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Integumentary System

Integumentary System. N210 Fall 2007 Rachel Natividad RN, MSN. Variations across the lifespan: Infancy. ACROCYANOSIS. MONGOLIAN SPOT. JAUNDICE. Pregnancy. Adolescence. Variations across the lifespan:. Striae. Acne. Linea Nigra. Cherry Angioma.

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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 ACROCYANOSIS MONGOLIAN SPOT JAUNDICE

  3. Pregnancy Adolescence Variations across the lifespan: Striae Acne Linea Nigra Cherry Angioma

  4. Variations across the lifespan: ElderlyChanges R/T Aging

  5. Elderly: Seborrheic keratoses

  6. Elderly: Senile Lentigines (Liver spots ) WRINKLES PURPURA LIVER SPOTS 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. Vesicle, Bulla Skin Lesions Types • Primary: (Initial lesions) Appear in response to external or internal environment of skin.

  10. Primary Lesions Wheal Nodule Papule Tumor Vesicle Bulla

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

  12. Secondary Lesions Crust Scale Fissure Lichenification Keloid

  13. Skin Lesion Types • 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

  14. Vascular Lesions- Cont. HEMANGIOMA Petechiae Ecchymosis Spider Angioma Venous Lake TELANGIECTASIA

  15. Vascular Lesions: Purpura

  16. Shapes and Configurations

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

  18. 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 Pattern Injury from Physical Abuse

  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 CORPORIS CAPITIS PUBIS

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

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