https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Unit #3
Alterations in Tissue Integrity
● Epidermis- thinning with age; thickening with sun exposure
● Dermis and SUBQ-decreased elasticity and strength; decreased vascularity
● Hair with increased age
○ Change in texture
● Nails with increased age
○ thickening
○ Brittle
● Skin exams
○ Looking for breakdown, moles, macules, papules, report any changes in the sin
○ Primary lesions
■ Do not change overtime or from scratching
○ Secondary lesions
■ Change overtime
● HSV 1 and 2
○ Viral infection of skin and mucous membranes
○ Diagnosing
■ Culture swabs
■ Blood testing
○ Symptoms
■ Burning feeling/tingling
■ Pustules, vesicles, pain
○ Symptom management
■ Aspirin, antihistamines
● Acyclovir, famciclovir, valacyclovir
○ Precipitating factors
■ Stress, sunlight, menstruation, neutropenic
○ CANNOT HAVE VAGINAL BIRTH IF MOTHER HAS HSV2 AS CAN COMPROMISE
FETUS
○ Type 1
■ Above waist
■ Also known as cold sores
■ Healing in 10-14 days
○ Type 2
■ Below waist/genital region
● Herpes Zoster (shingles)
○ Follows nerve lines
○ Common in elderly
○ Acute localized inflammatory disease
○ Same virus that causes chickenpox
○ Diagnosis
■ rashes
○ Manifestations
■ Vesicles
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:38:47 GMT -05:00
https://www.stuvia.com/user/allatopnotch
https://www.cliffsnotes.com//study-notes/16877663 https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Unit #3
Alterations in Tissue Integrity
○ Treatment
■ Nerve pain medication
■ Cannot tolerate compresses etc/sensitive to touch
■ Systemic famciclovir and valacyclovir
○ Very contagious-CONTACT PRECAUTION
○ Can persist for years or months
● Superficial fungal infections
○ Etiology
■ Fungus 3 genera (commonly of scalp)
○ Pathogenesis
■ Tinea (of skin or nails)
■ TINEA CORPORIS (TRUNK)
■ TINEA PEDIS (FOOT)
■ TINEA BARBAE (BEARD
■ TINEA FACIEI (FACE)
■ TINEA CRURIS (GROIN)
■ TINEA MANUS (HAND)
○ Diagnosis
■ Cultures
○ Clinical manifestations
■ Macules, pustules, nail thickening and discoloration (ONYCHOMYCOSIS)
○ Treatment
■ Antifungal creams
● Miconazole, clotrimazole
■ Topical management
● Yeast infection
○ Etiology-candida albicans
■ Thrush-yeast infection of mouth/tongue
○ Common in neutropenic patients
○ Treatment
■ Local of mouth ( nystatin rinse of clotrimazole)
■ Antifungal creams
● Bacterial infection
○ Impetigo
■ Acute CONTAGIOUS skin disease
● Common in children
○ Etiology
■ Staphylococcus or streptococci
○ Clinical manifestations
■ Vesicles, pustules, yellow crusts
○ Treatment
■ Mupirocin ointment (bactroban)
■ Systemic management/large area
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:38:47 GMT -05:00
https://www.stuvia.com/user/allatopnotch
https://www.cliffsnotes.com//study-notes/16877663 https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Unit #3
Alterations in Tissue Integrity
● Epidermis- thinning with age; thickening with sun exposure
● Dermis and SUBQ-decreased elasticity and strength; decreased vascularity
● Hair with increased age
○ Change in texture
● Nails with increased age
○ thickening
○ Brittle
● Skin exams
○ Looking for breakdown, moles, macules, papules, report any changes in the sin
○ Primary lesions
■ Do not change overtime or from scratching
○ Secondary lesions
■ Change overtime
● HSV 1 and 2
○ Viral infection of skin and mucous membranes
○ Diagnosing
■ Culture swabs
■ Blood testing
○ Symptoms
■ Burning feeling/tingling
■ Pustules, vesicles, pain
○ Symptom management
■ Aspirin, antihistamines
● Acyclovir, famciclovir, valacyclovir
○ Precipitating factors
■ Stress, sunlight, menstruation, neutropenic
○ CANNOT HAVE VAGINAL BIRTH IF MOTHER HAS HSV2 AS CAN COMPROMISE
FETUS
○ Type 1
■ Above waist
■ Also known as cold sores
■ Healing in 10-14 days
○ Type 2
■ Below waist/genital region
● Herpes Zoster (shingles)
○ Follows nerve lines
○ Common in elderly
○ Acute localized inflammatory disease
○ Same virus that causes chickenpox
○ Diagnosis
■ rashes
○ Manifestations
■ Vesicles
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:38:47 GMT -05:00
https://www.stuvia.com/user/allatopnotch
https://www.cliffsnotes.com//study-notes/16877663 https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Unit #3
Alterations in Tissue Integrity
○ Treatment
■ Nerve pain medication
■ Cannot tolerate compresses etc/sensitive to touch
■ Systemic famciclovir and valacyclovir
○ Very contagious-CONTACT PRECAUTION
○ Can persist for years or months
● Superficial fungal infections
○ Etiology
■ Fungus 3 genera (commonly of scalp)
○ Pathogenesis
■ Tinea (of skin or nails)
■ TINEA CORPORIS (TRUNK)
■ TINEA PEDIS (FOOT)
■ TINEA BARBAE (BEARD
■ TINEA FACIEI (FACE)
■ TINEA CRURIS (GROIN)
■ TINEA MANUS (HAND)
○ Diagnosis
■ Cultures
○ Clinical manifestations
■ Macules, pustules, nail thickening and discoloration (ONYCHOMYCOSIS)
○ Treatment
■ Antifungal creams
● Miconazole, clotrimazole
■ Topical management
● Yeast infection
○ Etiology-candida albicans
■ Thrush-yeast infection of mouth/tongue
○ Common in neutropenic patients
○ Treatment
■ Local of mouth ( nystatin rinse of clotrimazole)
■ Antifungal creams
● Bacterial infection
○ Impetigo
■ Acute CONTAGIOUS skin disease
● Common in children
○ Etiology
■ Staphylococcus or streptococci
○ Clinical manifestations
■ Vesicles, pustules, yellow crusts
○ Treatment
■ Mupirocin ointment (bactroban)
■ Systemic management/large area
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:38:47 GMT -05:00
https://www.stuvia.com/user/allatopnotch
https://www.cliffsnotes.com//study-notes/16877663 https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
