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Integutmentary
Nursing Assessment
35
Health Care
Undergraduate 3
02/04/2006

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Cards

Term
macule
Definition
flat lesion < 1cm diameter
Term
patch
Definition
flat lesion > 1cm diameter
Term
papule
Definition
superficial, raised lesion < 1cm diameter
Term
plaque
Definition
superficial, raised lesion > 1cm diameter
Term
nodule
Definition
deep, raised lesion < 2cm diameter
Term
tumor
Definition
deep, raised lesion > 2cm diameter
Term
vesicle
Definition
raised, fluid filled lesion < 1cm diameter
Term
bulla
Definition
raised, fluid filled lesion > 1cm diameter
Term
pustule
Definition
raised, pus filled lesion (any size)
Term
Primary lesions
Definition
arise from normal skin, categorized according to surface characteristics (flat or raised) and size
Term
Secondary Lesions
Definition
lesions that result from changes in primary lesions.
Term
Lichenification
Definition
thickening and hardening of the skin, often resulting from the irritation caused by repeated scratching of a pruritic lesion
Term
pruritus
Definition
severe itching
Term
alopecia
Definition
balding
Term
intertriginous
Definition
between folds of skin, under breasts, axillary etc.
Term
Turgor
Definition
measure of resiliency
Term
keloid
Definition
scar
Term
excoriation
Definition
shallow abrasion, resulting from scratching
Term
erosion
Definition
deeper than excoriation, the wearing away or gradual destruction of a surface, such as a mucosal or epidermal surface as a result of inflammation
Term
fissure
Definition
crack like lesion
Term
ulcer
Definition
deep crater
Term
atrophy
Definition
thin skin, that is wasted
Term
Ecchymosis
Definition
bruise due to trauma, predictable pattern and color change
Term
petechiae
Definition
tiny purple or red spots appearing on the skin. Coagulation disorder (no clotting)
Term
hematoma
Definition
deep accumulation of blood in the tissues
Term
cherry angioma
Definition
small bright red spot
Term
spider angioma
Definition
like the cherry angioma, but edges are spread out (like a spider)
Term
port wine stain
Definition
exuberant cherry angioma, dilated capillaries, pale red to reddish purple
Term
exudate
Definition
fluid cells or other substances slowly exuded or discharged
Term
Braden scale Stage 1 pressure Ulcer
Definition
nonblachable erythema
Term
Braden scale Stage 2 pressure Ulcer
Definition
Partial thickness skin loss
Term
Braden scale Stage 3 pressure Ulcer
Definition
Full thickness skin loss, can see subQ tissue
Term
Braden scale Stage 4 pressure Ulcer
Definition
Involves muscle, bone
Term
When is a pressure ulcer unstageable?
Definition
When it has eschar (scabs, black tissue)
Term
erythema
Definition
redness
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