NURS 5333 Family 1 test 4 Study Guide Dermatology-
Hematology w Pictures|Questions with Complete Answers
· Acne vulgaris:Pathophysiology 1
pilosebaceous
units at the time of puberty to enlarge and
produce large amounts of sebum.
Simultaneously, the keratinization process
in the pilosebaceous canal is disrupted with
impaction and obstruction of the outflow of
sebum resulting in comedo formation—
open blackheads and closed whiteheads
· Acne vulgaris
acne vulgaris
inflammation of the sebaceous glands
Characteristic "ice pick" scarring may be
present from previous lesions
Treatment:
Retin A, Benzoyl peroxide (start low, go slow on dose), Acid type products
• Birth control pills good tx for female
• Antibiotics when lots of whiteheads, redness
• NSAIDS, ice, steroid injections with severe inflammation
acne vulgaris
Noninflammatory acne: comedones
• Inflammatory acne: papules or nodules
Types of acne
Inflammatory skin disease
• Combo- hereditary and environmental causes
• Not caused by ETOH consumption, although flushing can occur with alcohol use
rosacea
,eczema
Common factor of the various forms are
intercellular edema and epidermal breakdown
• Eczematous dermatitis has three stages:
acute, subacute, and chronic.
• Excoriation from scratching predisposes
to infection and causes crust formation
Eczema Picture
itchy, lichenfield lesions
Moisturize 3-5 times daily, avoid hot water/sauna exposure, 3-minute water rule. Prevent irritations,
gentle soap, do allergy testing, daily antihistamines, hydroxyzine PRN, topical steroids short term. For
eyelid involvement- need Elidel or Protopic- carries some increased risk of skin cancer. Who @ risk?
Atopic dermatitis
atopic dermatitis
When comorbidities are asthma and allergic rhinitis- known as the allergic triad
No Dosepack!- 21 days tx needed
poison ivy
seborrhea
• If sudden, 1st time outbreak in an adult- think DM or HIV
Cradle cap in infants is called ________.
Seborrhea...need to break up scales- use Dawn dishwashing liquid or an olive oil soak. Must remove all
of scale once broken up (toothbrush on baby scalp). Can use Nizoral shampoo if other treatments don't
work.
stasis dermatitis
• Occurs on the lower legs in some patients
with venous insufficiency
.Sense of fullness or dull aching in the
lower legs and ankles
• Gradual increase in pigmentation and
redness
• Area may be itchy and/or painful
• Erythematous, scaling, weeping patches on
lower extremity; ulceration may be present
Psoriasis
chronic, recurrent dermatosis marked by itchy, scaly, red plaques covered by silvery gray scales
, Xerosis (dry skin)
Xerosis (dry skin)
keratosis pillaris
r/t buildup of keratin
no treatment needed
moisturizer can help with discomfort
Furuncles and Carbuncles pic!!
S. aureus filled boil
pus inside
require I& D if not popped on it's own
verruca
Warts
• Caused by HPV
• Most resolve spontaneously
Verruca (warts) Tx
• Tx with salicylic acid, retinolytic acid gel, occlusion with duct tape (#1 recommended)
• Can file down
• Dermatology can laser off
• Tx not necessary if asymptomatic
HSV-1
• Infection by herpes simplex virus (HSV)
• Two different virus types cause the
infection: type 1, usually associated with oral infection, and type 2, with genital infection.
• Crossover infections are becoming common.
Tx: acyclovir prior to sun exposure, sunscreen, magic mouthwash
HSV-2
herpes simplex virus type 2
"On your #2 parts"
herpes zoster (shingles)
• VZV morphologically and antigenically
identical to the virus causing varicella
(chickenpox)
shingles (herpes zoster)
Hematology w Pictures|Questions with Complete Answers
· Acne vulgaris:Pathophysiology 1
pilosebaceous
units at the time of puberty to enlarge and
produce large amounts of sebum.
Simultaneously, the keratinization process
in the pilosebaceous canal is disrupted with
impaction and obstruction of the outflow of
sebum resulting in comedo formation—
open blackheads and closed whiteheads
· Acne vulgaris
acne vulgaris
inflammation of the sebaceous glands
Characteristic "ice pick" scarring may be
present from previous lesions
Treatment:
Retin A, Benzoyl peroxide (start low, go slow on dose), Acid type products
• Birth control pills good tx for female
• Antibiotics when lots of whiteheads, redness
• NSAIDS, ice, steroid injections with severe inflammation
acne vulgaris
Noninflammatory acne: comedones
• Inflammatory acne: papules or nodules
Types of acne
Inflammatory skin disease
• Combo- hereditary and environmental causes
• Not caused by ETOH consumption, although flushing can occur with alcohol use
rosacea
,eczema
Common factor of the various forms are
intercellular edema and epidermal breakdown
• Eczematous dermatitis has three stages:
acute, subacute, and chronic.
• Excoriation from scratching predisposes
to infection and causes crust formation
Eczema Picture
itchy, lichenfield lesions
Moisturize 3-5 times daily, avoid hot water/sauna exposure, 3-minute water rule. Prevent irritations,
gentle soap, do allergy testing, daily antihistamines, hydroxyzine PRN, topical steroids short term. For
eyelid involvement- need Elidel or Protopic- carries some increased risk of skin cancer. Who @ risk?
Atopic dermatitis
atopic dermatitis
When comorbidities are asthma and allergic rhinitis- known as the allergic triad
No Dosepack!- 21 days tx needed
poison ivy
seborrhea
• If sudden, 1st time outbreak in an adult- think DM or HIV
Cradle cap in infants is called ________.
Seborrhea...need to break up scales- use Dawn dishwashing liquid or an olive oil soak. Must remove all
of scale once broken up (toothbrush on baby scalp). Can use Nizoral shampoo if other treatments don't
work.
stasis dermatitis
• Occurs on the lower legs in some patients
with venous insufficiency
.Sense of fullness or dull aching in the
lower legs and ankles
• Gradual increase in pigmentation and
redness
• Area may be itchy and/or painful
• Erythematous, scaling, weeping patches on
lower extremity; ulceration may be present
Psoriasis
chronic, recurrent dermatosis marked by itchy, scaly, red plaques covered by silvery gray scales
, Xerosis (dry skin)
Xerosis (dry skin)
keratosis pillaris
r/t buildup of keratin
no treatment needed
moisturizer can help with discomfort
Furuncles and Carbuncles pic!!
S. aureus filled boil
pus inside
require I& D if not popped on it's own
verruca
Warts
• Caused by HPV
• Most resolve spontaneously
Verruca (warts) Tx
• Tx with salicylic acid, retinolytic acid gel, occlusion with duct tape (#1 recommended)
• Can file down
• Dermatology can laser off
• Tx not necessary if asymptomatic
HSV-1
• Infection by herpes simplex virus (HSV)
• Two different virus types cause the
infection: type 1, usually associated with oral infection, and type 2, with genital infection.
• Crossover infections are becoming common.
Tx: acyclovir prior to sun exposure, sunscreen, magic mouthwash
HSV-2
herpes simplex virus type 2
"On your #2 parts"
herpes zoster (shingles)
• VZV morphologically and antigenically
identical to the virus causing varicella
(chickenpox)
shingles (herpes zoster)
