Advanced Health Assessment – Dermatology
questions with accurate answers
Three laters of the skin - ans-Epidermis, dermis, subcutaneous
xz xz xz xz xz xz xz xz
Epidermis - ans- xz xz
Stratum cornerum is the outermost layer that contains close packed dead squamous cells t
xz xz xz xz xz xz xz xz xz xz xz xz xz
hat contain water proofing keratin. Next is the cellular stratum that are keratin cells synthesi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
zed in the stratum germinativum which also contains melanocytes. Stratum lucid is present
xz xz xz xz xz xz xz xz xz xz xz xz xz
only in thick areas of the skin like palms and soles.
xz xz xz xz xz xz xz xz xz xz
Dermis - ans- xz xz
second layer that contains sensory nerve fibers, elastin, collagen, blood vessels, sebaceou
xz xz xz xz xz xz xz xz xz xz xz
s glands and hair follicles.
xz xz xz xz
Subcutaneous - ans-fat, connective tissue, sweat glands, hair follicles xz xz xz xz xz xz xz xz
Appendages of skin - ans-Hair, sweat glands and sebaceous glands xz xz xz xz xz xz xz xz xz
Eccrine sweat glands - ans- xz xz xz xz
respond primarily to elevated body temperature through water secretion.
xz xz xz xz xz xz xz xz
Aprocrine sweat glands - ans- xz xz xz xz
Found in the nipples, axillae, genital area, eyelids and external ear. They secrete while fluid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
containing protein and CHO xz xz xz
Hair - ans- xz xz
formed by epidermal cells and they are in the dermal layers. Vellus hair is short, fine and no
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
n pigmented and terminal hair is coarse, long and thick (pigmented)
xz xz xz xz xz xz xz xz xz xz
Derm HA - ans-Ask about problems/
xz xz xz xz xz
changes in hair, skin and nails. If a program conduct symptoms analysis (OLDCART) ask a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
bout moles, nevi, etc
xz xz xz
Inspect and Palpate for - ans- xz xz xz xz xz
Inspect first then palpate for color, moisture, lesions, temperature, turgor, texture,
xz xz xz xz xz xz xz xz xz xz
Skin color - ans-Inspect for overall pigmentation.
xz xz xz xz xz xz xz
Hypo: patchy, scars, tine verisolor, viltigilo, generalized may be albinism, scars
xz xz xz xz xz xz xz xz xz xz
,Hyper: scars, chloasma xz xz xz
In dark skinned individuals their knees, elbows, knuckles, hands and feet may be lighter in c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
olor
Colors of skin and indications - ans-
xz xz xz xz xz xz
Erythema: dilation in redness, inflammation, fever, injury, redness, decrease o2 utilization i
xz xz xz xz xz xz xz xz xz xz xz
n skin, polycythemia "Plethoric", cold exposure
xz xz xz xz xz
Cyanosis: decrease in oxygen xz xz xz
Jaundice: yellow in skin and sclera - liver damage (best seen in day light)
xz xz xz xz xz xz xz xz xz xz xz xz xz
Pallor: low Heme, decrease blood flow in superficial vessels
xz xz xz xz xz xz xz xz xz
Organ - carotene staining (forehead, palms and soles)
xz xz xz xz xz xz xz
Temperature - ans-Palpate with backs of hand bilaterally. xz xz xz xz xz xz xz xz
Increased: general - fever & local - inflammation xz xz xz xz xz xz xz xz
Decreased: general - shock & local - atherosclerosis xz xz xz xz xz xz xz
Moisture - ans-Hyperhydrosis can be generalized of confined to palms and soles
xz xz xz xz xz xz xz xz xz xz xz xz
Anhydrosis xz
General - xz
sweat glands absent or atrophied, psoriasis, ichthyosis, xerosis (dry skin), exfoliative derm
xz xz xz xz xz xz xz xz xz xz xz xz
atitis xz
Localized: CNS lesions xz xz
Turgor - ans- xz xz
Pinch a fold of skin and quickly release. Then watch for elasticity and quick disappearance
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
of fold. xz xz
Reduced: loss of subcutaneous tissue with aging or indicative of dehydration
xz xz xz xz xz xz xz xz xz xz
Texture - ans-Feel skin with fingertips
xz xz xz xz xz
rough - dryness or hypothyroidism
xz xz xz xz
Exag. smooth - hyperthyroidism or arterial insufficiency
xz xz xz xz xz xz
, Lesions - ans-Examine for color, size, individual or groupings, location, pattern, distribution
xz xz xz xz xz xz xz xz xz xz xz xz
