Podcast
Questions and Answers
What is a common cause of central cyanosis?
What is a common cause of central cyanosis?
- Anxiety
- Severe burns
- Chronic heart and lung diseases (correct)
- Exposure to cold
What does jaundice indicate when serum bilirubin concentration is greater than 2.5-3 mg/dL?
What does jaundice indicate when serum bilirubin concentration is greater than 2.5-3 mg/dL?
- Increased liver function
- Normal physiological function
- Liver dysfunction or hemolysis (correct)
- Dehydration
In which areas does jaundice first manifest?
In which areas does jaundice first manifest?
- Skin and nail beds
- Cheeks and forehead
- Sclerae, hard palate, and mucous membranes (correct)
- Fingers and toes
Which condition could cause peripheral cyanosis?
Which condition could cause peripheral cyanosis?
How can one distinguish between jaundice and normal yellowish fatty deposits?
How can one distinguish between jaundice and normal yellowish fatty deposits?
What skin color change is typically associated with polycythemia?
What skin color change is typically associated with polycythemia?
What skin condition results from poor venous return in the lower extremities?
What skin condition results from poor venous return in the lower extremities?
Which symptom is typically observed in carbon monoxide poisoning?
Which symptom is typically observed in carbon monoxide poisoning?
Which condition is associated with hemosiderin staining in the skin?
Which condition is associated with hemosiderin staining in the skin?
What symptom indicates venous disease?
What symptom indicates venous disease?
What does cyanosis indicate in terms of hemoglobin levels?
What does cyanosis indicate in terms of hemoglobin levels?
In melanin-rich skin, what makes the detection of venous insufficiency challenging?
In melanin-rich skin, what makes the detection of venous insufficiency challenging?
Which observation is NOT typical of stasis dermatitis?
Which observation is NOT typical of stasis dermatitis?
What does undermining in a wound indicate?
What does undermining in a wound indicate?
Which of the following is NOT assessed in the surrounding skin of a wound?
Which of the following is NOT assessed in the surrounding skin of a wound?
What type of skin evaluation is performed to rule out malignancy?
What type of skin evaluation is performed to rule out malignancy?
What does a strong positive reaction in patch testing indicate?
What does a strong positive reaction in patch testing indicate?
What is the primary purpose of clinical photographs in skin evaluation?
What is the primary purpose of clinical photographs in skin evaluation?
How are skin scrapings for fungal lesions conducted?
How are skin scrapings for fungal lesions conducted?
What does assessment for induration around a wound involve?
What does assessment for induration around a wound involve?
In patch testing, what signifies a moderately positive reaction?
In patch testing, what signifies a moderately positive reaction?
What is the outermost layer of the skin called?
What is the outermost layer of the skin called?
Which type of sweat gland is found in all areas of the skin?
Which type of sweat gland is found in all areas of the skin?
What change in the skin occurs due to aging, making it more vulnerable to injuries?
What change in the skin occurs due to aging, making it more vulnerable to injuries?
Which of the following is classified as a benign change in the skin of older adults?
Which of the following is classified as a benign change in the skin of older adults?
What is the primary function of Langerhans cells in the skin?
What is the primary function of Langerhans cells in the skin?
Which of the following skin changes is NOT typically associated with aging?
Which of the following skin changes is NOT typically associated with aging?
What skin condition is characterized by dry, fish scale-like appearance?
What skin condition is characterized by dry, fish scale-like appearance?
What happens to the collagen production in skin as a person ages?
What happens to the collagen production in skin as a person ages?
Which area of the body is associated with apocrine sweat glands?
Which area of the body is associated with apocrine sweat glands?
What is solar lentigo commonly referred to as?
What is solar lentigo commonly referred to as?
What structural change contributes to the development of wrinkles in aging skin?
What structural change contributes to the development of wrinkles in aging skin?
Which of the following best describes the condition known as neurodermatitis?
Which of the following best describes the condition known as neurodermatitis?
What is the main role of the hypodermis in the skin?
What is the main role of the hypodermis in the skin?
Which anatomical layer of the skin contains the majority of sensory receptors?
Which anatomical layer of the skin contains the majority of sensory receptors?
What does a pressure ulcer indicate?
What does a pressure ulcer indicate?
Which of the following describes a fissure?
Which of the following describes a fissure?
Scales on the skin may indicate which of the following?
Scales on the skin may indicate which of the following?
A crust on the skin is primarily made up of which materials?
A crust on the skin is primarily made up of which materials?
What characterizes a mature scar?
What characterizes a mature scar?
Keloids are a result of which process during skin healing?
