Health Assessment- Skin, Hair, Nails

70 cards   |   Total Attempts: 185
  

Cards In This Set

Front Back
List the "ABCDE" rule of self skin exams
A- asymmetry
B-border
C-color
D-diameter
E-elavation/evolving
State the medical term for the following skin pigmentation and possible reasons for them:
Pale
Red
Blue
Yellow
Pale-Pallor- decreased Hg, shock, stress, stimulant use, anemia
Red- Erythema- hyeremia of capillaries in lower skin layers caused by injury, infection, inflammation
Blue- Cyanosis- low O2
Yellow- Jaundice- Increased bile pigmentation; Increased carotene pigmentation
Describe the following shapes of skin lesions and give examples of each:
Round (discoid)
Oval
Annular
Zosteriform
Polycyclic
Linear
Iris/Target
Stellate
Serpiginous
Reticulate
Morbilliform
Round= coin shaped. Ex: humular eczema
Oval= ovoid. Ex: pityriasis rosea
Annular= Round w/central clearing. Ex: Tinia corporis
Zosteriform= following nerve. Ex: Herpes Zoster
Polycyclic= interlocking annular lesions.
Ex: psoriasis urticaria
Linear= in a line. Ex: Contact dermititis
Iris/Target= pink macules/purple centered papules
Ex: erythema multiforme
Stellate= star shaped. Ex: Meningococcal Septicemia
Serpignious= snake like; wavy. Ex:Cutanea larva migrans
Reticulate=lacy, netlike. Ex: Polyarteritis nodosa
Mobiliform=measles like maculopapular lesions on face and body. Ex: measles, roseola, drug eruptions
Circumscribed, flat discoloration that may be blue, brown, red, or hyper-pigmented. <1cm.
Ex: Freckles, nevi, scarlet fever
Macule
Circumscribed, superficial elevation containing serous fluid. <1cm.
Ex: chickenpox, zoster, contact dermatitis
Vesicles
Elevated, firm, circumscribedf area; less than 1cm diameter; color varies. May become confluent and form plaques.
Ex: Wart, elevated mole
Papule
Vary in size; circumscribed elevated, superficial. Contain purulent fluid. "Honey colored crust"
Ex: acne, impetigo
Pustules
Circumscribed, elevated, firm, solid lesion 1-2cm in diameter. Deep in dermis.
Ex: fatty tumor
Nodule
Elevated, solid. May or may not be clearly demarcated (able to feel border). Deep in dermis >2cm diameter.
Ex: Lipoma
Tumor
Firm, irregular shaped area; edematous resulting from infiltration of the dermis with fluid. May only last a few hours. Variable diameter.
Ex: bug bites
Wheal
Encapsulated, circumscribed, encapsulation lesions in dermis or SQ layer; (fluid/semi solid filled)
Ex: Wen, ganglion cyst, cystic acne
Cyst
Hypertrophic scar (smooth, rubbery). Elevated by excess scar tissue. MAy increase long after healing occurs.
(African Americans more likely to contract)
Keloids
Loss of part of epidermis. Superficial; depressed, moist, glistening. No bleeding. Heals w/o scar. Does not extend to dermis.
Ex: Vericella after rupture
Erosion
Loss of epidermis and dermis. Irregular shape may bleed. Leaves scar.

Ulcer
Braden Scale
Test used to grade pressure ulcer risk. Highest possible score of 23= less likely to develop
Lowest possible score of 6= more likely to develop