ANATOMY OF THE SKIN
EPIDERMIS
DERMIS
HYPODERMIS (SUBCUTANEOUS TISSUE)
NAME TWO WAYS TO REDUCE THE RISK OF SKIN CANCER.
-REDUCE SUN EXPOSURE, COVER UP WITH CLOTHING OR REMAIN IN THE SHADE, APPLY SUNSCREEN
WHAT ARE SKIN LESIONS CAUSED BY?
SYSTEMIC DISORDERS, SYSTEMIC INFECTIONS, ALLERGIES, LOCALIZED FACTORS
WHAT IS ANOTHER MORE COMMON NAME FOR ATOPIC DERMATITIS?
ECZEMA
WHAT ARE SOME CAUSES OF SKIN INFECTIONS?
BACTERIA, VIRUS, FUNGI, OTHER MICROBES, PARASITES
WHAT IS THE FUNCTION OF THE DERMIS? HINT: THINK OF WHAT THE DERMIS IS MADE OF
FLEXIBILITY AND STRENGTH OF THE SKIN
WHERE ARE SQUAMOUS CELL CARCINOMAS MOST COMMONLY FOUND IN THE BODY?
EXPOSED AREAS (FACE, NECK) AND ORAL CAVITY (BASE OF TONGUE)
PATIENT COMES IN WITH A RASH. THE RASH LOOKS ELEVATED, ERYTHEMATOUS LESION, AND CONTAINS A PURULENT EXUDATE. WHAT LESION DO YOU SUSPECT THEY HAVE?
PUSTULE
WHAT ARE THE TWO CAUSES OF CONTACT DERMATITIS?
EXPOSURE TO AN ALLERGEN
DIRECT CHEMICAL OR MECHANICAL IRRITATION
WHAT IS A PT WITH NECROTIZING FASCITIS AT RISK FOR IF CARE IS DELAYED OR THEY DO NOT COME INTO THE ER QUICK ENOUGH?
GREATER TOSSUE LOSS, POTENTIAL AMPUTATION, HIGH PROBABILITY OF MORTALITY
WHAT ARE THE APPENDAGES OF THE SKIN AND WHAT DO THEY PRODUCE?
HAIR FOLLICLES- PRODUCE HAIR
SEBACEOUS GLANDS- PRODUCE SEBUM
SWEAT GLANDS- PRODUCE SWEAT
WHAT IS THE ABCD OF MELANOMAS?
A (APPEARANCE) B (BORDER) C (COLOR) D (DIAMETER)
NAME AT LEAST TWO DIAGNOSTIC TESTS FOR SKIN LESIONS
CULTURE, BIOPSY, BLOOD TESTS, SKIN TESTING (PATCH AND SCRATCH METHOD)
PT COMES INTO THE ER WITH URTICARIA (HIVES) FROM INGESTING AN ALLERGEN, WHAT SHOULD YOU AS THE NURSE DO?
CHECK FOR SWELLING AROUND MOUTH AND ASSESS AIRWAY
ADMIN EpiPen AND OTHER FIRST AID AS REQUIRED
WHAT INFECTIONS ARE SPREAD SYSTEMICALLY IN IMMUNOCOMPROMISED INDIVIDUALS?
FUNGAL
FIRST LINE OF DEFENSE, PREVENTS EXCESS FLUID LOSS, CONTROLS BODY TEMP, SENSORY PERCEPTION, SYNTHESIZES VITAMIN D
WHAT IS THE TREATMENT OPTIONS FOR PATIENTS DIAGNOSED WITH KAPOSI'S SARCOMA?
PATIENT COMES INTO THE ER WITH A CAVITY IN THEIR TISSUE, WHICH SKIN LESION IS IT? ULCER, VESICLE, PLAQUE, OR A FISSURE
ULCER
WHAT HAPPENS TO THE BODY WHEN A PATIENT HAS PEMPHIGUS?
AUTOANTIBODIES DISRUPT COHESION BETWEEN EPIDERMAL CELLS. CAUSES BLISTERS TO FORM AND SKIN BEGINS TO SHED.
PATIENT COMES INTO THE ER WITH A COLD SORE. WHAT VIRUS DO YOU THINK CAUSED IT? WHAT SHOULD THE NURSE TELL THE PT IN CONJUNCTION WITH HOW IT SPREADS?
HERPES SIMPLEX 1 VIRUS
SPREAD BY DIRECT CONTACT WITH FLUID FROM LESION
WHERE ARE THE APOCRINE SWEAT GLANDS LOCATED?
AXILLAE, SCALP, FACE, EXTERNAL GENITALIA
MALIGNANT MELANOMA
OFTEN APPEAR AS A MULTIOCLORED LESION WITH IRREGULAR BORDER
WHAT ARE THE TREATMENT OPTIONS FOR SKIN LESIONS?
TOPICAL AGENTS, AVOIDING THE ALLERGEN, ANTIBIOTICS, SURGERY
NAME THE POSSIBLE COMPLICATIONS OF SCLERODERMA
RENAL FAILURE, INTESTINAL OBSTRUCTION, RESPIRATORY FAILURE
DUE TO DISTORTION OF TISSUES
INVASION BY MITE, FEMALE BURROWS AND LAYS EGGS, LARVAE MIGRATE TO SURFACE, LARVAE MATURE AND CYCLE IS REPEATED