Keloids are a result of which process during skin healing?
Atrophy in the skin is usually associated with what changes?
Atrophy in the skin is usually associated with what changes?
Lichenification often results from which of the following?
Lichenification often results from which of the following?
What should be inspected in a wound bed?
What should be inspected in a wound bed?
How does a scar differ from a keloid?
How does a scar differ from a keloid?
Which condition is typically characterized by dry, cracked skin?
Which condition is typically characterized by dry, cracked skin?
What is the appearance of young scars compared to mature scars?
What is the appearance of young scars compared to mature scars?
What is one possible cause of scales forming on the skin?
What is one possible cause of scales forming on the skin?
Which option describes the characteristics of a crust?
Which option describes the characteristics of a crust?
What is a characteristic feature of carotenemia?
What is a characteristic feature of carotenemia?
Which type of primary lesion is characterized by being less than 1 cm and having a circumscribed border?
Which type of primary lesion is characterized by being less than 1 cm and having a circumscribed border?
Which lesion is described as a pus-filled vesicle or bulla?
Which lesion is described as a pus-filled vesicle or bulla?
What type of lesion has an irregular border and is larger than 1 cm?
What type of lesion has an irregular border and is larger than 1 cm?
Which primary lesion is often noted as elevated and solid, with a circumscribed border?
Which primary lesion is often noted as elevated and solid, with a circumscribed border?
What is the main factor distinguishing a vesicle from a bulla?
What is the main factor distinguishing a vesicle from a bulla?
Which type of lesion is described as a loss of superficial epidermis that does not extend to the dermis?
Which type of lesion is described as a loss of superficial epidermis that does not extend to the dermis?
In which condition is yellowing mostly masked by pallor and may include signs of ecchymoses?
In which condition is yellowing mostly masked by pallor and may include signs of ecchymoses?
What does a wheal signify in dermatology?
What does a wheal signify in dermatology?
Which lesion is identified as encapsulated and may be fluid-filled or semisolid?
Which lesion is identified as encapsulated and may be fluid-filled or semisolid?
What change in skin color characterizes a macule?
What change in skin color characterizes a macule?
Which of the following primary lesions is typically small and often described as being less than 0.5 cm?
Which of the following primary lesions is typically small and often described as being less than 0.5 cm?
Which of the following describes a plaque lesion?
Which of the following describes a plaque lesion?
Which condition is associated with yellow-orange tinge in the nasolabial folds?
Which condition is associated with yellow-orange tinge in the nasolabial folds?
Flashcards
Skin layers
Skin layers
The skin is made of three layers: epidermis (outermost), dermis (inner), and hypodermis (innermost).
Epidermis
Epidermis
The outermost layer of skin, providing a protective barrier.
Dermis
Dermis
The inner layer of skin, containing blood vessels, nerves, and hair follicles.
Hypodermis
Hypodermis
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Merkel cells
Merkel cells
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Langerhans cells
Langerhans cells
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Eccrine sweat glands
Eccrine sweat glands
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Apocrine sweat glands
Apocrine sweat glands
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Skin functions
Skin functions
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Gerontologic skin changes
Gerontologic skin changes
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Cherry angiomas
Cherry angiomas
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Solar lentigo
Solar lentigo
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Wrinkles
Wrinkles
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Xerosis
Xerosis
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Jaundice cause
Jaundice cause
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Jaundice symptom
Jaundice symptom
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Central Cyanosis Cause
Central Cyanosis Cause
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Peripheral Cyanosis Cause
Peripheral Cyanosis Cause
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Cyanosis
Cyanosis
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Polycythemia Symptom
Polycythemia Symptom
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Carbon Monoxide Poisoning
Carbon Monoxide Poisoning
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Stasis Dermatitis
Stasis Dermatitis
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Venous Disease Symptom
Venous Disease Symptom
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Warmth in Venous Disease
Warmth in Venous Disease
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Hemosiderin Staining
Hemosiderin Staining
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Cherry Red Nail Beds
Cherry Red Nail Beds
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Wound edges
Wound edges
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Wound size
Wound size
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Surrounding skin
Surrounding skin
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Skin biopsy
Skin biopsy
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Patch testing
Patch testing
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Skin scrapings
Skin scrapings
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Clinical photographs
Clinical photographs
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What is the purpose of skin biopsy?
What is the purpose of skin biopsy?
