Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher |  Practical Nurse (LPN) School Study Aid
Skin Anatomy
- Epidermis
 - Keratinocytes
 - Melanocytes
 - Dendritic Cells
 - Merkel Cells
 - Dermis
 - Sweat Glands
 - Hair Follicles
 - Sebaceous Glands
 - Hypodermis
 
Skin Functions
- Thermoregulation
 - Protection
 - Innate Immune Protection
 - Synthesize Vitamin D
 - Water and Salt Excretion
 - Dilated Capillaries are a Blood Reservoir
 
Human Immunodeficiency Virus (HIV) Assessment
- RNA Retrovirus
 - CD4+ Helper T Cells
 - Flu-like Symptoms
 - Lymphadenopathy
 - Fatigue
 - Diarrhea
 - Unexplained Weight Loss
 - White Spots on Tongue
 - Persistent Fever
 - Night Sweats
 
Syphilis
- Treponema pallidum
 - Painless Chancre
 - Rash on Palms and Soles
 - (Generalized) Lymphadenopathy
 - Condylomata Lata
 - Asymptomatic
 - Aortitis
 - Neurosyphilis
 - Gummas
 - Penicillin
 - Jarisch-Herxheimer Rash
 
Lyme Disease
- Transmitted by Ticks (Vector-borne)
 - Flu-like Symptoms
 - Bulls Eye Rash (Erythema Migrans)
 - Joint Pain and Stiffness
 - Facial Paralysis
 - Antibiotics
 - Prevention
 
Beriberi (Thiamine Deficiency)
- Thiamine Deficiency
 - Dry Beriberi
 - Polyneuritis
 - Muscle Wasting
 - Wet Beriberi
 - Dilated Cardiomyopathy
 - Edema
 
Vitamin C (Ascorbic Acid)
- Antioxidant
 - Collagen Formation
 - Steroid Synthesis
 - Dietary Deficiency
 - Scurvy
 - GI Distress
 - Citrus Fruits
 - May Improve Healing
 
Vitamin B3 - Niacin (Nicotinic Acid)
- Decreases Triglycerides
 - Decreases LDL
 - Increases HDL
 - Dyslipidemia
 - Pellagra
 - Diarrhea
 - Dermatitis
 - Dementia
 - Flushing
 - GI Distress
 - Hepatotoxicity
 
Cystic Fibrosis Assessment
- Thickened Mucus
 - Recurrent Pulmonary Infections
 - Pulmonary Congestion
 - Pancreatic Insufficiency
 - Steatorrhea
 - Fat-Soluble Vitamin Deficiencies
 - Salty Taste to Skin
 - Meconium Ileus
 - Delayed Growth and Poor Weight Gain
 
Hodgkin's Lymphoma Assessment
- Lymph Node Cancer
 - Contiguous Spread
 - Painless Lymphadenopathy
 - Constitutional B Signs
 - Night Sweats
 - Fever
 - Weight Loss
 - Bimodal Age Distribution
 - Reed-Sternberg Cells
 
Non-Hodgkin's Lymphoma Assessment
- Lymphatic Cancer
 - Non-Contiguous Spread
 - B or T Cells
 - Painless Lymphadenopathy
 - Constitutional B Signs
 - Night Sweats
 - Fever
 - Weight Loss
 - Mediastinal or Abdominal Mass
 - Older Adults
 - > 60 Subtypes
 
Chronic Kidney Disease Early Symptoms Assessment
- GFR < 60mL/min
 - Accumulation of Waste Products
 - General Malaise
 - Hypertension
 - Proteinuria
 - Hyperkalemia
 - Mineral and Bone Disorders
 - Neuropathy
 
Diabetes Assessment
- Juvenile Onset
 - Absent Insulin Production
 - Ketosis Prone
 - Adult Onset
 - Insulin Resistance
 - Obesity
 - Onset During Pregnancy
 - Glucose Intolerance
 - Retinopathy
 - Peripheral Vascular Disease
 - Nephropathy
 - Neuropathy
 
Acromegaly Assessment
- Excess Growth Hormone (GH)
 - Protruding Jaw
 - Large Lips and Nose
 - Hearing Loss
 - Enlargement of Hands and Feet
 - Vision Changes and Headache
 - Joint Pain
 - Peripheral Neuropathy
 - Hyperglycemia
 
Hyperthyroidism Assessment
- Heat Intolerance
 - Exophthalmos
 - Warm, Moist Skin and Silky Hair
 - Tremors
 - Goiter
 - Diarrhea
 - Weight Loss
 - Tachycardia
 - Hypertension
 - Amenorrhea
 - Decreased TSH with Elevated Free T4
 - Radioactive Iodine Uptake (RAIU)
 
Hypothyroidism Assessment
- Weight Gain - Edema
 - Lethargy
 - Cold Intolerance
 - Bradycardia
 - Hypertension
 - Brittle Nails and Dry Skin
 - Constipation
 - Goiter
 - Prolonged Menses
 - Slowed Thinking
 - Decreased Free T4
 - Increased TSH
 
Hypoparathyroidism
- Hypocalcemia
 - Lethargy
 - Tetany
 - Arrhythmias
 - Decreased Calcium and Increased Phosphorus
 - IV Calcium Chloride
 - Rebreather Mask
 - Lifelong Medications
 - Oral Calcium Supplements with Vitamin D
 
Cushing's Syndrome Assessment
- Truncal Obesity
 - Purple Abdominal Striae
 - Hypertension
 - Buffalo Hump
 - Thinning Skin
 - Moon Face
 - Decreased Bone Density
 - Increased Cortisol Levels
 - Hyperglycemia
 - Long Term Glucocorticoid Use
 - Immunosuppression
 
Vitamin B1 (Thiamine)
- Carbohydrate Metabolism
 - Dietary Deficiency
 - Beriberi
 - Wernicke-Korsakoff
 - Alcoholics Highest Risk
 - Give Before Glucose
 - Give IM or IV
 - Enriched Whole Grains
 - Pork
 
Addison's Disease Assessment
- Deficiency of Cortisol and Aldosterone
 - Irritability
 - Hyperkalemia
 - Muscle Weakness
 - Skin Hyperpigmentation
 - Hyponatremia
 - Hypotension
 - Hypoglycemia
 - Addisonian Crisis