NUR 416 Lecture Notes - Lecture 11: Ecchymosis, Petechia, Major Trauma
23 Apr 2020
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Document Summary
Skin lesions in children can originate from: contact with injurious agents. Ex: infectious agents, toxic chemicals, physical trauma: hereditary factors, external factors. Primary lesions: skin changes produced by causative factors, ex: macules, papules, vesicles. Secondary lesions: changes that result from alterations in the primary lesions, ex: crusts, scars, scales. 1: blanching: vasodilation, non-blanching: vascular damage with extravasations of blood in dermis. Brown/black/blue/grey: related to increased melanin or blood/blood byproducts. Size, shape, & arrangement of a lesion or group of lesions: ex: discrete, clustered, diffuse, confluent. Fever or other sx of illness: duration, pruritus, changes in behavior, environmental exposures, recent travel, new foods, others at home or school with similar lesions. Physical exam: description of the lesion(s) Peak age of occurrence is 9-12 mos. More common in bottle fed vs breast fed infants: not sure why, likely r/t properties of stool.
