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B.Pelicano Quiz Integumentary
Semester 3
68
Nursing
Professional
07/06/2015

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Cards

Term
Prevent absorption of chemicals and foreign substances. Protects against microorganisms. Cushions and protects internal organs and subcutaneous fat
Definition
Provides protective covering
Term
Elimination of waster products
Definition
Acts as an organ of excretion
Term
Prevents dehydration. Vitamin D synthesis. Cholesterol compounds in skin are converted into vitamin D when exposed to sunlight
Definition
Other functions of skin
Term
Superficial, avascular layer
Dead outer portion
Definition
Epidermis
Term
Melanocyte cells
Definition
Produce melanin. Increased melanin = darker skin color
Term
Well supplied with blood vessels and nerves. Contains glands and hair follicles. Composed of connective tissues, collagen and elastic connective fibers
Definition
Dermis
Term
Connects skin to muscle surface. Composed of adipose tissue and loose connective tissue
Definition
Subcutaneous layer
Term
Stores water and fat
Insulates body
Protects organs
Provides a pathway for nerves and blood vessels
Definition
Subcutaneous layer
Term
Herpes simplex 1&2 occur by direct contact
Definition
With an open lesion
Term
Type 1 herpes simplex are
Definition
Most infections above the waist; cold sore associated with febrile illness
Term
Type 2 herpes simplex is genital herpes and its
Definition
Lesions in genital area
Term
S/S Type 1 Herpes Simplex
Definition
Cold sore
Vesicle at corner of mouth or lips
Burning pain/pruritus

No cure - antiviral medicaitons
Term
S/S Type 2 Herpes Simplex
Definition
Genital Area
Vesicle usually on cervix or penis
Burning pain/pruritus

No cure - Teach prevention of spread
Term
Diagnostic tests for herpes simplex include
Definition
Viral culture
Tzanck smear
Blood test,
H&P
Term
For herpes simplex the cure is
Definition
There is no cure; antivirals; suppresive therapy for recurrent episodes
Term
Nursing care for herpes simplex include
Definition
Treat symptoms
Warm compresses; keep lesions dry; analgesics; prevent infections
Term
Herpes Zoster is associated with
Definition
Reactivation of varicella virus that has been dormant in dorsal root ganglia
Term
Clinical manifestations of herpes zoster are
Definition
Vesicles form along nerve path - usually in thoracic region; can occur in cervical, lumbar or cranial areas
Term
Diagnostic tests for herpes zoster include
Definition
Viral culture, Tzanck smear, blood tests, H&P
Term
Summary of Herpes Zoster
Definition
Caused by varicella virus

Inflammation of spinal ganglia

Severe pain/pruritus/uni-lateral

Vesicular eruptions along nerve pathway

Symptomatic treatment
Term
Treatment of herpes zoster
Definition
NSAIDS, cool compresses, calamine lotion

Antivirals
Term
Nursing interventions of herpes zoster
Definition
Support treatment plan

Teach regarding diseases - early tx has best results in avoiding pain
Term
What is the bacterial infection Impetigo Contagiosa
Definition
Caused by staph or strep
Highly contagious
Honey colored crust, pruritis, pain, leukocytosis

Treat with topical and systemic antibiotics

Wear gloves, educate pt. about hygiene and prevention of spread
Term
What is Cellulitis
Definition
An acute localized inflammatory infection of the dermis and subcutaneous tissue usually caused by strep or staph
Term
S/S of Cellulitis
Definition
Area is red, swollen & painful; vesicles may form over area; fever, chills, malaise, H/A, adenopathy

Skin of lower extremities & face most commonly effected
Term
Folliculitis is
Definition
Infection of hair follicle
Term
Furuncle (boil)
Definition
Inflammation deep in hair follicle that spreads to surrounding skin
Term
Carbuncle
Definition
Cluster of furuncles
Term
Prevent absorption of chemicals and foreign substances. Protects against microorganisms. Cushions and protects internal organs and subcutaneous fat
Definition
Provides protective covering
Term
Elimination of waster products
Definition
Acts as an organ of excretion
Term
Prevents dehydration. Vitamin D synthesis. Cholesterol compounds in skin are converted into vitamin D when exposed to sunlight
Definition
Other functions of skin
Term
Superficial, avascular layer
Dead outer portion
Definition
Epidermis
Term
Melanocyte cells
Definition
Produce melanin. Increased melanin = darker skin color
Term
Well supplied with blood vessels and nerves. Contains glands and hair follicles. Composed of connective tissues, collagen and elastic connective fibers
Definition
Dermis
Term
Connects skin to muscle surface. Composed of adipose tissue and loose connective tissue
Definition
Subcutaneous layer
Term
Stores water and fat
Insulates body
Protects organs
Provides a pathway for nerves and blood vessels
Definition
Subcutaneous layer
Term
Herpes simplex 1&2 occur by direct contact
Definition
With an open lesion
Term
Type 1 herpes simplex are
Definition
Most infections above the waist; cold sore associated with febrile illness
Term
Type 2 herpes simplex is genital herpes and its
Definition
Lesions in genital area
Term
S/S Type 1 Herpes Simplex
Definition
Cold sore
Vesicle at corner of mouth or lips
Burning pain/pruritus

