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Simplexzoster varicella poison ivy second degree burn

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simplex/zoster, varicella, poison ivy, second-degree burn)vWheal: elevated mass with transient border; caused by movement of serious fluid into thedermisvPapule:elevated, palpable, solid mass, circumscribed border (e.g. nevi, warts)vPlaque:Coalesced papules with flat top (e.g. psoriasis, actinic keratosis)vPustule:pus-filled vesicle or bulla (e.g. acne, impetigo, furuncles, carbuncles)vCysts:Encapsulated fluid-filled or semisolid mass in the SubQ/dermis (e.g. cysts)vNodule:elevated, palpable mass that extends deeper into the dermis than a papule (e.g.lipoma, squamous cell carcinoma, poorly absorbed injection)o0.5-2cmvTumor:oGreater than 1-2 cm
Secondary Skin LesionsvUlcer:skin loss extending past epidermis; necrotic tissue loss; bleeding and scarring possiblevFissure:Linear crack in the skin that may extend into the dermis (e.g. chapped lips/hands,tinea pedis)vScale:Flakes secondary to desquamated, dead epithelium that may adhere to skin surface (e.g.dandruff, psoriasis, dry skin, pityriasis rosea)vLichenification:Thickening and roughening of the skin of accentuated skin markingsecondary to rubbing, irritation, scratching (e.g. contact dermatitis)vErosion:loss of superficial epidermis that does not extend to dermis; depressed, moist area(e.g. ruptured vesicles, scratch marks)vAtrophy:thin, dry, transparent appearance of epidermis; loss of surface marking; d/t loss ofcollagen and elastin (e.g. aged skin, arterial insufficiency)vScar (Cicatrix):skin mark after healing of a wound/lesions with replacement of connectivetissue [young answer: red/purple] [mature scars: white/glistening]vCrust:dried residue of serum, blood, or pus on skin surface (e.g. after vesicle ruptureàHSV,impetigo, eczema)vKeloid:Hypertrophied scar tissue d/t excessive collagen formation during healingVascular LesionsvPetechiae:Round red/purple maculevEcchymosis:Round/irregular macular lesion (black, yellow, green)vCherry angioma:Papule and round, red/purple, blanch with pressurevSpider angioma:Red, arteriole lesion, blanch with pressure (liver, pregnant, pernicious)vTelangiectasia (venous star):Spider like/linear, does not blanchNailsvParonychia, an inflammation of the skin around the nail, is usually accompanied by tendernessand erythemavPitting surfacesàpsoriasisDiabetic Foot UlcervVery common with diabetic patientsvNot pressure ulcersoDocumented as “diabetic foot ulcer”oNot stageablevDue to changes in peripheral nervesoUncontrolled BGàdamages the peripheral nerves and affects sensationoPts with this may not notice minor injuries to lower legs or feetàinfectionàulcerationàosteomyelitis or amputation§*Might use antibiotics for prophylaxis
vCommon to see toes/digits missing toovThese pts will require strict wound care and antibiotics to prevent additional damagevWant to prevent the infection to go into bone and then into the systemvTreatmentoPreventing damageoPreventing infectionvNursing CareoAssessmentoWound care with topical or systemic antibioticsoWound care dressingso

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Term
Spring
Professor
HeatherH.Snell
Tags
ECF, muscle weakness

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