Morphology (primary, secondary, vascular or other) xz xz xz xz xz
Primary lesions - ans-macule/patch, papule/plaque, nodule/tumor, wheal, vesicle/
xz xz xz xz xz xz xz
bulla, pustule
xz
Macule - ans-small, flat spot under 1 cm
xz xz xz xz xz xz xz
Patch - ans-flat spot greater than 1 cm
xz xz xz xz xz xz xz
Papule - ans-elevated lesion up to 1 cm
xz xz xz xz xz xz xz
Plaque - ans-elevated lesion over 1 cm
xz xz xz xz xz xz
Nodule - ans-marble-like, solid lesion more than 1 cm wide and deep (more than papule)
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Tumor - ans-Nodule that is larger and extends deeper into the tissues
xz xz xz xz xz xz xz xz xz xz xz
Wheal - ans-irregular, transit, superficial area of localized skin deem "hive"
xz xz xz xz xz xz xz xz xz xz
Vesicle - ans- xz xz
Circumscribed, superficial elevation of the skin that is formed by free fluids in a cavity within
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
skin layers - up to 1 cm
xz xz xz xz xz xz
Bulla - ans-
xz xz
Circumscribed, superficial elevation of the skin that is formed by free fluids in a cavity within
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
skin layers - larger than 1 cm
xz xz xz xz xz xz
Pustule - ans-elevation of skin containing pus
xz xz xz xz xz xz
Secondary lesions - ans-lesions that result in changes in primary lesions
xz xz xz xz xz xz xz xz xz xz
Crust, scale, fissure, ulcer,erosion, excoriations, scar, maceration, lichenification, atrophy
xz xz xz xz xz xz xz xz
Vascular Lesions - ans-blood vessel lesions that show through the skin
xz xz xz xz xz xz xz xz xz xz
cherry angioma, petechia, ecchymosis (hematoma, senile purpura), telangiectasia, spider
xz xz xz xz xz xz xz xz xz
angioma, spider veins xz xz
Acute Idiopathic Thrombocytopenic Purpura - ans-
xz xz xz xz xz
accelerated removal platelets coated with antibody by cells of the reticuendothelial system.
xz xz xz xz xz xz xz xz xz xz xz x
Infections, disorders or drug therapy. bleeding abruptly. Petechiae
z xz xz xz xz xz xz xz
questions with accurate answers
Three laters of the skin - ans-Epidermis, dermis, subcutaneous
xz xz xz xz xz xz xz xz
Epidermis - ans- xz xz
Stratum cornerum is the outermost layer that contains close packed dead squamous cells t
xz xz xz xz xz xz xz xz xz xz xz xz xz
hat contain water proofing keratin. Next is the cellular stratum that are keratin cells synthesi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
zed in the stratum germinativum which also contains melanocytes. Stratum lucid is present
xz xz xz xz xz xz xz xz xz xz xz xz xz
only in thick areas of the skin like palms and soles.
xz xz xz xz xz xz xz xz xz xz
Dermis - ans- xz xz
second layer that contains sensory nerve fibers, elastin, collagen, blood vessels, sebaceou
xz xz xz xz xz xz xz xz xz xz xz
s glands and hair follicles.
xz xz xz xz
Subcutaneous - ans-fat, connective tissue, sweat glands, hair follicles xz xz xz xz xz xz xz xz
Appendages of skin - ans-Hair, sweat glands and sebaceous glands xz xz xz xz xz xz xz xz xz
Eccrine sweat glands - ans- xz xz xz xz
respond primarily to elevated body temperature through water secretion.
xz xz xz xz xz xz xz xz
Aprocrine sweat glands - ans- xz xz xz xz
Found in the nipples, axillae, genital area, eyelids and external ear. They secrete while fluid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
containing protein and CHO xz xz xz
Hair - ans- xz xz
formed by epidermal cells and they are in the dermal layers. Vellus hair is short, fine and no
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
n pigmented and terminal hair is coarse, long and thick (pigmented)
xz xz xz xz xz xz xz xz xz xz
Derm HA - ans-Ask about problems/
xz xz xz xz xz
changes in hair, skin and nails. If a program conduct symptoms analysis (OLDCART) ask a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
bout moles, nevi, etc
xz xz xz
Inspect and Palpate for - ans- xz xz xz xz xz
Inspect first then palpate for color, moisture, lesions, temperature, turgor, texture,
xz xz xz xz xz xz xz xz xz xz
Skin color - ans-Inspect for overall pigmentation.
