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Pathophys Part 3 Integumentary System
Structure, Function and Disorders
104
Health Care
Not Applicable
06/15/2012

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Term
Name the 3 classifications of the Basic lesions of the skin
Definition
Flat, Elevated and Depressed lesions
Term
Macules, Patch, Purpura, Petechiae and Telangiectasia are
Definition
Flat lesions of the skin
Term
Hyperpigmented, erythema, purpura or telangiectasias are macules which are
Definition
flat, circumscribe discolored lesion
Term
Vitiligo, port-wine stains, mongolian spots and cafe au lait spots are patch lesions which are
Definition
flat irregular lesion being larger than macule
Term
Bruises are purpura which are
Definition
a circumscribed area of blood greater than 5.0 cm in diameter
Term
Thrombocytopenia manifests as petechiae in the skin which are
Definition
a circumscribed are of blood less than 0.5 cm in diameter
Term
Rheumatoid arthritis and hepatitis manifest in the skin as telangiectasia which are
Definition
dilated, superficial blood vessels
Term
Papule, Plague, Nodule, Wheal, Vessicle/bulla, Pustule, Comedone, Seale, Crust, Lichenification, Cyst, Tumor and Scar which are
Definition
Elevated lesions of the skin
Term
Verruca/warts, lichen planus, nevus are papules which are
Definition
lesions 1cm of less in diameter because of infiltration or hyperplasia of dermis
Term
Psoriasis and eczema are plaque lesions which are
Definition
lesions with a large surface area, larger laterally than in height
Term
Benign or malignant tumors, foreign body inflammation and calcium deposits are nodules which are
Definition
Palpable circumscribed lesions 1-2cm in diameter located in the epidermis, dermis or hypodermis; smooth to ulcerated
Term
Hives and angioedema are Wheal lesions which are
Definition
a transient lesion with well defined and often changing borders caused by edema of the dermis
Term
Herpes zoster, impetigo, pemphigus and 2nd degree burns are vesicle/bulla which are
Definition
fluid filled thin walled lesions - bulla is a vesicle grater than 0.5 cm in diameter
Term
Acne and pustular psoriasis are pustule lesions which are
Definition
lesions containing an exudate of WBC
Term
Blackhead and whitehead are comedone lesions which are
Definition
plugged hair follicles
Term
Psoriasis is a scale lesions which is
Definition
an accumulation of loose stratus corneum from cellular retention or cellular overproduction
Term
Eczema and impetigo are crust lesions which are
Definition
accumulations of dried blood or serum, varying in size
Term
Chronic dermatitis is a lichenification which is
Definition
thickening, toughening of the skin with accentuation of skin lines caused by scratching
Term
Sebaceous cyst is a cyst which is an
Definition
encapsulated mass of dermis or subq layers, solid or fluid filled
Term
Fibroma, lipoma, melanoma and hemangiomma are tumors which are
Definition
well demarcated solid lesions greater than 2cm in diameter
Term
Healed lacerations, burns and surgical incisions are scars which are
Definition
thin or thick fibrous tissue
Term
Atrophy, Ulcer, Excoriation, Fissure and Erosion are
Definition
Depressed lesions of the skin
Term
Aged skin in elderly and striae of pregnancy are atrophy which are
Definition
Thinning of the epidermis or dermis caused by decreased connective tissue
Term
Pressure sores, decubitis ulcers, basal cell carcinoma are ulcers which are
Definition
Loss of epidermis and dermis
Term
Scratches are excoriations which are
Definition
loss of epidermis with exposed dermis
Term
Athlete's foot and cheilosis are fissures which are
Definition
Linear crack or break exposing dermis
Term
Chickenpox and diaper dermatitis are erosions which are
Definition
moist, red break in epidermis, follows rupture of vesicle or bulla, larger than fissures
Term
Sharply elevated, irregularly shaped scars that progressively enlarge, commom in burns are called
Definition
Keloids
Term
Itching is a symptom associated with many primary skin disorders and systemic diseases. Itching is also called
Definition
Pruritus
Term
In ICD-10, Keloid is classified to Sequela and requires two codes for
Definition
1st code Keloid and 2nd code injury site
Term
Wounds caused by unrelieved pressure on the skin developing over bony prominences of elbow, heal, hip, shoulder and back.
