p>Common Skin Variation</p><ul><li><p>Remnant of the wound</p></li><li><p>Common for patient who undergoes surgery</p></li></ul><p></p>
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Mole (Nevus)

Common Skin Variation

  • Pigments on the skin

  • Usually flat or raised

<p>Common Skin Variation</p><ul><li><p>Pigments on the skin</p></li><li><p>Usually flat or raised</p></li></ul><p></p>
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Cutaneous Tags

Common Skin Variation

  • Raised papule but with depressed center

  • Common with elderly clients; normal

<p>Common Skin Variation</p><ul><li><p>Raised papule but with <strong>depressed</strong> center</p></li><li><p>Common with elderly clients; normal</p></li></ul><p></p>
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Cutaneous Horns

Common Skin Variation

  • Big portion of dead skin

  • Common in area with thin skin (ex: ear)

  • Normal

<p>Common Skin Variation</p><ul><li><p>Big portion of dead skin</p></li><li><p>Common in area with thin skin (ex: ear)</p></li><li><p>Normal </p></li></ul><p></p>
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Cherry Angiomas

Common Skin Variation

  • Round macule of the skin, usually flat

  • Usually seen in elderly

<p>Common Skin Variation</p><ul><li><p>Round macule of the skin, usually flat</p></li><li><p>Usually seen in elderly</p></li></ul><p></p>
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  1. Albinism

  2. Erythema

  3. Pallor

  4. Cyanosis (Central & Peripheral)

  5. Jaundice

  6. Acanthosis nigricans

Abnormal Skin Pigmentation Findings

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Malar Rash

Abnormal Skin Pigmentation Finding

Butterfly across the bridge of the nose and cheeks in patients with systemic lupus erythematosus

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Systemic Lupus Erythematosus

Apatient is seen with a rash across the bridge of their nose and cheeks? What condition does this patient most likely have?

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  • Females

  • African People

  • Hispanic People

In what groups is Systemic Lupus Erythematosus most commonly seen in?

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Albinism

Abnormal Skin Pigmentation Finding

  • Total absence pigment on the skin

  • No melanocytes (which are responsible for skin color - melanin)

  • Congenital (patient is born to have the condition) but not hereditary

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p>Total <strong>absence pigment</strong> on the skin</p></li><li><p><strong>No melanocytes</strong> (which are responsible for skin color - melanin)</p></li><li><p>Congenital (patient is born to have the condition) but <strong><u>not</u> hereditary</strong></p></li></ul><p></p>
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Erythema

Abnormal Skin Pigmentation Finding

  • In dark-skinned client may be difficult to see. However, the affected skin feels swollen and warmer than the surrounding skin.

  • Reddish discoloration of skin usually caused by inflammation or trauma

  • Heated skin temperature

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p>In dark-skinned client may be difficult to see. However, the affected skin feels <strong>swollen</strong> and <strong>warmer</strong> than the surrounding skin.</p></li><li><p><strong>Reddish</strong> discoloration of skin usually caused by <strong>inflammation</strong> or <strong>trauma</strong></p></li><li><p><strong>Heated</strong> skin temperature</p></li></ul><p></p>
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Pallor

Abnormal Skin Pigmentation Finding

  • Seen in arterial insufficiency, decreased blood supply, and anemia

  • Vary from pale to ashen without underlying pink

  • Results from poor circulation

  • Commonly seen on anemic patients dur to decreased hemoglobin and red blood cells

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p>Seen in arterial insufficiency, decreased blood supply, and anemia</p></li><li><p>Vary from pale to ashen without underlying pink</p></li><li><p>Results from<strong> poor circulation</strong></p></li><li><p>Commonly seen on <strong>anemic patients </strong>dur to decreased hemoglobin and red blood cells</p></li></ul><p></p>
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  • Arterial Insufficiency

  • Decreased blood supply

  • Anemia

What conditions is pallor most likely seen in?

