What is an impaired dermis more susceptible for in geriatric patients? - Irritants
Intrinsic Aging - Decreased sweat glands and hair follicles
Pigment of hair
Volume of hair
Dermal collagen
Dermal elastic fibers
Thinning nails
Change in sub Q fat.
Extrinsic aging - Exposure to sunlight
Pollution
Smoking
Telangiectasia
Wrinkling
Senile purpura
Lentigo senilis
Skin cancer
Inflammatory skin conditions - Xeroxis
Dermatophytosis
Stasis dermatitis
Seborrheic dermatitis
Rosacea
Common viral pediatric skin conditions - Herpes Zoster
,Pityriasis Roses
Wars
Molluscum contagious
Common pediatric viral exanthems (rashes) - Measles (Rubeola)
Rubella (German Measles)
Roseola
Fifth Disease
Chickenpox
Common pediatric bacterial skin conditions - Staph aureus, less commonly streptococci: erysipelas,
cellulitis, lymphangitis
Impetigo (Group A beta hemolytic strep, Staph aureus)
Common Pediatric Parastic infections - Scabies
Lice
Molluscum Contagiosium - Pink, dome shaped, smooth waxy or pearly umbilicated papules. Common on
face, trunk, extremities in kids and on pubis, penis or vulva in adults.
Progenitor granuloma - Lobular capillary hemangioma that is friable, bright red papule/ nodule
Verruca vulgaris - Single or grouped hyperkeratotic plaques/papules
Cafe au lait spots - Smooth with irregular border. Six or more can indicate neurofibromatosis (>15 in
post pubescent)
Hemangiomas - Raised, cavernous lesions that can appear bluish or bright red. Appear in first months
then disappear around 10 y/o - Port Wine stains
, Normal physiologic jaundice - 1/2 of all newborns
Appears 2-3 day
Peak at day 5
Disappears w/in a week post birth
Pathological jaundice - Appears w/in 24 hours
R/t to hemolytic disease of newborn
Jaundice that persists beyond 2-3 weeks should be of concern.
Miliaria rubra - Scattered vesicles on an erythematous base, sweat gland obstruction - disappears w/in
weeks.
Erythema toxicum - Looks like flea bites, unknown etiology, disappear w/in a week after birth
Pustular Melanosis - Seen in AA infants, can last several months, small vesiculopustules over a brown
macular base.
Deep Tissue Pressure Injury - Persistent non-blanchable deep red, maroon or purple discoloration.
Stage 1 pressure injury - Non blanchable erythema of intact skin
Stage 2 pressure injury - Partial-thickness skin loss with exposed dermis
Wound bed pink, moist or intact or ruptured serum-filled blister.
Adipose (fat) is not visible and deeper tissues are not visible. Granulation tissue, slough, and Escher are
not present.
stage 3 pressure injury - Full thickness loss of skin
adipose is visible
Granulation tissue and epibole (rolled wound edges) are present.
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