Definition
Pressure or Decubtis Ulcers
Term
Stage 1 Pressure or Decubtis Ulcers is
Definition
pre-ulcer skin changes limited to persistent focal edema
Term
Stage 2 Pressure or Decubtis Ulcers is
Definition
abrasion, blister, partial thickness skin loss involving epidermis and/or dermis
Term
Stage 3 Pressure or Decubtis Ulcers is
Definition
full thickness skin loss involving damage or necrosis of subq tissue
Term
Stage 4 Pressure or Decubtis Ulcers is
Definition
necrosis of soft tissues through to underlying muscles, tendon or bone
Term
Eczema, Allergic contact dermatitis, Irritant contact dermatitis, Atrophic dermatitis, Stasis dermatitis and Seborrheic dermatitis are all classified as
Definition
Inflammatory skin disorders
Term
Scaly plaques with mild pruritis and unknown cause is
Definition
Seborrheic dermatitis
Term
Initial erythema & pruritis followed by scaling, petechia & hyperpigmentation are lesions caused by venous statis and edema and are classified as
Definition
Statis dermatitis
Term
Red, weeping crusts and lichenification are caused by Mast cell & IgE, T-lymphocyte & monocyte interaction are classified as
Definition
Atrophic dermatitis
Term
Pruritic/itching vesicles are caused by nonimmunologic inflammation due to chemicals and are classified as
Definition
Irritant contact dermititis
Term
Pruritic/itching vesicles caused by an allergan that binds to carrier protein to form a sensitizing antigen and T cell hypersensitivity are classified as
Definition
Allergic contact dermatitis
Term
Erythema, vesicles, scales and itching are the most common inflammatory disorder of skin caused by endogenous & exogenous agents and considered synonymous with dermatitis is classified as
Definition
Eczema
Term
In ICD-10 Pressure or Decubitis Ulcers are coded to site, laterality and Stage. The stage can be coded from
Definition
nursing notes, i.e. wound care nurse
Term
In ICD-10 Pressure or Decubitis Ulcers are coded to site, laterality and Stage. The stage of the ulcer must be can be coded from
Definition
physician's documentation only
Term
Psoriasis, Pityriasis rosea, lichen planus, Acne vulgaris, Acne rosacea, Discoid Lupus erythematosus and Systemic Lupus erythematosus are skin disorders all classified as
Definition
Papulosquamous Skin Disorders
Term
Thick, silverly, scaly, erythematosus, plaque surrounded by normal skin with rapid shedding of the dermis has no known cause but could be genetic or immunologic are are classified as
Definition
Psoriasis
Term
Pruritis, demarcated salmon-pink scale within a plaque are possible caused by a virus and are classified as
Definition
Pityriasis rosea
Term
Non sealing, violet colored pruritic papules possibly caused by exposure to drugs are classified as
Definition
Lichen Planus
Term
Comedones are caused by increased activity of sebaceous glands or inability of sebum to escape through the narrow opening is classified as
Definition
Acne vulgaris
Term
Erythema, papules, pustules and telangiectasia have no known cause and are associated with chronic flushing & sensitivity to the sun and are classified as
Definition
Acne rosacea
Term
Cutaneous manifestations of elevated red plaque with brown scale, hair loss, urticaria/hives and telangiectasia are caused by an immune response to an unknown antigen and are classified as
Definition
Discoid Lupus Erythematosus
Term
Systemic manifestation of connective tissue degeneration marked by stiffness/pain in hands feet or large joints with patchy atrophy of skin with diffuse facial erythematous rash in a butterfly patter over the nose/face is possibly caused by genetics or autoimmunity and is classified as
Definition
Systemic Lupus Erythematosus
Term
A rare chronic blister forming autoimmune disease caused by circulating IgG autoantibodies is a disease of the skin and oral mucous membranes classified as