xz xz xz xz xz xz xz
Hypo: patchy, scars, tine verisolor, viltigilo, generalized may be albinism, scars
xz xz xz xz xz xz xz xz xz xz
,Hyper: scars, chloasma xz xz xz
In dark skinned individuals their knees, elbows, knuckles, hands and feet may be lighter in c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
olor
Colors of skin and indications - ans-
xz xz xz xz xz xz
Erythema: dilation in redness, inflammation, fever, injury, redness, decrease o2 utilization i
xz xz xz xz xz xz xz xz xz xz xz
n skin, polycythemia "Plethoric", cold exposure
xz xz xz xz xz
Cyanosis: decrease in oxygen xz xz xz
Jaundice: yellow in skin and sclera - liver damage (best seen in day light)
xz xz xz xz xz xz xz xz xz xz xz xz xz
Pallor: low Heme, decrease blood flow in superficial vessels
xz xz xz xz xz xz xz xz xz
Organ - carotene staining (forehead, palms and soles)
xz xz xz xz xz xz xz
Temperature - ans-Palpate with backs of hand bilaterally. xz xz xz xz xz xz xz xz
Increased: general - fever & local - inflammation xz xz xz xz xz xz xz xz
Decreased: general - shock & local - atherosclerosis xz xz xz xz xz xz xz
Moisture - ans-Hyperhydrosis can be generalized of confined to palms and soles
xz xz xz xz xz xz xz xz xz xz xz xz
Anhydrosis xz
General - xz
sweat glands absent or atrophied, psoriasis, ichthyosis, xerosis (dry skin), exfoliative derm
xz xz xz xz xz xz xz xz xz xz xz xz
atitis xz
Localized: CNS lesions xz xz
Turgor - ans- xz xz
Pinch a fold of skin and quickly release. Then watch for elasticity and quick disappearance
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
of fold. xz xz
Reduced: loss of subcutaneous tissue with aging or indicative of dehydration
xz xz xz xz xz xz xz xz xz xz
Texture - ans-Feel skin with fingertips
xz xz xz xz xz
rough - dryness or hypothyroidism
xz xz xz xz
Exag. smooth - hyperthyroidism or arterial insufficiency
xz xz xz xz xz xz
, Lesions - ans-Examine for color, size, individual or groupings, location, pattern, distribution
xz xz xz xz xz xz xz xz xz xz xz xz
Morphology (primary, secondary, vascular or other) xz xz xz xz xz
Primary lesions - ans-macule/patch, papule/plaque, nodule/tumor, wheal, vesicle/
xz xz xz xz xz xz xz
bulla, pustule
xz
Macule - ans-small, flat spot under 1 cm
xz xz xz xz xz xz xz
Patch - ans-flat spot greater than 1 cm
xz xz xz xz xz xz xz
Papule - ans-elevated lesion up to 1 cm
xz xz xz xz xz xz xz
Plaque - ans-elevated lesion over 1 cm
xz xz xz xz xz xz
Nodule - ans-marble-like, solid lesion more than 1 cm wide and deep (more than papule)
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Tumor - ans-Nodule that is larger and extends deeper into the tissues
xz xz xz xz xz xz xz xz xz xz xz
Wheal - ans-irregular, transit, superficial area of localized skin deem "hive"
xz xz xz xz xz xz xz xz xz xz
Vesicle - ans- xz xz
Circumscribed, superficial elevation of the skin that is formed by free fluids in a cavity within
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
skin layers - up to 1 cm
xz xz xz xz xz xz
Bulla - ans-
xz xz
Circumscribed, superficial elevation of the skin that is formed by free fluids in a cavity within
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
skin layers - larger than 1 cm
xz xz xz xz xz xz
Pustule - ans-elevation of skin containing pus
xz xz xz xz xz xz
Secondary lesions - ans-lesions that result in changes in primary lesions
xz xz xz xz xz xz xz xz xz xz
Crust, scale, fissure, ulcer,erosion, excoriations, scar, maceration, lichenification, atrophy
xz xz xz xz xz xz xz xz
Vascular Lesions - ans-blood vessel lesions that show through the skin
xz xz xz xz xz xz xz xz xz xz
cherry angioma, petechia, ecchymosis (hematoma, senile purpura), telangiectasia, spider
xz xz xz xz xz xz xz xz xz
angioma, spider veins xz xz
Acute Idiopathic Thrombocytopenic Purpura - ans-
xz xz xz xz xz
accelerated removal platelets coated with antibody by cells of the reticuendothelial system.
xz xz xz xz xz xz xz xz xz xz xz x
Infections, disorders or drug therapy. bleeding abruptly. Petechiae
z xz xz xz xz xz xz xz
