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Dermis - ANSWER ✓ - consists of connective tissue or collagen
- elastic tissue that allows the body to stretch with movements
- nerves, sensory receptors, lymphatic vessel, hair follicles, sebaceous glands,
sweat glands all lie in dermis
Skin Color Change - ANSWER ✓ - Pallor: white, decreased hematocrit
- Erythema: intensely red, increased blood flow through engorged arterioles
- Cyanosis: blueish tint, increased amount of unoxygenated blood
- Jaundice: yellow discoloration, indicating rising amounts of bilirubin
Skin Temperature/Moisture - ANSWER ✓ - measure using the dorsal part of
hands
- warm, equal bilat
- cold feet and hands are normal.
- hypothermia: generalized coolness
- hyperthermia: fever/infection
- Diaphoresis= sweating
- Dehydration= dry
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SHN Normal Findings - ANSWER ✓ - Texture: smooth, firm, even surface
- Thickness: thin except palms/soles
- Edema: Normally skin resumes smoothness immediately
- Mobility and Turgor: mobility is the ease of skin risking, turgor is the ability to
go back into place
- Brusing should be consistant with life
- Lesions: color, elevation, shape/pattern, size, location, exudate
- Hair is light blond to black
,- Hair texture is fine, thin, curly
- Nails: slightly curved or flat, smooth, rounded 160, convex, uniform thickness
- cap refill returns instantly
Self-Examination - ANSWER ✓ - A: asymmetry
- B: border irregularity
- C: color variation
- D: diameter greater than 6mm
- E: evolution
Hair - ANSWER ✓ - threads of keratin
- hair shaft is visible, root is below surface
- root=bulb matrix, new cells produced
- Arrector pilli- goose bumps
- vellus hair- fine, faint, most of body
- terminal hair= coarse thick hair, eyebrows, axillae, pubic
Nails - ANSWER ✓ - hard plates of keratin
- plate=clear with longitudinal ridges
- pink color from underlying nail bed
- white semilunar area at end of nail
subcutaneous - ANSWER ✓ - adipose tissue, fat cells
- stores fat, provides energy, insulation, temp control, protection
- increased mobility
sebaceous glands - ANSWER ✓ - produce protective lipid substance, sebum-
through hair follicles
- lubricates skin
- delays water loss
- everywhere except palms and soles
2 Sweat glands - ANSWER ✓ - eccrine: opens directly onto skin surface and
produce sailing solution called sweat. mature in 2 months old
- apocrine: thick milky secretion, occurs with emotional and sexual stimulation
HFN: Normal Findings - ANSWER ✓ - Skull: normocephalic, no tenderness on
palpation
, - Face: expression is appropriate for given circumstance, eyebrows symmetrical,
no involuntary movements
- Neck: heal midline, neck muscles symmetrical, head erect and still, motion
smooth and controlled
- Lymph nodes: no enlargement, non-palpable, soft moveable
- Trachea: midline, symmetrical on both sides
- Thyroid: bruit not present, cannot palpate
HFN: Subjective Data - ANSWER ✓ - unusually frequent/severe headaches
- head injury
- dizzineess
- neck pain, limitation of motion
- lumps or swelling in neck
- history of head or neck surgery
Lymph Vessels gather... - ANSWER ✓ - clear watery fluid (lymph) from the
tissue space into circulation
Lymph nodes - ANSWER ✓ - Prearticular: in front of ear
- posterior articular: behind ear
- occipital: base of skull
- submental: top of mandible
- submandibular: halfway between angle/mandible
- tonsillar: under angle of jaw
- Superficial cervical: over sternomastoid
- Deep cervical chain: under sternomastoid
- posterior cervical: posterior triangle along trapezius
- suprclavicular: above and behind clavicle at sternomastoid
- role is to filter lymph and engulf pathogens preventing harmful substance from
entering circulations
Neck - ANSWER ✓ - Conduit passage for vessels, nerves, etc..
- common and internal carotid artery supplies blood to the brain
- Internal jugular: brain
- external jugular: face, salivary glands
- major muscles: sternomastoid (head rotation and flexion), trapezius (shoulder,
turn head)
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