NURS 612 Maryville Exam 2
What are characteristics of Paget's disease of the breast? - ANSWER --an eczematous rash on the area of the nipple and/or
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What does jaundice indicate? - ANSWER --an elevation in bilirubin. Usually evident in the scelera and mucus membranes first.
What might pallor indicate? - ANSWER --decreased circulation to an area or a decrease in hemoglobin. It's usually first noticed on the face, conjunctiva, oral mucosa, and/or nail beds.
What might redness of the skin indicate? - ANSWER --a generalized problem associated with a fever or a localized problem, such as sunburn, infection, or allergic response.
What do you assess for when examining the skin? - ANSWER --color, temperature, moisture, texture, and turgor.
What would cause increased skin turgor? - ANSWER --scleroderma.
What disease can cause bronze skin tones? - ANSWER --Addison's disease (adrenal insufficiency) and hemochromatosis.
What disease/illnesses can cause tan skin? - ANSWER --chloasma (pregnancy), lupus, scleroderma, ichthyosis, sprue, and tinea versicolor.
What can cause yellow skin? - ANSWER --uremia, jaundice, carotenemia
What can cause dusky blue skin? - ANSWER --arsenic poisoning and cyanosis.
What can cause red skin? - ANSWER --polycythemia.
What can cause pallor? - ANSWER --anemia, vitiligo, and albinism.
What should all lesions be assessed for? - ANSWER --size, shape, configuration, color, and texture.
What do you consider when multiple lesions are present? - ANSWER --pattern, location, and distribution.
What are some examples of vesicular lesions? - ANSWER --herpes simplex, varicella, herpes zoster, tinea pedis, contact dermitis, dyshidrosis (found on hands and feet), and scabies.
What are some examples of bullae (large blisters)? - ANSWER --erythema multiforme (includes Stevens-Johnson syndrome), bullous impetigo, bullous tinea, and event contact dermatitis.
What are some examples of pustular lesions? - ANSWER --acne vulgaris, acne rosacea, and bacterial folliculitis.
Folliculitis is typically associated with staphylococci. What other microorganisms can cause folliculitis? - ANSWER --Psuedomonas (associated with hot tubs), Candida, tinea barbae, and herpes.
What are some examples of keratotic lesions? - ANSWER --warts, actinic keratoses, and corns and calluses.
Describe keratotic lesions. - ANSWER --lesions are rough and generally raised. They contain a high amount of keratin and they may appear scaly.
What are some examples of raised, skin-colored lesions? - ANSWER --basal cell carcinoma, squamous cell carcinoma, epidermal inclusion cyst (epidermoid cyst), molluscum contagiosum, and xanthomas (abnormal lipid metabolism).
What are some examples of white lesions? - ANSWER --pityriasis alba (white/lighter patches on face in children), tinea versicolor, milia, and vitiligo.
What are some examples of brown lesions? - ANSWER --freckles, nevi, melanoma, seborrheic keratosis, acanthosis nigricans, cafe au lait (may point to neurofibromatosis/ Fanconi anemia), and congenital nevi/giant hairy pigmented nevus (potential for transition to melanoma).
What are some examples of inflammatory or red lesions? - ANSWER --cherry hemangioma, pyogenic granulomas (not caused by infection, stem from vascular proliferation), furuncles (boils, when multiple called carbuncles and common in axilla or groin/accompanied by lymphadenopathy), cellulitis, hidradenitis suppurativa, urticaria (hives), erythema nodosum, psoriasis, lupus erythematosus, lichen planus (associated with Hep C), secondary syphilis, tinea corporis, and pityriasis rosea.
Describe pityriasis rosea. - ANSWER --Is believed to be caused by a virus. Herald patch is similar to tinea and typically located on the trunk. Several days later a more diffuse set of smaller pink, salmon, or fawn-colored lesions appear. May be a Christmas tree distribution because they follow tension lines.
What are some examples of eczematous lesions with excoriations? - ANSWER --atopic dermatitis, dyshidrosis, stasis dermatitis, seborrheic dermatitis (e.g. cradle cap). and contact dermatitis.
What patient complaints (regarding the head) would alert you to a the possibility of decreased cerebral blood flow? - ANSWER --syncope or dizziness.
What complaint would alert you to the possibility of a malignant process regarding lymphatics? - ANSWER --complaint of enlarged lymph nodes or masses, in the absence of infection.
What would alert you to oral or throat cancer? - ANSWER --change in taste, dysphagia, frequent sore throats, mouth sores that do not heal, hoarseness, or voice changes.
What would a complaint of swelling or fullness in the neck point to? - ANSWER --thyroid disease.
What are some past medical history red flags regarding the head and neck? - ANSWER --hx of TIAs, CVAs, and past radiation.
What is another name for TMJ? - ANSWER --Myofacial pain dysfunction (MPD).
What constitutes true TMJ? - ANSWER --resulting from congenital anomalies, fractures and dislocations, intra-articular disk disease, arthritis, ankylosis, and neoplasias.
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