NUR1 239 Lecture Notes - Lecture 3: Port-Wine Stain, Basal-Cell Carcinoma, Xeroderma Pigmentosum
Document Summary
If pt denied, look for consistancy of the answer. Assess mucous membranes, previous venipuncture sites, or lesions. Purpura- hemorrhage in skin, mucous membrane and internal organs. Med: coumadin, leafy vegetable, recent injuty, accidence, trauma, heparin induce thrombocytonia. Nevus flammeus- congenital purple stain (head/neck)- port wine mark/stain. Not need to memorize, just need to know that is vascularity. Assess arrangement or grouping: localized, regionalized, or generalized. Note if palpable or non palpable if any exudate present. Cyst (encapsulated fluid-filled or semi-solid mass in the subcutaneous tissue or dermis) Scenario -working with the triage nurse in an acute care clinic. Ulcer: loss of epidermis and dermis, concave depressed lesion. I. e. , ul(cid:272)erati(cid:374)g (cid:271)asal (cid:272)ell (cid:272)ar(cid:272)i(cid:374)o(cid:373)a (does(cid:374)"t heal, used to fi(cid:374)d i(cid:374) su(cid:374) explosed area: teaching about suncream; Use of hats, visors, gloves, long sleeves or pants, sunscreens when exposed to the sun. Very hot ambient temperature- high risk for young and elderly. Note the presence of fluid accumulation in the intercellular spaces.