Definition
Pemphigus with several types
pemphigus vulgaris most common mouth/scalp, pemphigus foliaceus & pemphigus erythmatosus less severe oral lesions are usually absent and erythema with localized crusting scaling and bullae
Term
An acute recurring inflammatory disorder of the skin and mucous membranes associated with allergic or toxic reactions to drugs or microorganisms as Mycoplasma pneumoniae and herpes simplex is called
Definition
Erythema multiforme
Term
Folliculitis, Furuncle/boil, carbuncle, Cellulitis, Erysipelas, Impetigo, HSV-1, HSV-2, Herpes varicella zoster, Warts/verrucae, Veneral warts, Tinea capitis, Tinea pedis, Tine corporis, Tinea crusis and Candiadiasis are all classified as
Definition
Cutaneous Infections
Term
Bacterial infection of hair follicles ususally Staph aureus is
Definition
Folliculitis
Term
Infection from folliculitis spreading into dermis is called
Definition
Furuncle or boil
Term
A collection of infected hair follicles is called
Definition
Carbuncle
Term
Infection of dermis and subq tissue with extension from skin wound, ulcer, furuncle or carbuncle are risk factors for DM, and PVD and is called
Definition
Cellulitis
Term
A Group A steptocci systemic infection is called
Definition
Erysipelas
Term
Coagulase positivie staphylococci, and beta-hemolytic streptococci are known causes of
Definition
Impetigo
Term
Primary and Secondary infection on non-genital sites marked by clusters of vesicles on an erythematous base, i.e. cold sore or fever blister are called
Definition
HSV 1
Term
Primary and secondary infection of the genitals transmitted sexually is called
Definition
HSV 2
Term
Primary infection Varicella/chickenpox; Secondary infection Zoster/shingles
Definition
Herpes Varicella - Zoster virus
Term
HPV causes
Definition
Warts/verrucae and Veneral Warts
Term
HPV - Veneral warts are sexually transmitted and are a know cause of
Definition
Cervical cancer
Term
Dermatophytes/fungi that invade and thrive on keratin on scalp, foot, skin and groin are called
Definition
Tinea capitis, Tinea pedis, Tinea corporis and Tinea cruris
Term
A yeast like fungus candida albican changes from a skin and mucous membranes commensal to a pathogen and is called
Definition
Candidiasis
Term
Skin cancer are classified to 4 categories name them
Definition
Basal Cell Carcinoma
Squamous Cell Carcinoma
Malignant Melanoma
Kaposi Sarcoma
Term
A smooth appearance, rolled border, depressed center, small surface blood vessels, slow growth, almost never metastasize or cause invasive destruction are
Definition
Basal cell carcinoma
Term
Rough, firm nodule with indurated base and bleeding ulcer, moderate growth and some metastasis are called
Definition
Squamous cell carcinoma
Term
Nevi wtih asymmetry, irregular border, color variation, larger than 6mm in diameter, fast growth, highly invasive, rapid metastasis if thickness is greater than 1.5 mm is called
Definition
Malignant Melanoma
Term
Cancerous skin lesion with genetic predisposition, precursors are nevi, known to be due to solar radiation and steroid hormone use is called
Definition
Malignant Melanoma
Term
Multifocal purplish, brown vascular macules develop in plaques/nodules; painful/pruritic; may affect GI and Resp tracts; slow spreading through skin with some aggressive change and caused by immunodeficient states such as AIDS, drug induced immunosuppresion as in kidney trasplants or genetics is called
Definition
Kaposi sarcoma
Term
A common skin disorder in children due to Staphylococcus aureus or Streptococcus pyogenes is called
Definition
Impetigo Vesicular and Bullous
Term
Regional lymphadenitis is common is this childrens skin infection
Definition
Vesicular Impetigo
Term
Acute glomerulonephritis is a potential complication of this childrens skin infection
Definition
Vesicular Impetigo
Term