No cure - antiviral medicaitons
Term
S/S Type 2 Herpes Simplex
Definition
Genital Area
Vesicle usually on cervix or penis
Burning pain/pruritus

No cure - Teach prevention of spread
Term
Diagnostic tests for herpes simplex include
Definition
Viral culture
Tzanck smear
Blood test,
H&P
Term
For herpes simplex the cure is
Definition
There is no cure; antivirals; suppresive therapy for recurrent episodes
Term
Nursing care for herpes simplex include
Definition
Treat symptoms
Warm compresses; keep lesions dry; analgesics; prevent infections
Term
Herpes Zoster is associated with
Definition
Reactivation of varicella virus that has been dormant in dorsal root ganglia
Term
Clinical manifestations of herpes zoster are
Definition
Vesicles form along nerve path - usually in thoracic region; can occur in cervical, lumbar or cranial areas
Term
Diagnostic tests for herpes zoster include
Definition
Viral culture, Tzanck smear, blood tests, H&P
Term
Summary of Herpes Zoster
Definition
Caused by varicella virus

Inflammation of spinal ganglia

Severe pain/pruritus/uni-lateral

Vesicular eruptions along nerve pathway

Symptomatic treatment
Term
Treatment of herpes zoster
Definition
NSAIDS, cool compresses, calamine lotion

Antivirals
Term
Nursing interventions of herpes zoster
Definition
Support treatment plan

Teach regarding diseases - early tx has best results in avoiding pain
Term
What is the bacterial infection Impetigo Contagiosa
Definition
Caused by staph or strep
Highly contagious
Honey colored crust, pruritis, pain, leukocytosis

Treat with topical and systemic antibiotics

Wear gloves, educate pt. about hygiene and prevention of spread
Term
What is Cellulitis
Definition
An acute localized inflammatory infection of the dermis and subcutaneous tissue usually caused by strep or staph
Term
S/S of Cellulitis
Definition
Area is red, swollen & painful; vesicles may form over area; fever, chills, malaise, H/A, adenopathy

Skin of lower extremities & face most commonly effected
Term
Folliculitis is
Definition
Infection of hair follicle
Term
Furuncle (boil)
Definition
Inflammation deep in hair follicle that spreads to surrounding skin
Term
Carbuncle
Definition
Cluster of furuncles
Term
Fungi
Definition
Plantlike organisms; those that cause superficial skin infections are dermatophytes
Term
Ringworm or Tinea
Definition
Superficial or fungal infections
Named by body part
Spreads in moist areas - ex. skin folds

Transmitted by direct contact or by inanimate objects - ex. combs, pillowcases, towels & hats
Term
Tinea Capitis is
Definition
Ringworm of the scalp

Fungal infection of the hair follicles & surrounding skin

Temporary alopecia with characteristic black dots (breaking of hair shaft)

Single/multiple erythematous plaques with follicular papules & crusting
Term
Tinea Corporis is
Definition
Ringworm of the body

Affects trunk & extremities

Exclues palms of hands, soles of feet & groin

Pruritic anular plaques with scaling vesicle formation

Occur singularly or in a group of 3 to 4
Term
Tinea Cruris is
Definition
Known as "jock itch"

Affects groin including genitalia, pubic hair, perineal skin

Can extend to inner thighs & buttocks

More common in people who are physically active, are obese, and/pr wear tight underclothing
Term
Tinea Pedis is
Definition
Known as athletes foot

Most common fungal ingection

Affects the soles of fee the space between the toes and the toenail

Lesions vary from mild scaliness to painful fissures with drainage and usually accompanied by pruritus and a foul odor
Term
With fungal infections you check history
Definition
Of family members and assess for itching/burning and other clinical manifestations

Check for us of commercial showers, swimming/other sports

Check for sharing of towels, combs, or hairbrushes
Term
Fungal infections diagnostic tests include
Definition
By inspection

Fungal culture

Woods lamp - causes hair infected by fungus to fluoresce (blue-green)

Topical antifungal creams are tx of choice for all forms of tinea except capitus which can also require oral antifungals
Term
Nursing interventions of fungal infections include
Definition
Keep area clean and dry

Proper application of creams

Avoid sharing brushes/combs, hats, and towels

Remove wet swimsuits asap

Wear sandals/rubber shoes in communal areas

No isolation needed once tx begun

Chronic can lead to cellulitis
Term
Contact dermatitis is caused by
Definition
Direct contact with agents in environment to which a person is hypersensitive

Epidermis becomes inflamed & damaged by repeated contact with irritant; common causes are detergents, soaps, plants, latex, jewelery
Term
Clinical manifestations of Contact Dermatitis are
Definition
Lesions appear at point of contact with irritant; erythema with papules that sometimes weep a clean fluid

Person c/o burning, pain, pruritis and edema; scratch marks may be noted due to itching
Term
Diagnostic tests of Contact Dermatitis are
Definition
History to ID causative agent

Elevated serum IgE & eosinphiles
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