Skin Conditions and Pressure Injuries
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Questions and Answers

A patient presents with a pressure injury characterized by non-blanchable erythema of intact skin. Which stage of pressure injury does this represent?

  • Stage 1 (correct)
  • Stage 2
  • Deep tissue
  • Stage 3

A stage 2 pressure injury involves only the epidermis, without any dermis exposure.

False (B)

A pressure injury that extends into the subcutaneous tissue, with rolled edges, is classified as stage?

3

A pressure injury where the eschar must be removed before staging is classified as __________.

<p>unstageable</p> Signup and view all the answers

Match the pressure injury stage with its corresponding description:

<p>Stage 1 = Non-blanchable erythema Stage 2 = Epidermis and dermis loss Stage 3 = Subcutaneous tissue involvement Stage 4 = Exposure of all skin layers</p> Signup and view all the answers

Which of the following best describes a deep tissue pressure injury?

<p>Non-blanchable, deep red, maroon, or purple discoloration (C)</p> Signup and view all the answers

Lanugo is the term for the thick, cheesy substance present at birth that aids in temperature regulation.

<p>False (B)</p> Signup and view all the answers

The skin condition commonly known as 'baby acne' is medically termed?

<p>milia</p> Signup and view all the answers

__________ is a common term for dry skin on a baby's scalp.

<p>cradle cap</p> Signup and view all the answers

Match the skin condition commonly found in newborns with its description:

<p>Lanugo = Fine downy hair Vernix caseosa = Cheesy substance at birth Milia = Baby acne Cradle cap = Dry scalp skin</p> Signup and view all the answers

Which characteristic is most indicative of melanoma when assessing a skin lesion?

<p>Irregular borders and brown color (B)</p> Signup and view all the answers

Basal cell carcinoma is known for its rapid growth and does not always require removal.

<p>False (B)</p> Signup and view all the answers

A skin cancer that presents as an erythmatic scaly patch with sharp margins, requiring complete removal due to its rapid growth potential is?

<p>squamous cell carcinoma</p> Signup and view all the answers

A basal cell carcinoma typically presents with a __________ translucent top.

<p>pearly</p> Signup and view all the answers

Match the type of skin cancer with its distinguishing characteristic:

<p>Melanoma = Irregular borders Basal cell carcinoma = Pearly translucent top Squamous cell carcinoma = Erythematic scaly patch</p> Signup and view all the answers

Which term describes a skin lesion that begins in the center and spreads to the periphery, forming a circular pattern?

<p>Annular (B)</p> Signup and view all the answers

Urticaria (hives) is an example of an annular lesion.

<p>False (B)</p> Signup and view all the answers

Lesions that run together are referred to as?

<p>confluent</p> Signup and view all the answers

Acne and skin tags are examples of __________ lesions, which remain separate.

<p>discrete</p> Signup and view all the answers

Match the lesion pattern with its corresponding description:

<p>Annular = Circular, spreads from center Confluent = Lesions run together Discrete = Individual, separate lesions Grouped = Lesions clustered together</p> Signup and view all the answers

Contact dermatitis is characterized by which type of lesion arrangement?

<p>Grouped (C)</p> Signup and view all the answers

A scratch is an example of a target lesion.

<p>False (B)</p> Signup and view all the answers

Lesions arranged along a unilateral nerve route are described as?

<p>zosteriform</p> Signup and view all the answers

Tick bites commonly result in __________ lesions, which resemble a bullseye.

<p>target</p> Signup and view all the answers

Match the lesion arrangement with its typical example:

<p>Linear = Scratch Target = Tick bite Zosteriform = Shingles (Herpes zoster)</p> Signup and view all the answers

What term refers to fluid or other substances that drain from a lesion?

<p>Exudate (C)</p> Signup and view all the answers

Fissures are classified as primary skin lesions.

<p>False (B)</p> Signup and view all the answers

A scooped-out, shallow depression in the skin is called?

<p>erosion</p> Signup and view all the answers

A deep depression extending into the dermis, potentially leaving a scar, is identified as an __________.

<p>ulcer</p> Signup and view all the answers

Match the type of skin lesion with its classification:

<p>Macule = Primary Fissure = Secondary Hemangioma = Vascular</p> Signup and view all the answers

Which of the following is an example of a primary skin lesion?

<p>Vesicle (C)</p> Signup and view all the answers

Telangiectasia is considered a primary skin lesion.

<p>False (B)</p> Signup and view all the answers

A flat, non-palpable color change on the skin, less than 1 cm in diameter, is termed a?

<p>macule</p> Signup and view all the answers

A Mongolian spot is an example of a __________ lesion, characterized by a flat, non-palpable color change greater than 1 cm.

<p>patch</p> Signup and view all the answers

Match the primary skin lesion with its description:

<p>Macule = Flat, less than 1 cm Patch = Flat, greater than 1 cm Papule = Elevated, less than 1 cm Plaque = Elevated, greater than 1 cm</p> Signup and view all the answers

Which skin lesion is described as solid, elevated, hard or soft, and extends deeper into the dermis, with a size greater than 1 cm?

<p>Nodule (B)</p> Signup and view all the answers

A wheal is a superficial, raised, transient, and erythematous lesion that is often irregular in shape.

<p>True (A)</p> Signup and view all the answers

A lesion characterized as an encapsulated fluid-filled cavity in the dermis or subcutaneous layer is known as a?

<p>cyst</p> Signup and view all the answers

Acne and impetigo commonly present with __________ which are pus-filled, elevated cavities.

