click below
click below
Normal Size Small Size show me how
243 CH 51, 52
243 EXAM 4
Term | Definition |
---|---|
skin functions | sensory perception, thermoregulation, secretion, protection, stores fat, facilitates motion, appearance and identity |
pathogenesis of skin disease | sunlight, insects, infectious organisms, chemicals, physical agents, genetics |
pigmented skin disorders | involve melanocytes |
absence of melanin production | vitiligo, albinism |
vitiligo | patches of unpigmented skin |
albinism | overall absence of melanin |
increase in melanin | mongolian spots |
allergic dermatitis | poison ivy, latex allergy |
atopic dermatitis | eczema, poorly defined erythema, edema and vesicles |
uticaria | hives |
angioedema | swelling in the deeper dermis, large wheals, swelling of tongue and upper airways |
drug induced skin eruptions | erythema multiforme minor, steven johnson syndrome, toxic epidermal necrolysis |
erythema multiforme minor | ring like erythematous macules and blisters |
steven johnson syndrome | erythema multiforme major, ulceration of mucous membrane and skin, bigger rash |
toxic epidermal necrolysis | life threatening, large areas of denuded skin, overall body rash, skin sloughing off |
psoriasis | circumscribed, red, thickened plaques with silver scales, genetic history, T cell mediated autoimmune, hyperkeratosis |
hyperkeratosis | increased epidermal cell turnover, thickening of skin |
arthropod infestations | scabies, pediculosis |
scabies | mite, burrows in epidermis, lays eggs and larvae that migrate to skin surface, person to person |
pediculosis | lice, wingless, lives on animal and human blood |
lyme disease | multisystem inflammatory disease caused by the spirochete borrelia burgdorferi transmitted by tick bites |
three stages of lyme disease symptoms | localized infection, disseminated infection, lat persistent infections |
lyme disease disseminated infection | fever, chills, fatigue, muscle and joint aches |
lyme disease late persistent infection | headache, stiffness, facial palsy, lyme carditis (bacteria in cardiac muscle) |
lyme disease rash | erythema migrans, bullseye, 3 to 30 days after bite |
rubella | german measles, caused by togavirus |
rubella rash | starts in trunk, diffuse to extremities, punctuate, macular rash |
rubella manifestations | enlarged cervical and postauricular lymph nodes, low grade fever, headache, sore throat, runny nose, cough |
rubeola | 7 day measles, red measles, acute |
rubeola rash | macular and blotchy, begins on face, koplick spots over buccal mucosa |
rubeola manifestations | high fever, malaise, enlarged lymph nodes, conjunctivitis, barking cough |
varicella | chickenpox produced by varicella zoster, pruritus, cold like symptoms, mild fever |
stages of varicella | macule, vesicle, granular scab |
skin tags | outgrowths |
keratosis | overgrowth, brown moles |
lentigo | dark pigmented spots |
tinea | ringworm, body or face, scalp, feet, nail |
candidal infections | yeast, produced by C albicans, in GI, mouth and vagina, thrives in dark warm places |
predisposed to fungal infections | diabetics (high blood glucose weakens immune response), antibiotics (disrupts microbiome), contraceptive (hormonal changes), poor nutrition, immunosuppression |
primary bacterial infections | superficial; impetigo, bullous impetigo, ecthyma |
impetigo | group A beta hemolytic strep or staph, small vesicles or pustules, large bullae, serous liquid hardens, pruritic |
bullous impetigo | staph aureus, thin bullae erupt and may coalesce |
secondary bacterial infections | deep cutaneous, infected ulcers, cellulitis |
cellulitis | dermis and subcutaneous tissues, portal of entry - wound, scratch, common in legs and hands |
cellulitis appearance | expanding red, swollen tender, plaque, fever, erythema, heat, edema |
human papillomavirus | verrucae, warts common benign papilloma |
herpes simplex type 1 | spread by respiratory droplets or direct contact with infected saliva, oropharyngeal infections |
herpes simplex type 2 | genital herpes |
herpes zoster | shingles, chicken pox sits dormant in nerve roots, pattern of rash along dermatome, where nerve root innervates |