Integumentary 1

Hair, Nails, Skin

Protection - UV light, waterproofing, microbes
Regulation - Temperature, Waste, excretion
Sensation - touch, pressure, temperature
Synthesis - vitamin D

Characteristics, exudates, Pattern of arrangement, location and distribution

size, shape, color, temperature, tenderness, pain, texture, mobility, turgor, elevation or depression, pedunculation

color, odor, amount, consistency

annular (rings), grouped, linear, acriform, diffuse

Generalized, localized, universal, region of the body, unilateral or bilateral, symmetric or asymmetric, patterns, discrete or confluent

the first lesion to appear on the skin, and visually recognizable
macule, papule, plaque, nodule, tumor, wheal, vesicle, pustule

scale, crust, thickening, erosion, ulcer, scar, excoriation, fissure

Pruritus, Urticaria, rash, blisters, xerosis, unusual spots, edema, changes in nails, changes in skin pigment, turgor, texture

Macule - not raised, 1cm or less
Patch - not raised, greater than 1cm

Papule - raised, 1cm or less
Plaque - flat elevation, greater than 1cm

Vesicle - fluid filled, 1cm or less
Bulla - fluid filled, greater than 1cm

elevated, pus filled

firm edematoud plaque, transient

dried fluid, like a scab

small flesh colored papules that give skin a rough texture, plugged sebaceous follicles (white heads and black heads)

visible peeling or flaking of outer skin layers

excoriation - erosion from scratiching
erosion - partial thickness loss, epidermis only

eorsion into dermis

crack like break into dermis

skin turns pale when pressure is applied - reduction in blood flow

measure of skin elasticity, marker of hydration