1. Integumentary System
Diseases & Disorders

2. Skin Lesions Measurable variation from normal structure
Abnormal Density
Over growth / deficient growth
Calcification
Edema
Abnormal Coloration
Over/under production of pigments
Cyanosis / erythema

3. Skin Lesions

4. Burns
Cause
Fire / hot surfaces
UV rays
Chemicals
Electrical current

5. Burns: Body Surface
Rule of Nines
11 areas / 9% each
1% genitals

6. Burns: Classification
1st degree
Minor discomfort
Redness
Minimal tissue destruction (epidermis)
Sunburn

7. Burns: Classification
2nd Degree
Blisters
Severe pain
Swelling
Loss of function
Scarring is common
Deep epidermis / upper dermis
Partial thickness burn

8. Burns: Classification
3rd Degree
No pain
Fluid loss (serious)
Full thickness burn
Complete destruction of epidermis/dermis
May involve muscle and bone

9. Infections Impetigo (contagious) Systemic = life threatening
Red discoloration = erythema
Vesicles / yellow crusts
Systemic = life threatening
Staph / Strep

10. Infections Tinea Tx: Fungus Erythema Scaling Crusting
Topical Antifungal
Oral Medication
Fungus

11. Vascular / Inflammatory Disorders
Psoriasis
Scaly plaques
Genetic?
Eczema
Papules
Vesicles
Crusts
Rxn to dermatitis

12. Skin Cancer Squamous Cell Carcinoma Epidermis Metastasize if untreated
Slow growing, malignant
Lesions – hard, raised nodules
Epidermis
Metastasize if untreated

13. Skin Cancer Basal Cell Carcinoma Common on face
Doesn’t spread as easily as other cancers
Papules erode in center to form bleeding, crusty crater

14. Skin Cancer Melanoma Fastest growing cancer in US 1 in 4 fatal
Starts as dark mole
Fastest growing cancer in US
1 in 4 fatal

15. ABCD Rule – self exam
A: Asymmetry
B: Border
C: Color
D: Diameter