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Cyanosis

Abnormal Skin Pigmentation Finding

  • May cause white skin to appear blue-tinged, especially in the perioral, nail bed, and conjunctival areas

  • Dark skin may appear blue, dull, and lifeless in the same areas

  • Either central or peripheral

  • Due to poor oxygenation

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p>May cause white skin to appear <strong>blue</strong>-tinged, especially in the perioral, nail bed, and conjunctival areas</p></li><li><p>Dark skin may appear <strong>blue, dull, and lifeless</strong> in the same areas</p></li><li><p>Either <strong>central</strong> or <strong>peripheral</strong></p></li><li><p>Due to <strong>poor oxygenation</strong></p></li></ul><p></p>
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Central Cyanosis

Results from a cardiopulmonary problem; found in the labia of the patient

<p>Results from a cardiopulmonary problem; found in the labia of the patient</p>
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Cardiopulmonary Problem

A patient exhibits a blue-tinged labia. What condition dos the patient most likely have?

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Peripheral Cyanosis

May be a local problem resulting from vasoconstriction

Blueish discoloration of skin or extremities due to vasoconstriction (poor blood flow/oxygenation)

<p>May be a local problem resulting from vasoconstriction</p><p>Blueish discoloration of skin or extremities due to vasoconstriction (poor blood flow/oxygenation)</p>
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Vasoconstriction

A patient exhibits blueish discoloration of the skin or extremities. What condition does the patient most likely have?

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Jaundice

Abnormal Skin Pigmentation Finding

  • In light- and dark-skinned people is characterized by yellow skin tones, from pale to pumpkin, particularly in the sclera, oral mucosa, palms, and soles

  • Associated with hepatic dysfunction

  • Usually found in skin and/or sclera (for African-American patients)

  • Found in mucous membranes

  • Some with jaundice may have Hepatitis A, C which can infect other people through blood, sexual contact, and food

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p>In light- and dark-skinned people is characterized by <strong>yellow</strong> skin tones, from pale to pumpkin, particularly in the sclera, oral mucosa, palms, and soles</p></li><li><p>Associated with <strong>hepatic dysfunction</strong></p></li><li><p>Usually found in skin and/or sclera (for African-American patients)</p></li><li><p>Found in mucous membranes</p></li><li><p>Some with jaundice may have Hepatitis A, C which can infect other people through blood, sexual contact, and food</p></li></ul><p></p>
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  • Sclera

  • Oral Mucosa

  • Palms

  • Soles

What parts of the body can jaundice be seen?

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Acanthosis Nigricans

Abnormal Skin Pigmentation Finding

  • Roughening and darkening of skin in localized areas, especially the posterior neck

  • Suggests diabetes mellitus or PCOS

<p>Abnormal Skin Pigmentation Finding</p><ul><li><p><strong>Roughening</strong> and <strong>darkening</strong> of skin in localized areas, especially the posterior neck</p></li><li><p>Suggests<strong> diabetes mellitus </strong>or<strong> PCOS</strong></p></li></ul><p></p>
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  • Diabetes Mellitus

  • PCOS

What conditions does Acanthosis Nigricans suggest?

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“no lesions noted”

Normal Finding for Skin Lesions

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  1. Macule

  2. Patch

  1. Papule

  2. Plaque

  3. Nodule

  4. Tumor

  5. Vesicle

  6. Bulla

  7. Wheal

  8. Pustule

  9. Cyst

Primary Skin Lesions

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Macule

Primary Skin Lesion

  • Any flat discolored lesion of less than 1 cm with circumscribed border

  • E.g., cherry angioma

<p>Primary Skin Lesion</p><ul><li><p>Any <strong>flat</strong> discolored lesion of <strong>less than 1 cm</strong> with <strong>circumscribed border</strong></p></li><li><p>E.g., cherry angioma</p></li></ul><p></p>
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Cherry Angioma