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Pressure ulcer
Pressure ulcer
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Fissure
Fissure
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Scales
Scales
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Crust
Crust
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Scar (cicatrix)
Scar (cicatrix)
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Keloid
Keloid
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Atrophy
Atrophy
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Lichenification
Lichenification
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Wound bed
Wound bed
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Necrotic tissue
Necrotic tissue
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Slough
Slough
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Granulation tissue
Granulation tissue
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Epithelial tissue
Epithelial tissue
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Exudate
Exudate
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Color and Odor
Color and Odor
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Jaundice location
Jaundice location
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Carotenemia cause
Carotenemia cause
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Carotenemia sign
Carotenemia sign
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Uremia cause
Uremia cause
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Uremia skin appearance
Uremia skin appearance
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Macule
Macule
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Patch
Patch
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Papule
Papule
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Plaque
Plaque
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Nodule
Nodule
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Tumor
Tumor
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Vesicle
Vesicle
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Bulla
Bulla
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Wheal
Wheal
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Pustule
Pustule
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Study Notes
Skin Facts
- Largest organ in the body, making up about 12% of body weight
- Part of the integumentary system, which includes epidermis, dermis, hypodermis, glands, hair, and nails
- These components work together
Skin Anatomy
- Three layers: epidermis (outermost), dermis (middle), and hypodermis (innermost)
- Epidermis: Continuously dividing cells, replaced every 3-4 weeks, primarily dead cells
- Epidermis contains melanin-producing melanocytes (for skin and hair color) and Merkel and Langerhans cells (involved with touch and immune system respectively)
- Dermis: Largest portion, providing strength and structure, composed of papillary and reticular layers. Thickest on palms and soles.
- Hypodermis: Primarily adipose tissue, providing cushioning, promoting mobility, and insulation
Hair
- Grows in follicles, in the dermis
- Hair follicle growth cycles vary, inflammation can damage root, stop or alter growth
- Hair follicle stem cells destroy = no regrowth
Nails
- Transparent plates of keratin
- Continuous growth, fingernails take 170days to renew themselves and toenails 12-18 months.
Glands
- Sebaceous glands: associated with hair follicles
- Sweat glands: classified as eccrine (found everywhere) and apocrine (found in specific body areas)
Skin Functions
- Regulates body temperature
- Maintains fluid and electrolyte balance
- Provides sensation
- Protects against infection and the environment
- Produces vitamin D
Gerontologic Considerations
- Increased vulnerability to injury & certain diseases
- Changes such as, cherry angiomas, dyschromias, melasma, lentigines, seborrheic keratoses, telangiectasias, xerosis, ichthyosis.
- Diminished hair, especially on scalp and pubic areas
- Neurodermatitis and spider angiomas
Age-Related Changes
- Thinning at the dermis-epidermis junction, reducing anchoring sites
- Loss of subcutaneous tissue components like elastin, collagen, and fat
- Cellular replacement slows, reducing dermal thickness, and changes in blood supply
- Reduced sweat and sebaceous glands
- Reduced hormone levels = decreased hair growth
Assessment
- Look at skin's condition, observe color, temperature, moisture, skin texture, lesions, vascularity & hair & nails
- Observe skin turgor (tension) and elasticity, assess for possible edema
- Some skin conditions cause depression, frustration, self-consciousness, etc.
Color Changes Light & Dark Skin
- Light Skin: Erythema (redness) from hyperemia, possibly caused by inflammation, heat, alcohol, or fever. Polycythemia (increased red blood cells) results in ruddy blue coloration in face, oral mucosa, hands, and feet. Carbon monoxide poisoning causes a bright red face. Stasis dermatitis (venous stasis) can cause brown or rusty discolorations from hemosiderin buildup. Edema & hyperpigmentation with reddish/brown discoloration, warmth to feet (palpable pulse)
- Dark Skin: Purplish tinge (difficult to see due to melanin covering), harder to detect early stage erythema. Well-concealed by pigment. Signs and symptoms for vascular insufficiency (stasis) similar to light skin discoloration but harder to visually see if there is excessive melanin production.
Diagnostic Evaluation
- Skin Biopsy: Excision of a lesion for diagnosis (nodules, plaques, blisters, ulcers)
- Patch Testing: Identifying skin allergies by applying suspected allergens to normal skin under patches. Reaction severity indicates allergy severity.
- Clinical Photographs: Documenting skin condition and progress of treatment & changes in moles
- Skin Scrapings: To look for fungal infections (spores/hyphae) and specific parasitic infections like scabies
Wounds
- Inspect and describe wound bed (necrotic or granulation tissues, exudate, color, odor).
- Assess wound edges (undermining, epibole), wound size (diameter), and surrounding skin (erythema, induration, scaling).
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