Shared Flashcard Set

Details

Health Assessment
Skin, Hair, & Nails
69
Nursing
Undergraduate 3
10/06/2009

Additional Nursing Flashcards

 


 

Cards

Term
Pruritis
Definition

Itching -

most commonly reported symptom of skin disease

Term
Rash
Definition

Not a disease in itself -

A symptom of of an allergic response, skin disorder, or systemic illness

Term
Albinism/Hypopigmentation
Definition
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Complete absence of pigmentation; Pale white skin tone
Term
Hyperpigmentation
Definition

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Increased melanin

 

Indication of endocrine disorder or liver disease

Term
Cyanosis
Definition
Grayish blue tone, especially in nail beds & mucous membranes
Term
Ecchymosis
Definition
Bruise
Term
Erythema
Definition
Reddish tone with evidence of increased skin temperature secondary to inflammation
Term
Jaundice
Definition

Yellowish color of skin

 

Best seen in the sclera of the eyes

Term
Pallor
Definition
Pale skin color that may appear white
Term
Striae
Definition

Silver or pink "stretch marks"

Normal variation secondary to weight gain or pregnancy

Term
Petechiae
Definition

Tiny, flat, reddish purple, nonblanchable spots; less than 0.5 cm

 

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Term
Keloid
Definition

Irregular-shaped, elevated, progressively enlarging scar; grows beyond wound boundaries

 

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Term
Vitiligo
Definition

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Unpigmented patch or patches, more common in dark-skinned races

Term
Diaphoresis
Definition
Excessive sweating in absence of strenuous activity
Term
Alopecia
Definition

Hair Loss

 

Often occurs as a manifestation of many systemic diseases or treatment with radiation or antineoplastic agents

Term
Hirsutism
Definition

Hair growth in women with an increase of hair on face, body, & pubic area

 

Sign of an underlying endocrine disorder

Term
Koilonychia
Definition

Spoon nail; thin, depressed nail with lateral edges turned upward

 

Associated with anemia or may be congenital; Also look for palor

 

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Term
Leukonychia
Definition

White spots on nail plate

 

Usually caused by minor trauma

 

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Term
Clubbing
Definition

Angle of nail base exceeds 180 degrees

 

Associated with chronic respiratory or cardiovascular disease

 

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Term
Beau's Lines
Definition

Groove or transverse depression running across the nail

 

Trauma temporarily impairs nail formation

 

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Term
Pitting
Definition

Associated with psoriasis

 

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Term
Discrete/Singular Lesion
Definition

Single lesion; demarcated lesions that remain separate

 

ex. insect bites

Term
Clustered/Grouped Lesions
Definition

Lesions bunch together in little groups

 

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Term
Polycyclic Lesions
Definition

Annular lesions that come in contact with one another as they spread

 

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Term
Confluent Lesions
Definition
Lesions merge and run together over large areas
Term
Linear Lesions
Definition

Lesions form a line

 

ex. poison ivy

 

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Term
Zosteriform/Dermatomal Lesions
Definition

Lesions follow a nerve

 

ex. herpes zoster

 

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Term
Generalized Lesions
Definition

Lesions scattered all over body

 

ex. chicken pox

Term
Round/Oval Lesion
Definition
Solid appearance - no central clearance
Term
Annular Lesion
Definition

Round with central clearing

 

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Term
Iris Lesion
Definition

Pink macule with purple concentric ring

 

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Term
Gyrate Lesion
Definition

Snakelike appearance

 

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Term
Macule
Definition

Flat, circumscribed area that is a change in the color of the skin; less than 1 cm

 

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Term
Papule
Definition

Elevated, firm, circumscribed area; less than 1 cm

 

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Term
Patch
Definition

Flat, nonpalpable, irregular-shaped macule; more than 1 cm

 

ex. birthmark

 

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Term
Plaque
Definition

Elevated, firm, & rough lesion with flat top surface greater than 1 cm

 

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Term
Wheal
Definition

Elevated irregular-shaped area of cutaneous edema; solid, transient (not lasting); variable diameter

 

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Term
Nodule
Definition

Elevated, firm, circumscribed lesion; deeper in dermis than papule; 1-2 cm

 