Example of a macule

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Patch

Primary Skin Lesion

  • Flat discolored lesion of more than 1 cm with irregular border

  • E.g., vitiligo

<p>Primary Skin Lesion</p><ul><li><p><strong>Flat</strong> discolored lesion of <strong>more than 1 cm</strong> with <strong>irregular border</strong></p></li><li><p>E.g., vitiligo</p></li></ul><p></p>
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Vitiligo

Example of a patch

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Papule

Primary Skin Lesion

  • Raised lesion of less than 0.5 cm with circumscribed border

  • E.g. wart

<p>Primary Skin Lesion</p><ul><li><p><strong>Raised</strong> lesion of <strong>less than 0.5 cm</strong> with <strong>circumscribed border</strong></p></li><li><p>E.g. wart</p></li></ul><p></p>
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Wart

Example of a papule

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Plaque

Primary Skin Lesion

  • Raised lesion of more than 0.5 cm

  • May coalesce or merge

  • E.g., seborrheic keratosis

<p>Primary Skin Lesion</p><ul><li><p><strong>Raised lesion</strong> of <strong>more than 0.5 cm</strong></p></li><li><p>May <strong>coalesce</strong> or <strong>merge</strong></p></li><li><p>E.g., seborrheic keratosis</p></li></ul><p></p>
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Seborrheic Keratosis

Example of plaque

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Nodule

Primary Skin Lesion

  • Solid mass of 0.5-2 cm with circumscribed border under dermis

  • E.g. lipoma

<p>Primary Skin Lesion</p><ul><li><p><strong>Solid</strong> mass of <strong>0.5-2 cm</strong> with <strong>circumscribed border</strong> <strong>under dermis</strong></p></li><li><p>E.g. lipoma</p></li></ul><p></p>
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Lipoma

Example of nodule

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Tumor

Primary Skin Lesion

  • Solid mass of tissue under dermis of more than 1-2cm but does not always have sharp borders

  • E.g., large lipoma

<p>Primary Skin Lesion</p><ul><li><p><strong>Solid mass</strong> of tissue <strong>under dermis</strong> of <strong>more than 1-2cm </strong>but does <strong>not always have sharp borders</strong></p></li><li><p>E.g., large lipoma</p></li></ul><p></p>
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Large Lipoma

Example of a tumor

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Vesicle

Primary Skin Lesion

  • Fluid-filled lesion of less than 0.5 cm

  • E.g. herpes simplex

<p>Primary Skin Lesion</p><ul><li><p><strong>Fluid-filled</strong> lesion of <strong>less than 0.5 cm</strong></p></li><li><p>E.g. herpes simplex</p></li></ul><p></p>
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Herpes Simplex

Example of a Vesicle

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Bulla

Primary Skin Lesion

  • Fluid-filled lesion of more than 0.5 cm

  • E.g., large burn blister

<p>Primary Skin Lesion</p><ul><li><p><strong>Fluid-filled</strong> lesion of <strong>more than 0.5 cm</strong></p></li><li><p>E.g., large burn blister</p></li></ul><p></p>
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Large Burn Blister

Example of a Bulla

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Wheal

Primary Skin Lesion

  • Rises from allergic reactions

    • E.g., urticaria/Hives

  • No fluid and not a raised lesion

  • Warm to touch

<p>Primary Skin Lesion</p><ul><li><p>Rises from <strong>allergic reactions </strong></p><ul><li><p>E.g., urticaria/Hives</p></li></ul></li><li><p><strong>No fluid</strong> and <strong>not</strong> a <strong>raised lesion</strong></p></li><li><p><strong>Warm</strong> to touch</p></li></ul><p></p>
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Urticaria/Hives

Example of a Wheal

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Pustule

Primary Skin Lesion

  • Pus filled lesion (yellow)

  • E.g., acne vulgaris

  • Presence means there is bacterial infection

<p>Primary Skin Lesion</p><ul><li><p><strong>Pus</strong> filled lesion (yellow)</p></li><li><p>E.g., acne vulgaris</p></li><li><p>Presence means there is <strong>bacterial infection</strong></p></li></ul><p></p>
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Acne Vulgaris