<p>pustules</p> Signup and view all the answers

Match the skin lesion with its corresponding description:

<p>Vesicle = Fluid-filled, up to 1 cm Bulla = Fluid filled, greater than 1 cm Cyst = Encapsulated fluid-filled cavity Pustule = Pus-filled cavity</p> Signup and view all the answers

Which statement best describes vellus hair?

<p>Fine, downy hair providing thermoregulation (A)</p> Signup and view all the answers

Terminal hair primarily functions to regulate body temperature.

<p>False (B)</p> Signup and view all the answers

Seborrheic dermatitis is commonly known as?

<p>dandruff</p> Signup and view all the answers

Beau's lines on the nails are indicative of __________ deficiency.

<p>nutrient</p> Signup and view all the answers

Match the hair type with its primary function:

<p>Vellus hair = Thermoregulation Terminal hair = Scalp protection</p> Signup and view all the answers

Which of the following is the primary characteristic of a Stage 1 pressure injury?

<p>Non-blanchable erythema of intact skin (B)</p> Signup and view all the answers

A Stage 2 pressure injury is characterized by intact skin with non-blanchable redness.

<p>False (B)</p> Signup and view all the answers

A pressure injury that extends into the subcutaneous tissue, potentially with rolled edges, is classified as stage?

<p>3</p> Signup and view all the answers

A Stage 4 pressure injury involves all layers of skin and surrounding tissue being ______.

<p>exposed</p> Signup and view all the answers

An unstageable pressure injury can be accurately staged without removing the eschar.

<p>False (B)</p> Signup and view all the answers

What is lanugo?

<p>Fine downy hair of newborns (B)</p> Signup and view all the answers

The thick, cheesy substance present at birth that aids in temperature regulation is called ______.

<p>vernix caseosa</p> Signup and view all the answers

Milia is commonly known as:

<p>Baby acne (A)</p> Signup and view all the answers

Cradle cap is characterized by excessive sweating on a newborn's face.

<p>False (B)</p> Signup and view all the answers

Which of the following is a characteristic feature of melanoma?

<p>Brown color with irregular borders (C)</p> Signup and view all the answers

Basal cell carcinoma typically presents with a ______ top.

<p>pearly translucent</p> Signup and view all the answers

Squamous cell carcinoma rarely requires removal due to its slow growth rate.

<p>False (B)</p> Signup and view all the answers

Which of the following describes an annular lesion?

<p>Circular, beginning in the center and spreading to the periphery (A)</p> Signup and view all the answers

Tinea corporis, commonly known as ringworm, is an example of what type of lesion?

<p>annular</p> Signup and view all the answers

Confluent lesions are characterized by individual lesions that remain distinctly separate.

<p>False (B)</p> Signup and view all the answers

Urticaria, also known as hives, is an example of which type of lesion?

<p>Confluent (B)</p> Signup and view all the answers

Acne and skin tags are examples of ______ lesions.

<p>discrete</p> Signup and view all the answers

Contact dermatitis typically presents as linear lesions following a nerve route.

<p>False (B)</p> Signup and view all the answers

Which type of lesion configuration is characterized by a straight line arrangement?

<p>Linear (C)</p> Signup and view all the answers

A scratch is an example of a [blank] lesion.

<p>linear</p> Signup and view all the answers

A lesion that resembles the iris of a bullseye with concentric rings of color is referred to as a:

<p>Target lesion (C)</p> Signup and view all the answers

Herpes zoster (shingles) is an example of target lesions.

<p>False (B)</p> Signup and view all the answers

Which of the following best describes zosteriform lesions?

<p>Linear arrangement along a unilateral nerve route (C)</p> Signup and view all the answers

Herpes zoster (shingles) is classic example of what type of lesion distribution pattern?

<p>zosteriform</p> Signup and view all the answers

What is the term used for any fluid or material that drains from a lesion?

<p>Exudate (A)</p> Signup and view all the answers

A macule is categorized as a secondary lesion.

<p>False (B)</p> Signup and view all the answers

Papules and plaque are classified as what kind of lesions?

<p>Primary (B)</p> Signup and view all the answers

Nodules and tumors are classified as [blank] lesions.

<p>primary</p> Signup and view all the answers

Which of the following is categorized as a primary skin lesion?

<p>Wheal (C)</p> Signup and view all the answers

Vesicles and bullae are considered secondary skin lesions due to their fluid-filled nature.

<p>False (B)</p> Signup and view all the answers

Which of the following is classified as a primary skin lesion?

<p>Cyst (B)</p> Signup and view all the answers

A pustule is a primary skin lesion filled with what?

<p>pus</p> Signup and view all the answers

Which of the following is classified as a secondary skin lesion?

<p>Fissure (B)</p> Signup and view all the answers

Erosion is classified as a primary skin lesion.

<p>False (B)</p> Signup and view all the answers

Which of the following lesions extends into the dermis and may leave a scar?

<p>Ulcer (A)</p> Signup and view all the answers

A skin mark that remains after a wound heals is called a(n) [blank].

<p>scar</p> Signup and view all the answers

Hemangiomas are examples of primary skin lesions.

<p>False (B)</p> Signup and view all the answers

Telangiectasia, also known as spider angioma, is an example of a:

<p>Vascular skin lesion (C)</p> Signup and view all the answers

Petechiae are classified as [blank] lesions.

<p>vascular</p> Signup and view all the answers

A patient presents with non-blanchable erythema on their heel. Which stage of pressure injury is this?

