Solved
Scleroderma Hardened fibrous skin, can affect joints, blood vessels and organs
ABCDE OF NEVI (moles) Asymmetry, borders, color, diameter(larger than 6mm),
elevation
Pruritus Itching- common in diabetes, drug hypersensitivity, hyperthyroidism
First Degree Burn Epidermis, should heal in 3-7 days without scarring. Pink or red, no
blistering, dry surface.
Second Degree Burn (superficial partial thickness) Epidermis and upper layers of dermis.
Bright pink or red, blanching with brisk cap refill, blisters, moist surface, moderate edema.
Spontaneous healing 7-21 days
,Second Degree (Deep partial thickness) Severe damage to epidermis and dermis including
hair cells, nerve endings and sweat glands. Red or waxy white, blanching with slow cap refill.
Broken blisters, wet surface. Scar formation.
Third Degree (Full thickness) Complete destruction of dermis and subcutaneous tissue,
may go into muscle. White, charred, tan, or black. No blanching. Must remove eschar and must
skin graft.
Burn Healing Phases Inflammatory, proliferative (angiogenesis, granultion formation,
wound contracture, and epithelialization. Fibroblasts synthesize collagen, Maturation
Physical Therapy for Burns Debridement of eschar, autolytic dressings/enzyme. Promote
proper posture (cervical extension),
Venous Ulcer Common over medial malleolus, normal or cyanotic color, edema is
present, ulceration may develop and be wet with exudate.
Arterial Ulcer Pain, often severe and intermittent, shiny skin, loos of hair, can see
gangrene (black skin next to ulcer)
,Pressure Ulcers Stagining I-IV. Check to see fi they are dry, purulent, or containing blood
(sanguineous)
Negative pressure Wound Therapy vacuum assisted closure (open celled foam, maintains
a moist wound environment and controls edema, increases localized blood flow
Minimal mechanical force for cleaning wounds Gauze, cloth, or sponge
Hydrotherapy Indicated for wounds with slough. Increases circulation.
Topical agents Antimicrobials, antibacterials, enzymatic: Santyla
Ideal Wound Dressing Moist environment, controls exudate, insulates facilitates gas
exchange, prevents contamination.
Alginate dressing Soft, absorbent, cotton like, for wounds with exudate, require packing
and absorption, absorb a TON
, Transparent films Permeable to O2 but not H20 or bacteria. For stage I and II, for
autolytic
Hydrocolloids Adhesive wafers that interact with fluid to form a gel. Protection for partial
thickness wounds, mild exudate
Hydrogels Water or glycerine based, partial or full thickness, necrosis and slough,
rehydrate dry beds, conform to wound bed. No autolytic healing occurs vs. Hydrocolloid. Must
be changed more frequently.
Foams Manage minimum to moderate exudate, secondary wounds that need packing
Gauze Can be done wet, dry, and have agents put onto them.
Theophylline Bronchodilator that can cause feeling jittery, irregular HR, and gastric upset
Ventolin Albuterol used to treat asthma and COPD