Example of a Pustule

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Cyst

Primary Skin Lesion

  • Semi-solid mass of skin and rubbery in texture

  • Mostly sacs containing fluids, air, etc

  • E.g., epidermoid cyst

  • More superficial and evident

  • Will increase in size

<p>Primary Skin Lesion</p><ul><li><p><strong>Semi-solid</strong> mass of skin and <strong>rubbery</strong> in texture</p></li><li><p>Mostly <strong>sacs</strong> containing <strong>fluids, air, etc</strong></p></li><li><p>E.g., epidermoid cyst</p></li><li><p>More <strong>superficial</strong> and evident</p></li><li><p>Will<strong> increase</strong> in size</p></li></ul><p></p>
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Epidermoid Cyst

Example of a Cyst

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  1. Erosion

  2. Ulcer

  3. Scar (Cicatrix)

  4. Fissure

  5. Scales

  6. Crust

  7. Keloid

  8. Atrophy

  9. Lichenification

Secondary Skin Lesions

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Erosion

Secondary Skin Lesion

  • Eroded area of skin

  • Usually superficial

  • E.g., aphthous ulcer/cankersores, popper chicken pox

<p>Secondary Skin Lesion</p><ul><li><p><strong>Eroded area</strong> of skin</p></li><li><p>Usually <strong>superficial</strong></p></li><li><p>E.g., aphthous ulcer/cankersores, popper chicken pox</p></li></ul><p></p>
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  • Aphthous Ulcer/Cankersores

  • Popper Chicken Pox

Examples of Erosion

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Ulcer

Secondary Skin Lesion

  • Deeper than erosion with many stages

  • Can extend to the bones

  • E.g., pressure __, advanced stage

<p>Secondary Skin Lesion</p><ul><li><p><strong>Deeper</strong> than erosion with many stages</p></li><li><p>Can extend to the <strong>bones</strong></p></li><li><p>E.g., pressure __, advanced stage</p></li></ul><p></p>
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Scar (Cicatrix)

Secondary Skin Lesion

  • Remnant of wound, usually found after surgery

  • E.g., surgical site

<p>Secondary Skin Lesion</p><ul><li><p><strong>Remnant</strong> of wound, usually found <strong>after surgery</strong></p></li><li><p>E.g., surgical site</p></li></ul><p></p>
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Fissure

Secondary Skin Lesion

  • Linear crack on skin

  • E.g. tinea pedis/Athlete’s foot, Cheilosis

<p>Secondary Skin Lesion</p><ul><li><p><strong>Linear crack</strong> on skin</p></li><li><p>E.g. tinea pedis/Athlete’s foot, Cheilosis</p></li></ul><p></p>
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  • Tinea Pedis/Athlete’s Foot

  • Cheilosis

Examples of a Fissure

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Cheilosis (Fissure)

Secondary Skin Lesion

<p>Secondary Skin Lesion</p>
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Scales

Secondary Skin Lesion

  • Portion of dead skin or desquamation of epidermis

  • E.g., psoriasis

<p>Secondary Skin Lesion</p><ul><li><p>Portion of <strong>dead skin</strong> or <strong>desquamation</strong> of epidermis</p></li><li><p>E.g., psoriasis</p></li></ul><p></p>
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Psoriasis

Example of Scales

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Scales

Secondary Skin Lesion

<p>Secondary Skin Lesion</p>
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Crust

Secondary Skin Lesion

  • Dried serum/blood

  • Ruptured fluid filled lesion

  • E.g., ruptured vesicles of herpes simplex

<p>Secondary Skin Lesion</p><ul><li><p><strong>Dried serum/blood</strong></p></li><li><p><strong>Ruptured</strong> fluid filled lesion</p></li><li><p>E.g., ruptured vesicles of herpes simplex</p></li></ul><p></p>
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  • Ruptured Vesicles of Herpes Simplex

