NUNP 6531 - Integumentary Disorders solved 100% 2022

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Skin Cancer S/Sx's - ANSWER 1) open sore, does not heal x3 weeks 2) spot or sore that burns, itches, stings, crusts, or bleeds 3) any mole/spot that changes size/texture, develops irreg borders, app... ears pearly/translucent/multi-colored *BCC = most common but, MM = most fatal ABCDE's of Melanoma - ANSWER Assymetry (of entire lesion) Border (irregularities) Color (variability within lesion/brown-black) Diameter (>6mm = 1/4 inch) Elevation (recently raised) melanoma - ANSWER -Dx: skin biopsy (shave or punch) -referral to dermatologist or surgeon for wide excision actinic keratosis - ANSWER -Tx of few lesions: cryotherapy and surgical interventions (tangential excision or curettage followed by electrodesiccation). -Bx: to exclude or confirm the presence of invasive SCC --Lesions that appear indurated (suggests SCC) --Painful, ulcerated, or bleeding lesions --Hyperkeratotic/hypertrophic AKs that failed to resolve after standard therapies or recurred rapidly (<3 months) basal cell carcinoma (BCC) - ANSWER -Tx: electrodessication & curettage squamous cell carcinoma (SCC) - ANSWER -Dx: skin biopsy -Tx: total excision Acral lentiginous melanoma - ANSWER occurs most often on hands, feet or nail beds of dark skinned individuals (especially blacks & Asians) acne vulgaris - ANSWER -Dx: PE -Labs: adrenal or gonadal dysfunction if possible cause -Tx takes 6-12 wks => topical therapy first line First-Line Tx: acne vulgaris - ANSWER -Topical Therapy: retinoin (Retin-A), adapalene (Differin), tazarotene (Tazorac), azelac acid (Azelex), benzoyl peroxide, salicylic acid -applied to skin at bedtime -SE: erythema, dryness, sun sensitivi [Show More]

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