1. What factors may increase the risk of problems with the Integumentary
system?: Sun damage, UV lights (tanning beds), radiation exposure, age, poor
nutrition, corticosteroid use, neuropathy, immobility, incontinence, exposure to
allergens, infectious diseases or manifestations (lice etc
2. lesion distribution
ASYMETRIC: unilateral distribution
3. lesion distribution
CoNFLUENT: merging together
4. lesion distribution
DIFFUSE: wide distribution
5. lesion distribution
DISCRETE: separate from other lessions
6. lesion distribution
generalized: diffuse distribution
7. lesion distribution localized: limited area of involvement that are clearly
defined
8. lesion distribution solitary: a single lession 9. lesion distribution
synnetric: bilateral distribution 10. lesion distribution
zosterform: bandlike distribution along a dermatone
area
11. lesion distribution grouped: cluster of lessions
12. assessment areas for darker skin people: Assessment of color is more
easily made in areas where the epidermis is thin and pigmentation is not
influenced by sun exposure, such as the lips, mucous membranes, nail beds,
and protected areas (e.g. buttocks).
13. Keloid: is an overgrowth of collagenous tissue at
the sight of skin injury
14. Vitiligo: is total loss of pigment in the affected
area
1/8
, med surg exam 1
15. Dermatosis: papulosa nigra are small, pigmented wartlike
papules commonly found on the face
16. Nevus of Ota: slate-gray or blue-gray birthmark located on the
forehead and face around the eye area
17. Biopsy: the most common diagnostic tests used in the evaluation of a skin
lesion. Techniques include punch, incisional, excisional, and shave biopsies.
Stains and cultures are used to test for fungal, bacterial, and viral infections.
Patch testing and photopatch testing may be used in the evaluation of allergic
dermatitis and photoallergic reactions.
18. skin health promotion/teaching points: Avoidance of environmental
hazards Adequate hygiene and nutrition
Skin self-examination
19. Skin Care Environmental Hazards: Irritants and allergens Radiation
Sleep- Pruritic skin diseases often interfere with sleep
Hygiene mild, moisturizing soaps ; avoid hot water and vigorous scrubbing
Nutrition
20. Nonmelanoma Skin Cancers
Actinic keratosis: Premalignant skin
lesions
21. Nonmelanoma Skin Cancers
Basal cell carcinoma: locally invasive malignancy arising from epidermal basal
cells
Most common type of skin cancer
Least deadly
Pearly raised borders, depressed center. 90% cure rate, slow growing, 5-FU may
be used or surgery
2/8
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