  • Ruptured & Dried Chicken Pox Vesicles

Example of Crust

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Keloid

Secondary Skin Lesion

  • Hypertrophic enlarged scar

  • Increase growth of muscle skin

  • E.g. ___ of ear piercing, injection, hereditary

  • Sca'r’s size won’t change, but ___ will hypertrophy

<p>Secondary Skin Lesion</p><ul><li><p><strong>Hypertrophic enlarged scar</strong></p></li><li><p>Increase growth of <strong>muscle skin</strong></p></li><li><p>E.g. ___ of ear piercing, injection, hereditary</p></li><li><p>Sca'r’s size <strong>won’t change</strong>, but ___ will hypertrophy</p></li></ul><p></p>
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Keloid

Secondary Skin Lesion

<p>Secondary Skin Lesion</p>
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Atrophy

Secondary Skin Lesion

  • Degeneration of skin

  • Loss of elasticity and texture of skin normally

  • Common to elderly only (e.g., aged skin)

  • Presence on young px indicates dehydration

<p>Secondary Skin Lesion</p><ul><li><p><strong>Degeneration</strong> of skin</p></li><li><p>Loss of <strong>elasticity</strong> and <strong>texture</strong> of skin normally</p></li><li><p>Common to <strong>elderly only</strong> (e.g., aged skin)</p></li><li><p>Presence on <strong>young</strong> px indicates <strong>dehydration</strong></p></li></ul><p></p>
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Aged Skin

Example of Atrophy

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Atrophy

knowt flashcard image
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Lichenification

Secondary Skin Lesion

  • Degeneration of skin

  • Loss of elasticity and texture brought about by friction (e.g., contact dermatitis)

<p>Secondary Skin Lesion</p><ul><li><p><strong>Degeneration</strong> of skin</p></li><li><p>Loss of <strong>elasticity</strong> and <strong>texture</strong> brought about by <strong>friction</strong> (e.g., contact dermatitis)</p></li></ul><p></p>
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Contact Dermatitis (Lichenification)

Secondary Skin Lesion

<p>Secondary Skin Lesion</p>
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  1. Petechiae

  2. Ecchymosis

  3. Hematoma

  4. Cherry Angioma

  5. Spide Angioma

  6. Telangiectasis (Venous Star)

Vascular Skin Lesions

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Petechiae

Vascular Skin Lesion

  • FIne pinpoint lesions

  • Caused by rupture of capillaries

  • Common in dengue patients

<p>Vascular Skin Lesion</p><ul><li><p>FIne <strong>pinpoint</strong> lesions</p></li><li><p>Caused by <strong>rupture of capillaries</strong></p></li><li><p>Common in <strong>dengue patients</strong></p></li></ul><p></p>
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Ruptured Capillaries

What is petechiae consisted of?

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Ecchymosis

Vascular Skin Lesion

  • Rupture of fine blood vessels from trauma or clotting problem

  • Reddish to purplish color (in comparison with hematoma)

<p>Vascular Skin Lesion</p><ul><li><p><strong>Rupture of fine blood vessels</strong> from<strong> trauma</strong> or <strong>clotting</strong> problem</p></li><li><p><strong>Reddish </strong>to <strong>purplish</strong> color (in comparison with hematoma)</p></li></ul><p></p>
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Ruptured Fine Blood Vessels

What is ecchymosis consisted of?

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Hematoma

Vascular Skin Lesion

  • Due to trauma

  • Raised ecchymosis

  • Aka Bun-og; blue, purple, or black in color

<p>Vascular Skin Lesion</p><ul><li><p>Due to <strong>trauma</strong></p></li><li><p><strong>Raised ecchymosis</strong></p></li><li><p>Aka Bun-og; <strong>blue, purple, or black</strong> in color</p></li></ul><p></p>
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Cherry Angioma

Vascular Skin Lesion

  • Common in elderly clients

  • angio means engorged arteriole

  • a macule

<p>Vascular Skin Lesion</p><ul><li><p>Common in <strong>elderly clients</strong> </p></li><li><p>angio means <strong>engorged arteriole</strong></p></li><li><p>a <strong>macule</strong></p></li></ul><p></p>
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Engorged Arteriole

What is Cherry Angioma consisted of?