<p>Stage 1 (C)</p> Signup and view all the answers

A stage 2 pressure injury extends into the subcutaneous tissue with rolled edges.

<p>False (B)</p> Signup and view all the answers

An unstageable pressure injury requires what intervention before it can be staged?

<p>eschar removal</p> Signup and view all the answers

The fine, downy hair of newborns is known as ______.

<p>lanugo</p> Signup and view all the answers

Match the following skin conditions with their descriptions:

<p>Melanoma = Irregular borders, most frequently on trunk, head, and neck Basal Cell Carcinoma = Most common, slow growth, pearly translucent top Squamous Cell Carcinoma = Erythematous scaly patch with sharp margins, rapid growth</p> Signup and view all the answers

Which type of skin lesion is described as circular, beginning in the center and spreading to the periphery?

<p>Annular (C)</p> Signup and view all the answers

Urticaria (hives) is an example of discrete lesions.

<p>False (B)</p> Signup and view all the answers

Contact dermatitis is an example of what type of lesion arrangement?

<p>grouped</p> Signup and view all the answers

A scratch is an example of a ______ lesion.

<p>linear</p> Signup and view all the answers

Match the lesion description with its example:

<p>Target = Lyme disease rash from a tick bite Zosteriform = Herpes zoster (shingles)</p> Signup and view all the answers

Exudate is best described as:

<p>Fluid or material draining from a lesion (A)</p> Signup and view all the answers

A hemangioma is a primary skin lesion.

<p>False (B)</p> Signup and view all the answers

Freckles are examples of what primary type of lesion?

<p>macule</p> Signup and view all the answers

Psoriasis is characterized by ______, which are elevated and palpable.

<p>plaques</p> Signup and view all the answers

Match the following primary lesions with their definitions:

<p>Vesicle = Elevated cavity containing free fluid up to 1 cm Pustule = Pus-filled cavity, circumscribed and elevated Cyst = Encapsulated fluid-filled cavity in dermis or subcutaneous layer</p> Signup and view all the answers

Which of the following is considered a secondary skin lesion?

<p>Fissure (A)</p> Signup and view all the answers

A young scar typically appears white.

<p>False (B)</p> Signup and view all the answers

What type of hair helps with thermoregulation?

<p>vellus hair</p> Signup and view all the answers

An angle greater than 160 degrees at the nail base can be an indication of ______.

<p>clubbing</p> Signup and view all the answers

Match the lymph node location (Right Column) with its corresponding number (Left Column):

<p>1 = Preauricular 7 = Superficial Cervical 10 = Supraclavicular</p> Signup and view all the answers

Which of the following is NOT a primary function of bones?

<p>Hormone Production (D)</p> Signup and view all the answers

Skeletal muscles enable movement through contraction and relaxation.

<p>True (A)</p> Signup and view all the answers

What type of joint allows for the greatest range of motion?

<p>synovial</p> Signup and view all the answers

A(n) ________ connects muscle to bone.

<p>tendon</p> Signup and view all the answers

Match the following movements with their definitions:

<p>Flexion = Decreasing the angle of a joint Extension = Increasing the angle of a joint Pronation = Turning the palm downward Supination = Turning the palm upward</p> Signup and view all the answers

Which term describes movement toward the midline of the body?

<p>Adduction (B)</p> Signup and view all the answers

Fibrous joints are highly mobile and allow for a wide range of motion.

<p>False (B)</p> Signup and view all the answers

What is the purpose of bursae?

<p>reduce friction</p> Signup and view all the answers

The goniometer is used to measure the ______ of joints.

<p>angle</p> Signup and view all the answers

Match the following muscle strength test ratings with their descriptions:

<p>0 = No contraction 3 = Full ROM with gravity 5 = Full ROM against gravity, full resistance</p> Signup and view all the answers

During a musculoskeletal exam, what is the correct sequence of objective data collection?

<p>Inspection, Palpation, ROM, Muscle Testing (C)</p> Signup and view all the answers

Active range of motion is when the examiner moves the patient's joint.

<p>False (B)</p> Signup and view all the answers

What type of movement is involved when you turn your palm upwards?

<p>supination</p> Signup and view all the answers

Movement of the ankle so the toes point upward is called ________.

<p>dorsiflexion</p> Signup and view all the answers

Match the following spinal curvatures with their descriptions:

<p>Scoliosis = Lateral curvature of the spine Kyphosis = Excessive outward curvature of the thoracic spine Lordosis = Excessive inward curvature of the lumbar spine</p> Signup and view all the answers

Which of the following ROM exercises demonstrates external rotation of the shoulder?

<p>Placing your hand behind your back (A)</p> Signup and view all the answers

A rotator cuff tear typically limits adduction of the shoulder.

<p>False (B)</p> Signup and view all the answers

What are the two special tests for carpal tunnel syndrome?

<p>Tinel's and Phalen's</p> Signup and view all the answers

The straight leg raising test is used to determine ________ and a herniated nucleus pulposus.

<p>sciatica</p> Signup and view all the answers

Match the following conditions of the knee:

<p>Genu valgum = Knock knees Genu varum = Bowed legs</p> Signup and view all the answers

What ROM exercise is specific to assess the cervical spine?

<p>Lateral Bending (D)</p> Signup and view all the answers

A positive Phalen's test is indicated by a decrease in range of motion within 30 seconds of wrist flexion.

<p>False (B)</p> Signup and view all the answers

What is being assessed when a provider presses on the lateral side of the knee and observes the medial side?

