Family Nursing Pediatric Exam 2
Macule - ANSLess than 10 mm and flat
Patch - ANSOver 10mm and flat
Papule - ANSLess than 10 mm and raised
Plaque - ANSOver 10 mm and raised
Vescicle - ANSLess than 10 mm, liquid filled, raised
Bulla - ANSOver 10 mm liquid filled, raised
Pustule - ANSPus filled and Raised
Nodule - ANSSolid and Raised
Petechia - ANSnon palpable and less than 3mm
Non-blanchable
Purpura - ANSmay be palpable, 3-10mm, larger areas of hemorrhage
Non-blanchable
Ecchymosis - ANSnon palpable over 10 mm
non-blanchable
Psoriasis Causes - ANSimmune system mistake, exact cause unknown. Overactive immune
system. Excess healthy cells that build up on surface of skin
Plaque Psoriasis - ANSmost common form, raised red patches with silvery white head skin cell.
Scalp, knees, elbows and lower back. Itchy and painful
Guttate Psoriasis - ANSsmall dot like lesions, starts in childhood, can be triggered by strep. 2nd
most common.
Inverse Psoriasis - ANSvery red lesions in body folds, smooth and shiny
Pustular Psoriasis - ANSwhite pustules, blisters of noninfectious pus, white blood cells. Not
infection or contagious. Most common on hands or feet
Erythrodermic Psoriasis - ANSFiery redness over body, severe itchy and pain. Rare
, Signs of Psoriasis - ANSChronic, non-contagious, Silvery-white
Plaque
Red patches of skin covered in thick
Small scaling sports
Dry cracked skin that may bleed
Itching (less than eczema) & Pain
Pitting nails
Swollen and painful joints
Diagnosis Psoriasis - ANSStraightforward, more common if another family member has it
May require biopsy
Treatment Psoriasis - ANSReduces symptoms specific to a person
Steroids (topical, PO)
Biologic Drugs: IV or Injection
Systemics: Oral or Injection, Prednisone
Phototherapy: Light therapy, UV light under medical supervision
Eczema What is it? - ANSSkin Rash, Common in Kids and can last into adult,
Allergic, Inflammation, Immune system attacks the skin on flexor surfaces of the body. Insides of
elbows, crease of wrists, back of knees.
Eczema Causes - ANSAllergic Immune Response
Stress, Dust, Mold, Changes in weather
Autoimmune, Non-contagious
Infant vs Child Location of Eczema - ANSInfants: Face and Scalp
Children: Flexor surfaces of extremities
Interventions for Eczema - ANSAvoid Triggers, Soft Fabrics, Manage Stress, and Avoid
Overheating
Frequent Moisturization: after luke warm bath
Keep Finger Nails Short, Stop Itching
When is eczema itching worse? - ANSWorse itching at night
Complication of Eczema - ANSSecondary infection when bacteria gets in
Atopic Traid for Eczema - ANSAsthma, Allergic Rhinitis, Atopic Dermatitis
Medications for Eczema - ANSSteroids (no cream on face)
Calcineurin
Antihistamines
Macule - ANSLess than 10 mm and flat
Patch - ANSOver 10mm and flat
Papule - ANSLess than 10 mm and raised
Plaque - ANSOver 10 mm and raised
Vescicle - ANSLess than 10 mm, liquid filled, raised
Bulla - ANSOver 10 mm liquid filled, raised
Pustule - ANSPus filled and Raised
Nodule - ANSSolid and Raised
Petechia - ANSnon palpable and less than 3mm
Non-blanchable
Purpura - ANSmay be palpable, 3-10mm, larger areas of hemorrhage
Non-blanchable
Ecchymosis - ANSnon palpable over 10 mm
non-blanchable
Psoriasis Causes - ANSimmune system mistake, exact cause unknown. Overactive immune
system. Excess healthy cells that build up on surface of skin
Plaque Psoriasis - ANSmost common form, raised red patches with silvery white head skin cell.
Scalp, knees, elbows and lower back. Itchy and painful
Guttate Psoriasis - ANSsmall dot like lesions, starts in childhood, can be triggered by strep. 2nd
most common.
Inverse Psoriasis - ANSvery red lesions in body folds, smooth and shiny
Pustular Psoriasis - ANSwhite pustules, blisters of noninfectious pus, white blood cells. Not
infection or contagious. Most common on hands or feet
Erythrodermic Psoriasis - ANSFiery redness over body, severe itchy and pain. Rare
, Signs of Psoriasis - ANSChronic, non-contagious, Silvery-white
Plaque
Red patches of skin covered in thick
Small scaling sports
Dry cracked skin that may bleed
Itching (less than eczema) & Pain
Pitting nails
Swollen and painful joints
Diagnosis Psoriasis - ANSStraightforward, more common if another family member has it
May require biopsy
Treatment Psoriasis - ANSReduces symptoms specific to a person
Steroids (topical, PO)
Biologic Drugs: IV or Injection
Systemics: Oral or Injection, Prednisone
Phototherapy: Light therapy, UV light under medical supervision
Eczema What is it? - ANSSkin Rash, Common in Kids and can last into adult,
Allergic, Inflammation, Immune system attacks the skin on flexor surfaces of the body. Insides of
elbows, crease of wrists, back of knees.
Eczema Causes - ANSAllergic Immune Response
Stress, Dust, Mold, Changes in weather
Autoimmune, Non-contagious
Infant vs Child Location of Eczema - ANSInfants: Face and Scalp
Children: Flexor surfaces of extremities
Interventions for Eczema - ANSAvoid Triggers, Soft Fabrics, Manage Stress, and Avoid
Overheating
Frequent Moisturization: after luke warm bath
Keep Finger Nails Short, Stop Itching
When is eczema itching worse? - ANSWorse itching at night
Complication of Eczema - ANSSecondary infection when bacteria gets in
Atopic Traid for Eczema - ANSAsthma, Allergic Rhinitis, Atopic Dermatitis
Medications for Eczema - ANSSteroids (no cream on face)
Calcineurin
Antihistamines
