Integumentary System Assessment

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Integumentary System Assessment
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Objectives

• State techniques used for skin assessment
• Identify epidermal appendages
• Describe overall skin condition
• Differentiate between primary and secondary
  lesions

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Integumentary System Assessment

• Primary function is the bodys first line of
  defense
• Protects against trauma
• Supports nerves, blood vessels, sweat and sebum
  glands
• Help maintains body temperature

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Integumentary System Assessment

• Changes in moles or lesions
• Pruritus
• Non-healing lesions or ulcerations?
• Rashes
• Changes in hair or hair distribution?
• Changes in nails?

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Integumentary System Assessment

• Color
• Pigmentation
• Uniformity
• Moisture
• Texture

Turgor Surface temperature Presence of
lesions Hygiene
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Integumentary System Assessment

• Eccrine Gland
• sweet sweat gland throughout the body
• Apocrine Gland
• functional after pubertybacterial waste
• Sebaceous Gland
• associated with body hair

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Skin Lesions

• Primary
• Develops on previously unaltered skin
• Secondary
• Lesion changes over times
• scratching or infection

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Skin LesionsPrimary

• Macule
• Patch
• Nodule
• Tumor
• Papule
• Plaque

• Wheal
• Urticaria (hives)
• Vesicle
• Bulla
• Pustule
• Cyst

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Skin LesionsPrimary

• Wheal
• Urticaria (hives)
• Vesicle
• Bulla
• Pustule
• Cyst

• Mosquito bite
• Wheals coalesce
• Chickenpox
• Friction blister
• Turbid fluidacne
• Encapsulated

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Skin LesionsPrimary

• Macule
• Patch
• Nodule
• Tumor
• Papule
• Plaque

• Freckle
• Mongolian spot
• Solid1 cm
• Lipoma
• Can palpate (mole)
• Psoriasis

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Skin Lesions Secondary

• Crust
• Fissure
• Scale
• Erosion
• Ulcer

• After the pop
• Linear crack athl. Feet
• Dry skin, eczema
• Scooped-out, shallow
• Deep, irregular shape

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Skin Lesions Secondary

• Scar
• Lichenification
• Excoriation
• Atrophic Scar
• Keloid

• Permanent
• Prolonged scratching
• After the pox
• Loss of tissuestriae
• Hypertrophic scar

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Hair

• Color
• Is it real?
• Amount and distribution
• Check eyelids eyebrows
• Texture
• Fine, thick, curly, straight, kinky

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Hair

• Hygiene
• Clean and odor free?
• Surface characteristics of scalp
• Check for critters.

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Nails

• Configuration
• Consistency
• Color
• Thickness
• Cleanliness

• Curved, flat160º
• Brittle or split?
• Consistent with race?
• Is it uniform?
• Clean under nails?