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Integumentary System

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Integumentary System

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    1. Integumentary System N210 Fall 2007 Rachel Natividad RN, MSN

    2. Variations across the lifespan: Infancy

    3. Variations across the lifespan: Pregnancy Adolescence

    4. Variations across the lifespan: Elderly Changes R/T Aging

    5. Elderly: Seborrheic keratoses

    6. Elderly: Senile Lentigines (Liver spots )

    7. Assessing Skin Turgor

    8. Assessment Subjective data Specific Skin Complaint Objective data Physical assessment: Inspection and palpation Draw picture or take photo if possible

    9. Skin Lesions Types Primary: (Initial lesions) Appear in response to external or internal environment of skin.

    10. Primary Lesions

    11. Skin Lesion Types Secondary Lesions: Are a result of trauma, chronicity, or infection of primary lesion.

    12. Secondary Lesions

    13. Vascular Lesions: Appear as red pigmented lesion. Could be indicative of bleeding Hemangiomas port wine stain; strawberry mark-mature hemangioma Telangiectasias spider angioma with pregnancy or liver disease; venous lake Purpuric Lesions Petechiae Ecchymoses purpura Skin Lesion Types

    14. Vascular Lesions- Cont.

    15. Vascular Lesions: Purpura

    16. Shapes and Configurations

    17. EXERCISE Documentation of Skin Lesions COLOR SHAPE/CONFIGURATION TYPE SIZE (L x W x D) in cm DISTRIBUTION/ PATTERN EXUDATES Amount Color/consistency Serous Serosanguinous Sanguinous Purulent

    18. Pattern Injury from Physical Abuse Lesions due to trauma or abuse Bruise or wound whose shape suggests the instrument or weapon that caused it Physical signs with history that does not match the severity or type of injury indicates abuse Scalding injury, belt marks, bite marks, cigarette burns, deformity from untreated fracture

    19. Pattern Injuries

    20. Pattern Injury: Distribution

    21. Diagnostic Tests Culture Skin Biopsies Punch Shave Excisional Woods Light Diascopy Skin Testing

    22. Parasitic Infestations

    23. Parasitic Infestations

    24. Infestations cont. Scabies A contagious disease Transmission: close and prolonged contact or infected bedding

    25. Infestations Cont. Scabies lesion distribution

    26. Pressure Ulcers Tissue damage caused by the skin and underlying soft tissue are compressed between bony prominence and an external surface for an extended period.

    27. Pressure Ulcers

    28. Pressure Ulcers

    29. Pressure Ulcers

    30. Staging of Pressure Ulcers Pressure ulcers and their features are classified and assessed in stages:

    31. Stage 1 Pressure Ulcer

    32. Stage 2 Pressure Ulcer

    33. Stage 3 Pressure Ulcer

    34. Stage 4 Pressure Ulcer

    35. Stage 4 with Necrosis

    36. Eschar- unstageable

    37. Ulcer Assessment Describe ulcer Stage Location Size Shape Appearance Drainage Odor Stage Presence of infection Foul smell Purulent drainage Heat, extreme redness, edema

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