<p>bulge test</p> Signup and view all the answers

A patient with kyphosis has an exaggerated curvature in the _______ spine.

<p>thoracic</p> Signup and view all the answers

Match the following abdominal regions to their corresponding organs or structures:

<p>RUQ = Liver LUQ = Spleen RLQ = Appendix LLQ = Sigmoid colon</p> Signup and view all the answers

Which spinal condition is most commonly observed in pregnant women?

<p>Lordosis (C)</p> Signup and view all the answers

The liver is primarily located in the LUQ.

<p>False (B)</p> Signup and view all the answers

If performing ROM exercises to the spine, what four movements would you have the patient perform?

<p>flexion, extension, lateral bend, rotation</p> Signup and view all the answers

A ________ joint is slightly moveable because the bones are joined by cartilage.

<p>cartilaginous</p> Signup and view all the answers

Match the following terms to their definitions

<p>Protraction = Moving a body part forward Retraction = Moving a body part backward Inversion = Moving the sole of the foot inward at the ankle Eversion = Moving the sole of the foot outward at the ankle</p> Signup and view all the answers

Which of the following tests is used to screen for scoliosis?

<p>Bend Test (C)</p> Signup and view all the answers

If the bladder is distended it can be assessed in the upper quadrants of the abdomen.

<p>False (B)</p> Signup and view all the answers

What finding during an assessment indicates a grade 2 muscle strength?

<p>full ROM with gravity eliminated</p> Signup and view all the answers

A lack of ________ can cause bone on bone breakdown.

<p>cartilage</p> Signup and view all the answers

Match the muscle type with its location:

<p>Skeletal = attached to bones Cardiac = heart Smooth = blood vessels</p> Signup and view all the answers

Which of the following assessments can discern the presence of swelling or soft tissue swelling in the knee?

<p>Bulge Test (A)</p> Signup and view all the answers

Internal rotation of the shoulder can be performed by putting one's hands up like you're getting arrested.

<p>False (B)</p> Signup and view all the answers

When performing ROM exercises to the hip, what position should the knee be in when the patient flexes at the hip?

<p>flexed</p> Signup and view all the answers

The normal curves of the lumber and cervical spine are considered ________.

<p>concave</p> Signup and view all the answers

Match the description with the appropriate definition

<p>Flexion = Chin to Chest Extension = Chin to Ceiling Lateral Bending = Ear to Shoulder Rotation = Chin to Shoulder</p> Signup and view all the answers

Cardiac muscle is a type of skeletal muscle.

<p>False (B)</p> Signup and view all the answers

What type of tissue connects muscle to bone?

<p>tendon</p> Signup and view all the answers

The movement that decreases the angle of a joint is known as ______.

<p>flexion</p> Signup and view all the answers

Match the following joint movements with their descriptions:

<p>Pronation = Turning the palm downward Supination = Turning the palm upward Inversion = Moving the sole of the foot inward Eversion = Moving the sole of the foot outward</p> Signup and view all the answers

The term 'dorsiflexion' refers to the movement of pointing the toes downward.

<p>False (B)</p> Signup and view all the answers

What instrument is used to measure the angle of a joint?

<p>goniometer</p> Signup and view all the answers

Synovial fluid-filled sacs that cushion muscles and tendons as they glide over bone are called ______.

<p>bursae</p> Signup and view all the answers

Match the following muscle strength test scores with their corresponding descriptions:

<p>0 = No contraction 3 = Full ROM with gravity, but no resistance 5 = Full ROM against gravity, full resistance 2 = Full ROM with gravity eliminated (passive motion)</p> Signup and view all the answers

Which movement is primarily limited by a rotator cuff tear?

<p>Abduction (D)</p> Signup and view all the answers

The Phalen's test is used to assess range of motion in the hip.

<p>False (B)</p> Signup and view all the answers

What is indicated by numbness and burning during Phalen's test?

<p>carpal tunnel syndrome</p> Signup and view all the answers

Knock knees are clinically referred to as genu ______.

<p>valgum</p> Signup and view all the answers

The straight leg raising test is used to evaluate range of motion in the hip joint.

<p>False (B)</p> Signup and view all the answers

What condition does the bend test screen for?

<p>scoliosis</p> Signup and view all the answers

Wasting away of muscle tissue is referred to as muscular ______.

<p>atrophy</p> Signup and view all the answers

Full range of motion (ROM) against gravity with some resistance would be graded as what when muscle testing?

<p>4 (A)</p> Signup and view all the answers

Internal rotation of the shoulder involves raising your hands above your head as if you are being arrested.

<p>False (B)</p> Signup and view all the answers

Name one ROM exercise that can be done for the cervical spine.

<p>flexion</p> Signup and view all the answers

When performing a musculoskeletal exam, the order of examination for objective data includes inspection, palpation, range of motion, and ______ testing.

<p>muscle</p> Signup and view all the answers

Match the spinal regions:

<p>cervical spine = neck thoracic spine = upper back lumbar spine = lower back sacral spine = pelvis</p> Signup and view all the answers

Which of the following are types of joints?

<p>All of the above (D)</p> Signup and view all the answers

An active range of motion occurs when the health care provider moves each joint to the point of resistance.

<p>False (B)</p> Signup and view all the answers

What is the number of bones in the human body?

<p>206</p> Signup and view all the answers

A joint is where two ______ meet.

<p>bones</p> Signup and view all the answers

Match the ligaments and tendons correct

<p>ligament = connects bone to bone tendon = connects muscle to bone</p> Signup and view all the answers

Which quadrant is the sigmoid colon located in?

