Pathology I Skin Conditions

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teatea2
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125245
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Pathology I Skin Conditions
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2011-12-30 15:22:19
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Pathology Skin Conditions
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Pathology I Skin Conditions
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  1. Bacterial - Local
    staphylococcus infection of the sebaceous gland
    Boils
  2. What is a Faruncle?
    Single boil gland
  3. What is a carbuncle?
    A cluster of boil glands
  4. Are boils contagious?
    Yes
  5. Can you perform massage therapy on a boil?
    It is a local contraindication
  6. What is a bacterial - streptococcal infection of the skin? Usually found on the face or lower legs. Well defined red patches of inflammation.
    Cellulitis
  7. Is cellulitis contagious?
    Yes
  8. Is massage therapy indicated for Cellulitis?
    Systemic contraindication until infection passes
  9. What condition is indicated when a variety of dermatophytes feed on dead skin cells/keratin?
    Fungal infections
  10. Red patches are called Tinea - also know as ringworm

    capitus – head
    corporis – body
    pedis – feet (athlete's foot)
    cruris – genital (jock itch)
    manus - hands

    Are exaples of what condition?
    Fungal infections
  11. Are fungal infections contagious?
    Yes
  12. Can you perform massage therapy on someone with fungal infections/ringworm?
    Local contraindication, very contagious: skin to skin / object to skin (do not let them get on your equipment)
  13. A viral infection with 2 types : type 1 being oral and type 2 being genital. Virus is primarily dormant until triggered – stress, excessive sunlight, outbreaks last 2-3 weeks, sores may or maynot be present (blisters w/dry crusty), tingling/itching/pain, virus can spread either way can live outside host for hours
    Herpes Simplex
  14. Is Herpes Simplex contagious?
    Yes
  15. Is it indicated to perform massage therapy on someone with Herpes Simplex?
    Local contrainication, do not massage. Systemically contraindicated if systemic S/S.
  16. What is a bacterial – streptococcus or staphylococcus infection? Typically the infection appears where there is broken or damaged skin. Often a honey colored crust appears after blister has popped.
    Impetigo
  17. Is impetigo contagious?
    Yes
  18. Can you perform massage therapy on someone with impetigo?
    Systemically contraindicated until signs and symptomse are resolved/over/healed.
  19. Microscopic Arthropods/Parasites that causes skin lesions called scabies (bumps)
    Mites
  20. What are the signs/s of mites?
    Typically found in moist areas of the body and burrow under the skin to drink blood defacate and reproduce, the S/S may not show up for days/weeks...
  21. Are mites contagious?
    Yes
  22. Is it indicated to perform massage therapy on someone with mites?
    No. Systemic contraindication. Mites can spread with skin to skin contact and object to skin contact. Very contagious.
  23. Arthropods/parasites that infect hair regions of the body. They live on the head (live on scalp lay eggs(nits) on hair follicle), body (live/stay on clothing) or in the pubic area (crabs – live on coarse body hair - itching ).
    Lice
  24. Are lice contagious?
    Yes, very (most contagious STD)
  25. Massage therapy and lice?
    Systemic contraindication until infestation is resolved, do not touch anyone with lice or let them get in contact with your equipment. If you have an infestation you must use HEAT to kill them off.
  26. What is a smll benign neoplasm caused by the Human Papilloma Virus(HPV)? (virus=stress makes it hard to fight off)
    -don't spread easily
    -Virus produces extra keratin cells, virus contained in blood and shedding skin cells (how it is spread)
    -mainly in children and teenagers
    -virus can spread if it is picked at and aggrivated
    -resolve in ~2 years
    -cauliflower shaped
    Warts
  27. Are warts contagious?
    Yes, but not very
  28. Can you massage someone with warts?
    Yes, but it is a local contraindication, don't touch that area and have ct/ cover it if possible.
