skin disorders
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Created by:
roxiedavis on November 15, 2010
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74 terms
Terms | Definitions |
|---|---|
 herpes simplex type I | cold sore or fever blister, outbreaks frequent during times of illness or stress, vesicles filled with serous fluid, transmitted through direct contact |
| herpes simplex type II | appears as sores on penis, vagina, or cervix, most contagious several days before crust development, |
| herpes zoster | shingles, acute viral illness caused by varicella, follows a nerve track, usually on 1 side of the body, unilateral |
| meds for herpes zoster | antivirals(zovirax), neurontin, vit c, steroids |
| nursing for herpes zoster | isolation, keep pregnant women and people who has not had chicken pox |
| folliculitis | infection of a hair follicle |
| S/S of folliculitis | inflammed, pusy area |
| Tx of folliculitis | topical antibiotics |
| Fruncle | usually caused by bacteria and is an inflammation of a deep hair follicle that spreads to surrounding skin |
| S/S of fruncle | pain, edema, pusy drainage, usually on forearm, buttocks, or axilla |
| Carbuncle | cluster of fruncles, S/S same as fruncle only the area affected is larger, may require an I & D |
| Tx of carbuncle | warm soaks, topical or systemic antibiotics, isolation for drainage wound, don't touch or pinch area |
| Impetigo | caused by staff or strep, highly contagious, common in children, fluid filled macule that ruptures and produces a yellow crust |
| S/S of impetigo | itching, pain, spread of the primary lesion |
| Tx of impetigo | C & S, systemic or topical antibiotics, wash area with antiseptic soap |
| nursing for impetigo | isolation, wear gloves, hand hygiene, keep child out of daycare for 24-48 hours |
| tinea capitus | ringworm of the scalp |
| tinea corporis | ringworm of the body |
| tinea pedis | athletes foot |
| tinea cruris | jock itch, ringworm of the groin |
| S/S of fungal skin disorders | lesions with circular shape, itching |
| Dx and meds for fungal skin disorders | visual exam, woods light exam, anti fungal cream (nystatin or tinactin) |
| dermatitis | superficial inflammation of the skin caused by drugs, plants, chemicals, food or metals, increased incidence with use of gloves |
| S/S of dermatitis | erythema, edema, pruritis |
| Dx and Tx of dermatitis | assess recent activities and recent changes to skin products, soap, identify cause, steroids, antihistamines |
| Uticaria | hives, sets off histamine caused by an allergic reaction, common causes are meds, stress, food, insect bites, and exposure to heat and cold |
| S/S of uticaria | edema, pain, itching |
| Dx and Tx of uticaria | assess for allergies, epi, steroids |
| signs of anaphylaxis | wheezing, dyspnea, cyanosis |
| Angioedema | form of uticaria that involves the entire eyelid, hands, feet, tongue, and lips |
| Eczema | atopic dermatitis, affects primarily infants, associated with allergies and the release of histamine |
| S/S of eczema | red, dry, scaly skin with cracks, usually on neck, face, or inner elbow |
| Dx and Tx of eczema | prevent allergic exposure, hydrate the skin, steroid creams |
| Acne Vulgaris | inflammation of sebaceous glands(oil) related to stress, puberty, allergy, heredity |
| Dx and Tx of acne vulgaris | topical therapies(dermabration), antibiotics(tetracycline), retin A, accutane |
| Psoriasis | non infectious skin disorder caused by rapid growth of epidermal cells, heredity linked |
| S/S of Psoriasis | red, raised area with scaly patches, often appears on elbows, knees, scalp, genitalia, or umbilicus |
| SLE(systemic lupus erythematosis) | affects multiple systems, autoimmune, affects women more than men, butterfly rash over nose and cheeks |
| S/S of SLE | butterfly rash, oral ulcers, arthritis, anemia, dermatitis |
| Dx and Tx of SLE | no single diagnosis, many blood tests, NSAIDS, antimilarial drugs, steroids, |
| pediculosis capitus | head lice |
| pediculosis corporis | body lice |
| pediculosis pubis | groin lice, crabs |
| S/S of pediculosis skin disorders | severe itching, see bugs |
| Tx of pediculosis skin disorders | pediculocide(rid), bactrim |
| Scabies | caused by the itch mite that burrows under the skin |
| keloid | over growth of scar tissue |
| angiomas | group of blood vessels that dilate and form a tumor like mass |
| verruca | wart |
| Nevi | mole |
| Hive | wheal |
| Papule | an elevated firm circumscribed area |
| Suppuration | pus filled lesion |
| Vesicle | blister(fluid filled) |
| Fissure | tear in tissue |
| Basal cell skin cancer | cancer affecting epidermal layer of the skin, slow growing, metastasis is rare, found on face or trunk of body |
| S/S of basal cell | scaly pearly papule |
| Squamous cell skin cancer | cancer affecting epidermal layer of skin, firm nodule, metastasizes quickly |
| S/S of squamous cell skin cancer | nodule with a crust or ulceration, doesn't heal |
| Melanoma | involves epidermis, dermis, and sub Q tissue, can be hereditary |
| S/S of melanoma | irregular borders with a variety of color |
| Dx and Tx for skin cancer | biopsy, excision, radiation, chemo, teach ABCDE's |
| Alopecia | loss of hair can be hereditary or meds, not permanent |
| Hirsutism | excessive hair growth, hereditary, hormone disorder, can be caused by meds |
| Tx of hirsutism | dermabrasion, electrolysis, shaving |
| Seborrhea | excessive oil production of the scalp, appears as very oily hair and scalp |
| Paronychia | nails become soft and brittle often ingrown |
| S/S of paronychia | reoccurring nail infections, breaking nails |
| Tx of paronychia | antibiotics, removal of nails |
| Onychomycosis | fungal infection of nails, thick yellow nails |
| Tx of onychomycosis | podiatrist, use of sporanox, lamosil, alternate shoes, wear shoes in public |
| Lymes disease | disorder caused by deer ticks, has systemic S/S |
| S/S of lymes disease | presence of bulls eye rash, flu like symptoms, visualization of tick |
| Tx of lymes disease | analgesics, antibiotics |
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