<p>LLQ (A)</p> Signup and view all the answers

The bladder is always located in the midline.

<p>False (B)</p> Signup and view all the answers

In which quadrant is the spleen located?

<p>LUQ</p> Signup and view all the answers

The liver and gallbladder are located in the ______.

<p>RUQ</p> Signup and view all the answers

Associate the spinal condition with its patient population

<p>kyphosis = elderly lordosis = pregnant patients</p> Signup and view all the answers

What is an effect of scoliosis?

<p>decreased pulmonary function (A)</p> Signup and view all the answers

When performing the straight leg raise test the patient will plantar flex once pain is felt.

<p>False (B)</p> Signup and view all the answers

During the hip range of motion exercises, name one.

<p>flexion with knee straight</p> Signup and view all the answers

When performing and assessing for a joint effusion, the healthcare provider will press on the ______ side of the knee and assess the bulge on the medial side of the knee.

<p>lateral</p> Signup and view all the answers

Skeletal muscles are responsible for involuntary movements like heartbeats and digestion.

<p>False (B)</p> Signup and view all the answers

A tear of the rotator cuff often limits the range of motion exercise known as ______.

<p>abduction</p> Signup and view all the answers

During a musculoskeletal examination, what is the correct sequence for assessing objective data?

<p>Inspection, Palpation, Range of Motion, Muscle Testing (A)</p> Signup and view all the answers

Active range of motion involves the healthcare provider moving the patient's joint through its full range.

<p>False (B)</p> Signup and view all the answers

What does a muscle strength test rating of '3' indicate?

<p>Full ROM with gravity</p> Signup and view all the answers

The test used to measure the angle of a joint is called a(n) ______.

<p>goniometer</p> Signup and view all the answers

Match the following spinal curvatures with their common associations:

<p>Scoliosis = Lateral curvature of the spine Kyphosis = Excessive outward curvature of the thoracic spine Lordosis = Inward curvature of the lumbar spine</p> Signup and view all the answers

Which of the following movements is NOT typically assessed when evaluating the cervical spine's range of motion?

<p>Circumduction (A)</p> Signup and view all the answers

A positive Phalen's test indicates the absence of carpal tunnel syndrome.

<p>False (B)</p> Signup and view all the answers

What condition does the straight leg raising test primarily assess?

<p>Sciatica or herniated nucleus pulposus</p> Signup and view all the answers

The bulge test is used to determine whether swelling in the knee is due to fluid or ______ ______.

<p>soft tissue</p> Signup and view all the answers

Match the following movements with their corresponding descriptions:

<p>Inversion = Moving the sole of the foot inward at the ankle Eversion = Moving the sole of the foot outward at the ankle Dorsiflexion = Flexing the foot and toes upward Plantar Flexion = Pointing the foot and toes downward</p> Signup and view all the answers

Genu valgum, commonly known as knock knees, is a condition that:

<p>Often corrects naturally between 2-5 years old (A)</p> Signup and view all the answers

Kyphosis is a spinal condition that is commonly seen in pregnant patients.

<p>False (B)</p> Signup and view all the answers

What quadrant of the abdomen is the appendix located?

<p>RLQ</p> Signup and view all the answers

A lack of ______ in joints can lead to bone breakdown due to bones rubbing together.

<p>cartilage</p> Signup and view all the answers

Match the following terms with the correct definitions:

<p>Ligament = Connects bone to bone Tendon = Connects muscle to bone Cartilage = Cushions bones Bursae = Synovial fluid filled sacs that help muscles and tendons glide smoothly over bone</p> Signup and view all the answers

Flashcards

Stage 1 Pressure Injury

Non-blanchable redness of intact skin.

Stage 2 Pressure Injury

Loss of epidermis with exposed dermis.

Stage 3 Pressure Injury

Extends into subcutaneous tissue; rolled edges present.

Stage 4 Pressure Injury

Involves all skin layers and surrounding tissue; may have tunneling.

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Deep Tissue Pressure Injury

Deep red, maroon, or purple discoloration; painful with temperature change.

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Unstageable Pressure Injury

Eschar must be removed to determine stage (likely 3 or 4).

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Lanugo

Fine, downy hair of newborns.

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Vernix Caseosa

Thick, cheesy substance present at birth, helping with temperature regulation.

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Milia

Baby acne.

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Cradle Cap

Dry skin on the scalp (seborrheic dermatitis).

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Melanoma

Brown with irregular borders, frequently on trunk, head, and neck.

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Basal Cell Carcinoma

Most common, slow growth, pearly translucent top, must be removed.

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Squamous Cell Carcinoma

Erythematous scaly patch with sharp margins; rapid growth, must be removed.

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Annular Lesions

Circular, begins in center and spreads to periphery.

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Confluent Lesion

Lesions run together.

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Discrete Lesions

Individual lesions that remain separate.

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Grouped Lesions

Lesions grouped together.

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Linear Lesions

Lesions in a straight line.

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Target Lesions

Resembles an iris of a bullseye, concentric rings of color.

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Zosteriform Lesions

Linear arrangement along a unilateral nerve route.

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Macule

Small, flat, non-palpable color change, less than 1 cm.

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Patch

Small, flat, non-palpable color change greater than 1 cm.

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Papule

Elevated, palpable, small, less than 1 cm.

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Plaque

Elevated, palpable, greater than 1 cm.

