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Chapter 55 Assessment of Integumentary Function

Chapter 55 Assessment of Integumentary Function. Skin. Largest organ of the body Functions: Protection Sensation Fluid balance Temperature regulation Vitamin D production Immune response. Anatomic Structures of the Skin. Primary Skin Lesions. Primary Skin Lesions (cont.).

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Chapter 55 Assessment of Integumentary Function

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  1. Chapter 55Assessment of Integumentary Function

  2. Skin • Largest organ of the body • Functions: • Protection • Sensation • Fluid balance • Temperature regulation • Vitamin D production • Immune response

  3. Anatomic Structures of the Skin

  4. Primary Skin Lesions

  5. Primary Skin Lesions (cont.)

  6. Secondary Skin Lesions

  7. Secondary Skin Lesions (cont.)

  8. Secondary Skin Lesions (cont.)

  9. Vascular Skin Lesions

  10. Vascular Skin Lesions (cont.)

  11. Skin Lesion Configurations (A) Linear (in a line). (B) Annular and arciform (circular or arcing). (C) Zosteriform (linear along a nerve route). (D) Grouped (clustered). (E) Discrete (separate and distinct). (F) Confluent (merged).

  12. Anatomic Distribution of Common Skin Disorders—Contact Dermatitis

  13. Anatomic Distribution of Common Skin Disorders—Seborrheic Dermatitis and Acne

  14. Anatomic Distribution of Common Skin Disorders—Scabies and Herpes Zoster

  15. Skin Appearance • Erythema • Rash • Cyanosis • Jaundice • Pruritus: itching

  16. Cyanosis Jaundice

  17. Normal Aging Changes • Thinning of skin • Uneven pigmentation • Wrinkling, skin folds, and decreased elasticity • Dry skin • Diminished hair • Increased fragility and increased potential for injury • Reduced healing ability • See Chart 55-1

  18. Aging Skin—Hands

  19. Assessment of the Skin • Prepare the patient: explain the purpose and provide privacy and coverings • Ask assessment questions • Inspect the patient’s entire body including mucosa, scalp, hair, and nails • Wear gloves • Assess any lesions; palpate and measure them • Note hair distribution • Photographs may be used to document nature and extent of skin conditions and to document progress resulting from treatment; they may also be used to track moles

  20. Male Pattern Baldness

  21. Diagnostic Procedures • Skin biopsy • Immunofluorescence • Patch testing • Skin scrapings • Tzanck smear • Wood’s light examination

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