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Integumentary SystemMedical-Surgical Nursing

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Comedo is another word for...
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An acne lesion, including whiteheads and blackheads.
Dermatitis of overlying surfaces of the skin that is caused by moisture, irritation, and/or obesity is called...
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Intertrigo
Repeated rubbing, scratching or irritation of the skin can lead to thickening with accentuated markings. This is called...
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Lichenification
________ is one of the most common diagnostic tests used in the evaluation of a skin lesion.
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A biopsy
________ is a special diagnostic technique used on biopsy specimens and may be indicated on specific specimens that are suspected to be part of bullous disease or lupus.
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Direct immunofluorescence
What type of biopsy? A biopsy is taken using an instrument that is rotated to the appropriate level to include the dermis and some fat. May or may not require suturing...
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Punch biopsy
What type of biopsy? Useful when good cosmetic results and entire removal is desired. Skin is closed with subcutaneous and skin sutures.
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Excisional
What type of biopsy? Wedge-shaped incision made in lesion too large for excision.
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Incisional
What type of biopsy? Single edged instrument is used to removal superficial lesions or to get a small sample of a large lesion. Provides full thickness specimen of the stratum corneum.
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Shave
What is a Potassium Hydroxide microscopic test used for?
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To look at hair, scales, or nails for superficial fungal infections.
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What is the Tzanck test (Wright's and Giemsa's stain) used to diagnose?
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It is used to diagnose herpes infections, fluid and cells from vesicles are examined.
What is tested when culturing for fungi?
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A scraping or swab of skin
What is collected and cultured when looking for a bacteria?
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Material is obtained from intact bullae, pustules, or abscesses
What is collected for a viral culture?
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A vesicle or bullae is scraped and exudate from the center of the lesion is taken
What are mineral oil microscopic slides used to detect?
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Infestations
What are immunofluorescent studies used to diagnose?
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Certain cutaneous diseases have specific, abnormal antibodies that can be detected in skin or serum (like lupus). This test is used to identify those proteins.
What is a Wood's lamp useful for diagnosing?
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Pseudomonas organisms, fungal infections and vitiligo will fluoresce
What is a patch test used to identify?
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Allergies. Patient returns in 48 hours to have allergens removed and evaluated. May need a reevaluation at 96 hours.
  
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