  29. What is an idiopathic chronic skin condition that typically appears in 30-60yr old fair skinned, mostly found on face, triggers: sunlight, stress, foods?
    Acne Rosacea
  30. Is Acne Rosacea contagious?
    No
  31. Is it a good idea to perform massage therapy on someone with Acne Rosacea?
    Locally contraindicated, use gloves and water based lubricant if possible.
  32. Small localized bacterial infections of the sebaceous glands, typically appears on the face, neck and back, with localized pain, not systemic
    Acne vulgaris (normal acne)
  33. Is Acne vulgaris contagious?
    No
  34. Should you perform massage therapy to someone with Acne vulgaris?
    Local contraindication, use gloves and water based lubricant (if skin is compromised do not touch)
  35. Skin inflammation - from external irritant or allergen and immune dysfunctionn/hypersensitivity expressed in skin
    -Type 1 reaction – systemic immune response immediate
    -Type 4 reaction – allergic reaction where symptoms show 24-48 hours after exposure – delayed response
    Skin may be dry and flaky, or blistering and weepy
    Dermatitis/ eczema
  36. Is Dermatitis/ eczema contagious?
    No
  37. Massage therapy of Dermatitis/ eczema?
    Indicated depending on source of irritant/ skin condition, airborn or local...
  38. A hypersensitivity reaction often with redness/swelling/pain, small raised patches called wheals, caused by allergic reactions (release of histamines) and or stress
    Hives (also called Uticaria)
  39. Are hives contagious?
    No
  40. Is it indicated to perform massage therapy on someone with hives?
    Systemic contraindication in acute phase
  41. What is a benign neoplasm of melanocytes, typically black or brown in color, no color mixture, slightly raised.
    Moles (nevi)
  42. Are moles contagious?
    No
  43. Is massage therapy indicated when moles are present?
    Yes, but be cautious with pressure
  44. Chronic skin disease, hyperactive epithelial tissue replication cause is still being studied. Every 2-4 days vs. 28-32 days, physical/emotional trauma, immune suppression, pink patches w/ silvery scales, itchy
    Psoriasis
  45. Is Psoriasis contagious?
    No
  46. Massage therapy of Psoriasis?
    Local contraindication in acute stage or if skin is not intact
  47. Pre-cancerous red to brown scaly lesions on exposed areas of the body (forehead). Sores crust but do not heal properly.
    Actinic Keratosis
  48. Is Actinic Keratosis contagious?
    No
  49. Is it inicated to perform massage therpay on Actinic Keratosis?
    No. Local contraindication.
  50. Uncontrolled growth(tumor) of stratum basale layer of epidermis
    -Commonly seen on bridge of nose and eyebrows
    -small lumps with round edges
    -hard border with sunken middle
    -sores do not heal –crust over/ shed the scab/ then crust again
    Basal Cell Carcinoma
  51. Is basal cell carcinoma contagious?
    No
  52. Massage therapy of basal cell carcinoma?
    Local contraindication
  53. Uncontrolled growth (tumor) of Keratinocytes of the epidermis, more dangerous than BCC can spread to lymph system, deeper form of cancer, can occure anywhere on the skin, less distinct borders, unhealing wound
    Squamos Cell Carcinoma
  54. Is Squamos Cell Carcinoma contagious?
    No
  55. Can you massage someone with squamos cell carcinoma?
    Modified MT with MD approval
  56. Neoplasm of the melanocytes
    Least common form of skin cancer
    Leading cause of skin disease related deaths
    Caused by cumulative sun exposure.
    Characterized by:
    Asymmetrical
    Border – irregular/indistinct
    Color – mixed/multicolored
    Diameter – larger than 5mm (Pencil erasure)
    Elevated – partially
    Malignant Melanoma
  57. Is Malignant Melanoma contagious
    No
  58. Is massage therapy indicated for Malignant Melanoma?
    Modified MT with MD approval
  59. What is the timeframe for the acute stage of injury?
    24-48 hours (3-4 days according to Rattray)
  60. What is the timeframe for the early subacute stage of injury?
    48 hrs – 2-3 weeks
  61. What is the timeframe for the late subacute stage of injury?
    2-3 weeks – 4-6 weeks
  62. What is the timeframe for the chronic stage of injury?
    4-6 weeks out
  63. S/S of 1st degree burn
    • Mild inflammation of the superficial epidermis
    • -Redness, edema, pain, heat (inflammation)
    • -NO blistering