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Nodule

Solid, elevated, hard or soft mass greater than 1 cm, extends deeper.

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Tumor

Firm or soft mass, deeper into dermis, may be benign or malignant.

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Wheal

Superficial, raised, transient, erythematous, slightly irregular.

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Vesicle

Elevated cavity containing free fluid up to 1 cm.

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Bulla

Greater than 1 cm, thin-walled, easily ruptured.

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Cyst

Encapsulated fluid-filled cavity in dermis or subcutaneous layer.

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Pustule

Pus-filled cavity, circumscribed and elevated.

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Fissure

Linear crack with abrupt edges, extends into dermis, dry or moist.

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Erosion

Scooped out, shallow depression in skin.

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Ulcer

Deeper depression extending into dermis, irregular shape, may bleed.

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Scar

Skin mark after healing, replacing injured tissue with connective tissue.

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Hemangioma

A benign tumor made up of newly formed blood vessels.

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Telangiectasia

Enlarged and dilated blood vessels.

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Petechiae

Tiny punctate hemorrhages, 1-3mm, round and discrete.

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Vellus Hair

Fine, faint hair covering much of the body.

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Terminal Hair

Thick, coarse, pigmented hair (scalp, eyebrows).

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Seborrheic Dermatitis

Scaling, flaking of the scalp.

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Normocephalic

Round symmetric skull that is appropriately related to body size.

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Microcephaly

Abnormally small head.

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Macrocephaly

Abnormally large head.

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Acromegaly

Enlargement and thickening of skull and facial bones.

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Sternomastoid Muscle

Rotates and flexes the head.

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Trapezius Muscle

Rotates the shoulder and extends the head.

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Lymph Nodes Function

Produce lymphocytes and antibodies.

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How many bones are in the human body?

206

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What are the three types of muscle tissue?

Skeletal, cardiac, and smooth

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What is the primary function of skeletal muscles?

Allow body movement and contraction

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What are the functions of bones?

Support, protect, store minerals, produce WBCs, RBCs, and platelets

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What is hyperextension?

Extension beyond anatomical position

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What is flexion?

Decreases the angle of a joint

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What is extension?

Increases the angle of a joint

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What is pronation?

Palm down

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What is supination?

Palm up

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What is circumduction?

Circular motion

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What is a ligament?

Connects bone to bone

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What is a tendon?

Connects muscle to bone

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What is the function of cartilage?

Cushions bones

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What are bursae?

Synovial fluid-filled sacs that help muscles and tendons glide smoothly over bone

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How should a musculoskeletal exam be completed?

Head to toe or proximal to distal

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What does a goniometer measure?

Measures the angle of joints

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Order of objective data collection: musculoskeletal exam?

Inspection, palpation, range of motion (ROM), muscle testing

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What is active range of motion (AROM)?

Movement performed by the patient

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What is passive range of motion (PROM)?

Healthcare provider moves each joint to the point of resistance

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Muscle strength test score of 0 indicates?

No contraction

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Muscle strength test score of 1 indicates?

Slight contraction

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Muscle strength test score of 2 indicates?

Full ROM with gravity eliminated (passive motion)

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Muscle strength test score of 3 indicates?

Full ROM with gravity (actively, no resistance)

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Muscle strength test score of 4 indicates?

Full ROM with gravity and some resistance (actively)

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Muscle strength test score of 5 indicates?

Full ROM against gravity, full resistance (Normal)

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ROM exercises for the TMJ?

Open mouth wide, move side to side, protrude jaw

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ROM exercises for the cervical spine?

Flexion, extension, lateral bend, and rotation

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What ROM exercises can be done to the shoulder?

Forward flexion, hyperextension, internal rotation, external rotation, abduction, adduction

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ROM exercises for the elbow focus on?

Flexion, extension, pronation, supination

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What exercises target wrist and hand ROM?

Flexion, extension, hyperextension, ulnar deviation, radial deviation, abduction (fingers), thumb to each finger

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Two tests screen for carpel tunnel syndrome?

Tinel sign and Phalen's test

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How is the Phalen's test performed?

Hold hands back to back while flexing the wrists 90 degrees

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What indicates a positive Phalen's or Tinel test?

Numbness and burning within 60 seconds

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How to perform the Tinel's sign?

Direct percussion over the median nerve

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Hip ROM exercises include?

Flexion with knee straight, flexion with knee flexed, internal rotation, external rotation, abduction, adduction, hyperextension (standing)

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What actions assess knee ROM?

Flexion, extension, hyperextension, walk around room, duck walk

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Ankle and foot ROM exercises include?

Plantar flexion, dorsiflexion, eversion, inversion, flex and straighten toes

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What movements assess spine ROM?

Flexion, extension, lateral bend, rotation

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Normal convex curves of the spine?

Thoracic and sacral

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Normal concave curves of the spine?

Cervical and lumbar

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What is scoliosis?

Lateral curvature

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What is kyphosis?

Curve in thoracic spine

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What is lordosis?

Curve in lumbar spine

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What does the straight leg raise test identify?

Confirms presence of sciatica and herniated nucleus pulposus

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How to perform straight leg raising test?

Raise one leg with knee extended supine until pain, then dorsiflex foot

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Study Notes

  • The skin is the largest organ in the body.