Impetigo is highly contagious; spread through infected individuals, contaminated objects & insect bites and must be treated with
Definition
Systemic antibiotics
Term
Bullous Impetigo is caused by this bacteria
Definition
Staphylococcus aureus
Term
Vesicular Impetigo is caused by this bacteria
Definition
Streptococcus pyogenes or combines with staphylococcus
Term
Inflammation of the blood vessels is
Definition
Vasculitis or angiitis
Term
These lesions are most commonly associated with Type 1 Hypersensitivity reaction to drugs, foods, intestinal parasites or physical agents
Definition
Urticarial lesions
Term
Sclerosis of the skin which may remain localized or may affect viseral organs is
Definition
Scleroderma
Term
A multisystem inflammatory disease caused by Borrelia burgdorferi and transmitted by tick bites is
Definition
Lyme Disease
Term
Malaria, yellow fever, dengue fever, filariasis and St Louis encephalitis are spread by
Definition
Mosquitoes
Term
A benign proliferation of basal cells that produce elevated smooth or warty lesions on the chest back and face in older people are
Definition
Seborreic keratosis
Term
A benign self-limiting tumor arising from hair follicles on sun-exposed surfaces developing between 60-65 years are called
Definition
Keratoacanthoma
Term
Premalignant lesions of the skin from exposure to ultraviolet radiation of sun and can progresse to SCC are
Definition
Actinic keratosis
Term
Pigmented or non-pigmented lesions that form from melanocytes start developing between 3-5 years and may progress to carcinoma are called
Definition
Nevi or Moles
Term
An injury to the skin caused by exposure to extreme cold is called
Definition
Frostbite
Term
The following Classification of tissue damage relates to what skin injury ?First degree - Nonsensate, central, white plaque surrounded by a ring of hyperemia
Second degree - Appearance of clear blisters with surrounding erythema
Third degree - Hemorrhagic blisters, usually followed by eschar formation
Fourth degree - Focal necrosis with visible tissue loss
Definition
Frostbite
Term
An inherited and irreversible form of baldness with hair loss in the central scalp and recession of the hairline is
Definition
Male pattern alopecia
Term
Patchy loss of hair associated with stress or metabolic diseases and is usually reversible is called
Definition
Alopecia areata
Term
Male pattern of hair growth in women resulting from excessive secretion of androgenic hormones is called
Definition
Hirsutism
Term
Inflammation of the cuticle
Definition
Paronychia
Term
Fungal infection of the nail plate
Definition
Onychomycosis
Term
Atopic dermatitis or eczema in children is
Definition
an inflammation of the skin of unknown etiology
Term
Acne vulgaris ages 12 to 25 is
Definition
the most common skin disease affecting 85% of the population
Term
A serious infection caused by Group II Staphylococci often found in the throat or chest with onset of skin lesions preceded by URI common in children under 10 years is
Definition
Staphylococcal scalded-skin syndrome
Term
The presence of candida in the mucous membranes of the mouth of infants and less frequently in adults is called
Definition
Thrush
Term
A common communicable disease of children and young adults caused by the RNA virus which enters the bloodstream through the respiratory tract is called
Definition
Rubella or 3 day measles
Term
A contagious disease of children transmitted by direct contact with droplets from infected persons is
Definition
Rubeola or red measles
Term
A viral infection seen most often in infants and between the ages of 6 months and 12 years is called
Definition
Roseola
Term
A highly contagious disease of early childhood primarily spread by droplet transmission from the infected person is called
Definition
Chickenpox or Varicella
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