    • -lasts 2-3 days typically
  64. S/S of 2nd degree burn
    • Damage to epidermis and dermis
    • -Blistering
    • -inflammation
    • -accessory organs damaged but not permanently
  65. S/S of 3rd degree burn
    • Damage to the epidermis, dermis & subcutaneous tissue
    • -Permanent damage to accessory organs
    • -blackened tissue, sometimes whitening and charring
  66. Is it indicated to massage someone with a 2nd degree burn?
    Local contraindication, if the integrity of the skin is compromised in any way, also do not perform any circulatory MT because you do not want to increase fluid to the area.
  67. Is is indicated to massage someone with a 3rd degree burn?
    Local contraindication, if the integrity of the skin is compromised in any way, also do not perform any circulatory MT because you do not want to increase fluid to the area.
  68. Is it indicated to massage someone with a 1st degree burn?
    Local contraindication, if the integrity of the skin is compromised in any way, also do not perform any circulatory MT because you do not want to increase fluid to the area.
  69. Are burns contagious?
    No
  70. Damage to the epidermis, dermis and subcutaneous tissue due to chronic inadequate blood flow to tissue, usually over bony prominences, often seen in people who are bedridden or wheelchair ridden.
    Decubitus ulcer, aka bedsore, pressure sore or trophic ulcer
  71. Are Decubitus ulcer, aka bedsore, pressure sore or trophic ulcer's contagious?
    No
  72. Is is safe to perform MT on someone with a decubitus ulcer, bedsore, pressure sore or trophic ulcer?
    Contraindicated due to bacterial contamination and invasion (can spread), if MD approves avoid involved areas, ask about systemic infection.
  73. Pathologically dry skin, skins resembles fish scales, may be darker than surrounding tissue
    Ichthyosis
  74. Is Ichthyosis contagious?
    No
  75. Is MT indicated for clients with Ichthyosis?
    Contraindication if skin is not intact
  76. Body wide pain diagnosed by min. of 11 out of 18 tender points when other conditions have been ruled out
    -Body wide pain
    -fatigue
    -trouble sleeping or non restorative sleep
    -chronic pain for at least 3 months
    Fibromyalgia syndrome
  77. Is MT indicated for clients with fibromyalgia syndrome?
    Yes, indicated within client's pain tolerence. Lymphatic drainage is good for this.
  78. Collection of signs and symptoms indicating trauma to muscles
    -chronic pain/spasm/pain cycle
    -development of chronic trigger points
    -chronic pain/no relief
    Myofascial pain syndrome
  79. Is MT indicated for Myofascial pain syndrome?
    Indicated
  80. Degeneration of muscle tissue/atrophy of skeletal muscle leading to permanent contracture
    -Lack of dystrophin – protein that helps muscles convert muscle or glycogen to fuel
    -muscle is replaced by fat and connective tissue
    Muscular dystrophy
  81. Is MT indicated for clients with Muscular dystrophy?
    Indicated to minimize contractures
  82. Bone formation in soft tissue typically as a result of trauma.
    -bruising usually followed by hardening and tenderness in area.
    -hardened bony type mass sets up
    -eventually reabsorbed by the body within ~2
    years
    Myositis Ossificans
  83. Is MT indicated for mytosis ossificatians?
    Local contraindication in acute stage, but work in later stages is poss. Help body reabsorb bony formation
  84. Generic term to describe various lower leg conditions
    -Periostitis – inflammation of periosteum
    -hairline fracture(stress fracture)
    -compartment syndrome:
    acute – med. Emergency
    chronic
    Shin splints
  85. Is MT indicated for shin splints?
    Indicated in subacute stage
  86. -chronic (guarding)
    -acute involuntary full contraction of muscle

    Contributing factors include:
    -nutrition
    -ischemia
    -exercise
    -associated muscle cramping
    -spllinting (guarding)
    Spasm and cramps
  87. MT for spasms and cramps?
    Cramp – cramp relief indicated (recip inhibition)

    Spasm – reduce but do not remove spasm
  88. A tear or rip to the musculotendinous unit of a muscle
    3 degrees:
    1st – mild
    2nd – moderate
    3rd – severe – rupture
    Strains
  89. Is MT indicated for strains?
    Contraindication in acute stage

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