Pressure Injuries

  • Stage 1: Characterized by non-blanchable erythema of intact skin.
  • Stage 2: Involves loss of the epidermis with the dermis exposed.
  • Stage 3: Extends into the subcutaneous tissue; edges may be rolled.
  • Stage 4: Involves exposure of all skin layers and surrounding tissue, potentially with tunneling and rounded edges.
  • Deep tissue pressure injury: Presents as non-blanchable, deep red, maroon, or purple discoloration with pain and temperature changes.
  • Unstageable: Eschar must be removed to determine if it is a Stage 3 or 4 injury.

Newborn Skin Conditions

  • Lanugo: Fine, downy hair present in newborns.
  • Vernix caseosa: A thick, cheesy substance present at birth that aids in temperature regulation.
  • Milia: Commonly known as baby acne.
  • Cradle cap: Dry skin condition affecting the scalp.

Skin Cancers

  • Melanoma: Brown in color with irregular borders, commonly found on the trunk, head, and neck.
  • Basal cell carcinoma: The most common type, characterized by slow growth and a pearly translucent top; requires removal.
  • Squamous cell carcinoma: Presents as an erythmatic, scaly patch with sharp margins; rapid growth and requires complete removal.

Types of Lesions

  • Annular: Circular, starts in the center and spreads to the periphery, an example is ringworm.
  • Confluent: Lesions that merge together, an example is hives.
  • Discrete: Individual lesions that remain separate, an example is acne, skin tags
  • Grouped: Lesions clustered together, an example is contact dermatitis.
  • Linear: Occurring in a straight line, an example is a scratch or streak.
  • Target: Resembles a bullseye with concentric rings of color, an example is Lyme disease from a tick bite.
  • Zosteriform: Arranged linearly along a unilateral nerve route, an example is shingles.
  • Exudate: Refers to any fluid or skin that peels off a lesion.

Primary Skin Lesions

  • Macule: Non-palpable, small, flat color change, less than 1 cm, an example is a freckle
  • Patch: Non-palpable, flat color change, greater than 1 cm, an example is Mongolian spot.
  • Papule: Elevated, palpable, and small, less than 1 cm, an example is warts.
  • Plaque: Elevated, palpable, and larger, greater than 1 cm, an example is psoriasis.
  • Nodule: Solid, elevated, hard or soft, extends into the dermis, greater than 1 cm, an example is fibroma.
  • Tumor: Extends into the dermis, can be benign or malignant, less than a few cm, an example is lipoma.
  • Wheal: Superficial, raised, erythmatous, and irregular in shape, an example is a mosquito bite.
  • Vesicle: Elevated cavity with free fluid, up to 1 cm, an example is herpes simplex.
  • Bulla: Greater than 1 cm, thin-walled and easily ruptured, an example is contact dermatitis.
  • Cyst: Encapsulated fluid-filled cavity in the dermis or subcutaneous layer, elevating the skin, an example is a sebaceous cyst.
  • Pustule: Pus-filled cavity, circumscribed and elevated, an example is acne.

Secondary Skin Lesions

  • Fissure: Linear crack extending into the dermis, dry or moist, an example is chapped lips.
  • Erosion: Scooped-out, shallow depression in the skin, an example is a canker sore.
  • Ulcer: Deeper depression extending into the dermis, may bleed and scar, an example is a pressure injury.
  • Scar: Skin mark after a wound heals, replacing injured tissue with connective tissue; young scars are red or purple, while old scars are white.

Vascular Skin Lesions

  • Hemangioma: Benign tumor of newly formed blood vessels.
  • Telangiectasia: Enlarged and dilated blood vessels, also known as spider angioma.
  • Petechia: (Definition missing from source text).

Hair Types

  • Vellus hair: Fine, short, and light-colored, also known as "peach fuzz," provides thermoregulation.
  • Terminal hair: Darker, thicker hair, that protects the scalp, filtering dust and debris.

Scalp Conditions

  • Seborrhea dermatitis: Commonly known as dandruff.

Nail Assessment

  • Normal nail base angle: 160 degrees.
  • Beau's lines: Indicate nutrient deficiency.
  • Clubbing: (Definition missing from source text).

Head and Neck Anatomy

  • Skull divisions: The cranium and the face.
  • Sternomastoid muscle: Rotates and flexes the head.
  • Trapezius muscle: Rotates the shoulder.

Lymph Nodes

  • They filter lymph fluid and engulf pathogens.
  • Lymph nodes produce lymphocytes and antibodies.
  • Characteristics of lymph nodes: Less than 1 cm, soft, mobile, non-palpable, and non-tender.
  • Infected lymph nodes: Large, tender, warm, firm, and mobile.
  • Cancerous lymph nodes: Non-mobile.

Lymph Node Locations

  • Preauricular: 1
  • Postauricular: 2
  • Occipital: 3
  • Submental: 4
  • Submandibular: 5
  • Jugulodigastric (tonsillar): 6
  • Superficial cervical: 7
  • Deep cervical: 8
  • Posterior cervical: 9
  • Supraclavicular: 10

Thyroid Gland

  • Hormones: T3 and T4, which stimulate the rate of cellular metabolism.
  • During pregnancy: The thyroid gland slightly enlarges.

Head Size

  • Normocephalic: Round, symmetric skull appropriately related to body size.
  • Microcephaly: Abnormally small head.
  • Macrocephaly: Abnormally large head.
  • Acromegaly: Enlargement and thickening of skull and facial bones, potentially due to excess growth hormone.