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Spider Angioma

Vascular Skin Lesion

  • Dilated arterioles

  • Common to patients with liver problems, Vitamin B deficiency, and pregnant clients

  • Usually in abdomen or cheeks

<p>Vascular Skin Lesion</p><ul><li><p><strong>Dilated arterioles</strong></p></li><li><p>Common to patients with <strong>liver problems, Vitamin B deficiency, and pregnant clients</strong></p></li><li><p>Usually in <strong>abdomen </strong>or <strong>cheeks</strong></p></li></ul><p></p>
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Dilated Arterioles

What is Spider Angioma consisted of?

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  • Liver Problems

  • Vitamin B Deficiency

  • Pregnant Clients

What conditions have Spider Angioma?

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Telangiectasis (Venous Star)

Vascular Skin Lesion

  • Dilated veins and venules commonly found in the popliteal area

<p>Vascular Skin Lesion</p><ul><li><p><strong>Dilated veins and venules</strong> commonly found in the <strong>popliteal area</strong></p></li></ul><p></p>
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Dilated veins and venules

What does telangiectasis consist of?

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  1. Linear

  2. Annular

  3. Zosteriform

  4. Discrete

  5. Polycyclic

  6. Confluent

Configurations of Skin Lesion

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Linear

Configuration of Skin Lesion

  • Follows a straight line pattern

<p>Configuration of Skin Lesion</p><ul><li><p>Follows a <strong>straight line</strong> pattern</p></li></ul><p></p>
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Annular

Configuration of Skin Lesion

  • Circular pattern

  • Usually common to ring worm patients or those with allergies

<p>Configuration of Skin Lesion</p><ul><li><p><strong>Circular</strong> pattern</p></li><li><p>Usually common to <strong>ring worm</strong> <strong>patients</strong> or those with <strong>allergies</strong></p></li></ul><p></p>
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  • Ring worm patients

  • Allergies

What conditions usually have Annular Skin Lesions?

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Zosteriform

Configuration of Skin Lesion

  • Spinal nerve root pattern

  • Horizontal or tranverse

<p>Configuration of Skin Lesion</p><ul><li><p><strong>Spinal nerve root</strong> pattern</p></li><li><p><strong>Horizontal</strong> or <strong>tranverse</strong></p></li></ul><p></p>
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Discrete

Configuration of Skin Lesion

  • Skin lesions are isolated with no pattern

<p>Configuration of Skin Lesion</p><ul><li><p>Skin lesions are <strong>isolated</strong> with <strong>no pattern</strong></p></li></ul><p></p>
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Polycyclic

Configuration of Skin Lesion

  • Itchiness

  • Tends to merge together

  • E.g., pruritic ___ macular lesion

  • Pruritus itchiness

<p>Configuration of Skin Lesion</p><ul><li><p><strong>Itchiness</strong></p></li><li><p>Tends to <strong>merge together</strong></p></li><li><p>E.g., pruritic ___ macular lesion</p></li><li><p>Pruritus itchiness</p></li></ul><p></p>
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Confluent

Configuration of Skin Lesion

  • Localized in one small body area, merge

<p>Configuration of Skin Lesion</p><ul><li><p>Localized in <strong>one small body area, merge</strong></p></li></ul><p></p>
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Stage 1 Unblanched Erythema

Pressure Ulcer Stage

  • Intact skin with non-blanchable redness of a localized area usually over a bony prominence

  • Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area

<p>Pressure Ulcer Stage</p><ul><li><p><strong>Intact skin</strong> with <strong>non-blanchable redness </strong>of a localized area usually over a bony prominence</p></li><li><p>Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area</p></li></ul><p></p>