NSG6001 Advanced Nursing Practice I -
dermatology
ABCDE's of melanoma - ANS - Asymmetry: one half is not like the other
Border: the edges are jagged or irregular
Color: the color is varied, tan, red, black etc.
Diameter: the diameter is larger than 8mm (the top of a pencil eraser)
Evolving (any change in size, shape, color, or elevation or new symptoms such as
bleeding, itching, and crusting)
Actinic keratosis or solar keratosis - ANS - is a precancerous condition that has the
potential for developing into squamous cell carcinoma.
It appears as rough red or brown, scaly patches on the skin. They are often more easily
felt than seen. Like skin cancer, actinic keratosis is usually found on sun-exposed areas
of the body, but it can be found on other parts of the body as well.
Alopecia - ANS - Hair loss, partial or complete
Annular - ANS - Circular example: ringworm
Basal cell carcinoma - ANS - accounts for more than 90% of all skin cancers.
It is a slow-growing cancer that seldom spreads to other parts of the body. However, if
left untreated, it can spread to nearby areas and invade bone and other tissues under
the skin.
hese types of skin cancer are sometimes called nonmelanoma skin cancer. When they
are found early, there is nearly a 100% chance for cure.
Bulla - ANS - Blister
1.0 cm or larger
Confluent - ANS - Lesions which run together
, Discrete - ANS - Individual lesions
Separate
Erysipelas - ANS - Erysipelas is a streptococcal infection of the superficial dermis
Consists of well-demarcated, erythematous, edematous, warm plaques
"St. Anthony's fire"
Excisional biopsy - ANS - In this procedure, the entire mole or growth is removed,
along with a small border of normal-appearing skin.
Herpetiform - ANS - In a grouped configuration
Impetigo contagiosa - ANS - Superficial Strept or Staph infection consisting of
honey-colored crusts & erythematous weeping erosions
Bulluous lesions may occasionally occur
Incisional - ANS - With an incisional biopsy, only the most irregular part of a mole or
growth is taken for laboratory analysis.
keloid - ANS - Firm, progressively enlarging nodules with shiny, hairless surface.
May occur on extremities, earlobes (predominantly), presternal area, neck & face after
trauma
May have stellate shapes
lichenfication - ANS - Rough, thickened
Secondary to itching
Chronic dermatitis
Macule - ANS - skin color change w/out elevation. example: freckle
note: Macule < 1 cm flat
Patches are macules > 1 cm
Melanoma - ANS - A form of cancer that begins in melanocytes (cells that make the
pigment melanin). It may begin in a mole (skin melanoma), but can also begin in other
pigmented tissues, such as in the eye or in the intestines.
milia - ANS - Small, firm, white papules filled with keratin.
Morbilliform rash - ANS - Generalized, small erythematous macules and/or papules
that resemble lesions seen in measles
dermatology
ABCDE's of melanoma - ANS - Asymmetry: one half is not like the other
Border: the edges are jagged or irregular
Color: the color is varied, tan, red, black etc.
Diameter: the diameter is larger than 8mm (the top of a pencil eraser)
Evolving (any change in size, shape, color, or elevation or new symptoms such as
bleeding, itching, and crusting)
Actinic keratosis or solar keratosis - ANS - is a precancerous condition that has the
potential for developing into squamous cell carcinoma.
It appears as rough red or brown, scaly patches on the skin. They are often more easily
felt than seen. Like skin cancer, actinic keratosis is usually found on sun-exposed areas
of the body, but it can be found on other parts of the body as well.
Alopecia - ANS - Hair loss, partial or complete
Annular - ANS - Circular example: ringworm
Basal cell carcinoma - ANS - accounts for more than 90% of all skin cancers.
It is a slow-growing cancer that seldom spreads to other parts of the body. However, if
left untreated, it can spread to nearby areas and invade bone and other tissues under
the skin.
hese types of skin cancer are sometimes called nonmelanoma skin cancer. When they
are found early, there is nearly a 100% chance for cure.
Bulla - ANS - Blister
1.0 cm or larger
Confluent - ANS - Lesions which run together
, Discrete - ANS - Individual lesions
Separate
Erysipelas - ANS - Erysipelas is a streptococcal infection of the superficial dermis
Consists of well-demarcated, erythematous, edematous, warm plaques
"St. Anthony's fire"
Excisional biopsy - ANS - In this procedure, the entire mole or growth is removed,
along with a small border of normal-appearing skin.
Herpetiform - ANS - In a grouped configuration
Impetigo contagiosa - ANS - Superficial Strept or Staph infection consisting of
honey-colored crusts & erythematous weeping erosions
Bulluous lesions may occasionally occur
Incisional - ANS - With an incisional biopsy, only the most irregular part of a mole or
growth is taken for laboratory analysis.
keloid - ANS - Firm, progressively enlarging nodules with shiny, hairless surface.
May occur on extremities, earlobes (predominantly), presternal area, neck & face after
trauma
May have stellate shapes
lichenfication - ANS - Rough, thickened
Secondary to itching
Chronic dermatitis
Macule - ANS - skin color change w/out elevation. example: freckle
note: Macule < 1 cm flat
Patches are macules > 1 cm
Melanoma - ANS - A form of cancer that begins in melanocytes (cells that make the
pigment melanin). It may begin in a mole (skin melanoma), but can also begin in other
pigmented tissues, such as in the eye or in the intestines.
milia - ANS - Small, firm, white papules filled with keratin.
Morbilliform rash - ANS - Generalized, small erythematous macules and/or papules
that resemble lesions seen in measles