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Term
Tumor
Definition

Elevated and solid lesion; may or may not be clearly demarcated; deeper in dermis; greater than 2 cm

 

 

Term
Vesicle
Definition

Elevated, circumscribed, superficial, not in dermis; filled with serous fluid; less than 1 cm

 

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Term
Bulla
Definition

Vesicle greater than 1 cm

 

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Term
Pustule
Definition

Elevated, superficial lesion; similar to vesicle but filled with purulent fluid

 

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Term
Cyst
Definition

Elevated, circumscribed, encapsulated lesion; in dermis or subcutaneous layer; filled with liquid or semisolid material

 

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Term
Scale
Definition

Heaped-up keratinized cells; flaky skin; irregulr; thick or thin; dry or oily; variation in size

 

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Term
Lichenification
Definition

Rough, thickened epidermis secondary to persistent rubbing, itching, or skin irritation

 

Often involves flexor surface of extremity

 

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Term
Scar
Definition

Thin to thick fibrous tissue that replaces normal skin following injury or laceration

 

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Term
Excoriation
Definition

Loss of epidermis; linear hollowed-out crusted area; abrasion or scratch

 

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Term
Fissure
Definition

Linear crack or break from the epidermis to the dermis; moist or dry; ex. athlete's foot

 

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Term
Crust
Definition

Dried drainage or blood; slightly elevated; variable size; colors variable - red, black, tan, or mixed

 

ex. scab on abrasion

 

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Term
Erosion
Definition

Loss of part of the epidermis; depressed, moist, glistening; follows rupture of a vesicle or bulla

 

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Term
Ulcer
Definition

Loss of epidermis & dermis; concave; varies in size

 

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Term
Atrophy
Definition

Thinning of the skin surface and loss of skin markings; skin appears translucent and paperlike

 

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Term
Cherry Angioma
Definition

Small, slightly raised, bright red area; increase in size and number with age

 

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Term
Purpura
Definition

Flat, reddish purple, nonblanchable discoloration; greater than 0.5 cm

 

Caused by infection or bleeding disorders resulting in hemorrhage of blood into skin

 

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Term
Angioma
Definition

Benign tumor consisting of a mass of small blood vessels; can vary in size

 

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Term
Capillary Hemangioma
Definition

Angioma that involves capillaries within the skin producing an irregular macular patch that can vary from light red to dark red, to purple in color

 

ex. port wine stain

 

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Term
Telangiectasia
Definition

Permanent dilation of preexisting small blood vessels; superficial, fine, irregular red lines within the skin

 

aka spider veins

 

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Term
Spider angioma
Definition

Type of telangiectasia; small central red area with radiating spiderlike legs; blanches with pressure

 

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Term
Venous Star
Definition

Type of telangiectasia; nonpalpable bluish star-shaped lesion that may be linear or irregularly shaped

 

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Term
Stage I Pressure Ulcer
Definition

Prolonged redness (nonblanchable) with unbroken skin

 

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Term
Stage II Pressure Ulcer
Definition

Partial-thickness skin loss involving epidermis & dermis; appears as a superficial abrasion, blister, or excoriation

 

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Term
Stage III Pressure Ulcer
Definition

Full-thickness skin loss with damage to the subcutaneous tissue; may note serosanguineous drainage; manifests as a deep crater with or without undermining of adjacent tissue

 

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Term
Stage IV Pressure Ulcer
Definition

Full-thickness skin loss with invasion of deeper tissue into the muscle or bone (or both); appears as an open ulceration with purulent drainage & peripheral crusting

 

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Term
Suspected Deep Tissue Injury
Definition

Purple or maroon localized area of discolored intact skin due to damage of underlying soft tissue

 

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Term
Unstageable Pressure Ulcer
Definition

Full thickness tissue loss in which the base is completely covered by slough and/or eschar

 

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Term
Lupus Erythematosus
Definition

Erythema localized on cheeks and nose

 

Butterfly rash

Term
Acanthosis Nigricans
Definition

Darkening of skin in skin folds; neck, groin, axillae

 

Seen in obesity; Skin looks dirty

Term
Trichotillomania
Definition
Self inflicted hair loss; psych disease process
Term
Onychomycosis
Definition

Fungal nails

 

Common on toes & fake nails

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