Musculoskeletal System

  • The human body has 206 bones.
  • Skeletal muscles allow the body to move and contract
  • Skeletal muscles, cardiac muscles and smooth muscles are the three types of skeletal muscles.
  • Bones support, protect, store minerals, and produce WBCs, RBCs, and Platelets

Range of Motion

  • Hyperextension is extension beyond the anatomical position.
  • Flexion decreases the angle of a joint.
  • Extension increases the angle of a joint.
  • Pronation is when the palm is down.
  • Supination is when the palm is up.
  • Circumduction is movement in a circular motion.
  • Internal rotation is like you are putting on a bathing suit
  • External rotation is like you are getting arrested hands up

Joints

  • Joints are where two bones meet.
  • Fibrous, cartilaginous, and synovial are the three joint types.
  • Fibrous joints are generally immovable; bones are united by fibrous tissue. Examples include sutures or syndesmoses joints.
  • Cartilaginous joints are slightly moveable; bones are joined by cartilage. Examples include intervertebral and pubic symphyses.
  • Synovial joints contain a space filled with synovial fluid allowing movement; they are freely movable. Examples include wrists, knees, and ankles.
  • Ligaments connect bone to bone.
  • Tendons connect muscle to bone.
  • Cartilage cushions bones and the lack of cartilage causes bone breakdown from rubbing together
  • Bursae: Synovial fluid filled sacs that help muscles and tendons glide smoothly over bone

Musculoskeletal Exam

  • A musculoskeletal exam should be completed head to toe or proximal to distal
  • Goniometer: Measures the angle of joints.
  • Order of Examination for Objective Data: Inspection, palpation, range of motion (ROM), and muscle testing

Range of Motion (ROM)

  • Active range of motion is movement performed by the patient, with no assistance
  • Passive range of motion is when a health care provider moves each joint to the point of resistance.

Muscle Strength Testing

  • 0: Represents no contraction.
  • 1: Indicates slight contraction.
  • 2: Indicates full ROM with gravity eliminated (passive motion).
  • 3: Indicates full ROM with gravity, actively, with no resistance.
  • 4: Indicates full ROM with gravity and some resistance, actively.
  • 5: Indicates full ROM against gravity, full resistance and is considered normal.

TMJ

  • ROM exercises include opening the mouth wide, moving side to side, and protruding the jaw.
  • Chin to chest: Flexion
  • Chin to cieling: extension
  • Ear to shoulder: lateral bending
  • Chin to shoulder: rotation

Cervical Spine

  • ROM exercises include flexion, extension, lateral bend, and rotation.

Shoulder

  • ROM exercises include forward flexion, hyperextension, internal rotation, external rotation, abduction, and adduction.
  • Abduction is limited by a rotator cuff tear.
  • Rotator cuff tear: Traumatic adduction while arm is held in abduction d/t fall on shoulder, throwing, or heavy lifting

Elbow

  • ROM exercises include flexion, extension, pronation, and supination.
  • Muscular atrophy is the wasting of muscles

Wrist and Hand

  • ROM exercises: Flexion, extension, hyperextension, ulnar deviation, radial deviation, abduction (fingers), and thumb to each finger.
  • Tinel's sign and Phalen's test screen for carpal tunnel syndrome.
  • Phalen's test: Hold hands back to back while flexing the wrists 90 degrees to screen for carpel tunnel syndrome
  • A positive Phalen's or Tinel test is indicated by numbness and burning within 60 seconds.
  • Tinel's sign: Direct percussion over the median nerve to screen for carpal tunnel syndrome

Hip

  • ROM exercises: Flexion with knee straight, flexion with knee flexed, internal rotation, external rotation, abduction, adduction, and hyperextension (standing).

Knee

  • ROM exercises include flexion, extension, hyperextension, walking around the room, and duck walking.
  • Genu valgum: Knock knees (2-5 years often corrected naturally with growth)
  • Genu varum: Bowed legs (slowly autocorrect's at 18 months)
  • Bulge test: Determines if swelling is due to fluid or soft tissue swelling by pressing on the lateral side of the knee and observing the medial side for a bulge.
  • Joint effusion: Bulge of fluid

Ankle and Foot

  • ROM exercises include plantar flexion, dorsiflexion, eversion, inversion, flexing, and straightening toes.

Spine

  • ROM exercises include flexion, extension, lateral bend, and rotation.
  • Normal convex curves: Thoracic and sacral
  • Normal concave curves: Cervical and lumbar
  • Scoliosis is a lateral curvature, common in pediatric patients
  • Kyphosis is a curve in the thoracic spine, common in elderly patients
  • Lordosis is a curve in the lumbar spine, common in pregnant patients
  • Scoliosis side effects: Decreased pulmonary function.
  • Bend test: Screens for scoliosis.
  • Straight leg raising test: Confirms presence of sciatica and herniated nucleus pulposus by raising one leg with knee extended supine until pain, once pain is felt then dorsiflex the foot

Musculoskeletal Conditions

  • Osteoporosis is a common musculoskeletal condition in the IDD population

Abdominal Quadrants

  • RUQ: Liver, gallbladder, Duodenum, Hepatic flexure of the colon
  • RLQ: Cecum, Appendix
  • LUQ: Stomach, Spleen, Body of the Pancreas
  • LLQ: Sigmoid Colon
  • MIDLINE: Aorta, bladder (if distended)
  • Kidneys are in the upper quadrants.
  • Ovaries and ureters are in the lower quadrants

Spinal Curvature in Toddlers

  • Toddlers are most likely to have lordosis.

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Description

Overview of skin conditions like pressure injuries, categorized into stages based on tissue damage. Also covers newborn skin conditions such as lanugo and vernix caseosa. Additionally, it discusses skin cancers, including melanoma.

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