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M6 13-005
Exam 12: Peds Skin Disordes
| Term | Definition |
|---|---|
| Skin Lesions: Causes | Contact with injurious agents such as toxic chemicals. Hereditary factors. External factors such as allergens. Systemic diseases such as measles and lupus erythematosus. |
| Why is newborn skin more sensitive? | Skin of younger children: infant's epidermis is thinner and blisters easily, absorbs much more quickly and is more prone to infections. |
| Dermatitis | Inflammation of the skin. |
| Common Skin Symptoms include | Pruritis that varies in intensity is the most common. Pain or tenderness. Burning or stinging. Anesthesia. Hyperesthesia. Hypesthesia or Hypoesthesia. Parasthesia. |
| Anesthesia | Alterations in sensation. |
| Hyperesthesia | Excessive Sensitiveness. |
| Hypesthesia or Hypoesthesia. | Decreased Sensation. |
| Paresthesia | Abnormal Sensation |
| It is important when interviewing the child and parent | ascertain when the lesion appeared, whether it occurred with ingestion of food or other substance and whether the condition was related to activity such as contact with chemicals. |
| Erythema | a reddened area |
| Ecchymosis | bruising |
| Petechiae | pinpoint, tiny, and sharp circumscribed spots |
| Primary lesion | skin changes produced by a causative factor |
| Secondary lesions | changes that result from alteration in the primary lesions such as those caused by rubbing, scratching, medication or involution and healing. |
| Distribution pattern | The pattern in which lesions are distributed over the body, whether local or generalized, and the specific areas associated with the lesions |
| Configuration and arrangement | The size, shape, and arrangement of a lesion or groups of lesions (e.g. discrete, clustered, diffuse, or confluent) |
| Wounds: Acute | those which heal within 2 or 3 weeks. |
| Wounds: Chronic | those that do not heal in the expected time frame or the wound develops complications |
| Wound Classifications | Acute. Chronic. Surgical. Non-Surgical. Burns. |
| Types of burns | Superficial. Partial-thickness. Full-thickness. |
| Process of wound healing (Phases) | Hemostasis Phase. Inflammation Phase. Proliferative Phase. Remodeling (Maturation) phase. |
| Hemostasis Phase | – platelets act to seal off the damaged blood vessels and to form a stable clot. |
| Inflammation Phase | – presents a clinical picture involving erythema, swelling and warmth, often associated with pain at the site. |
| Proliferative Phase | (includes granulation and contracture) – lasts from 4-21 days in acute wounds depending on the would size. |
| Remodeling (Maturation) Phase | occurs in the dermis as fibroblasts increase the tissue tensile strength. The wound edges a brought closer together and a mature scar is formed. |
| Factors that influence wound healing | Wound care management. Factors that delay healing (use of antiseptics) |
| Aim of Treatment | (1)Prevent further damage (2)Eliminate the cause (3)Prevent Complications (4)Provide relief from discomfort |
| Topical Therapy is aimed to | (a) Treat the disorder (b) Reduce itching (c) Decrease external stimuli – (d) Apply external heat or cold – lukewarm, tepid, or cool applications offer the greatest relief |
| Systemic drugs | often used as an adjunct to topical therapy include corticosteroids, antibiotics and antifungal agents. |
Created by:
jtzuetrong
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