Skin

IAN PEATE is a Visiting Professor at Northumbria University, a Senior Clinical Fellow at the University of Hertfordshire, and a Professorial Fellow at the University of Roehampton. He is also the Editor-in-Chief of the British Journal of Nursing and the Consultant Editor of the Journal of Paramedic Practice and the International Journal of Advancing Practice.

• Preface viiiAcknowledgements x1 Anatomy and Physiology of the Skin 1Skin 1Accessory Structures of the Skin 8Hair 8Skin Glands 9Nails 10The Functions of the Skin 12Excretion and Absorption 14Synthesis of Vitamin D 14Conclusion 14Glossary of Terms 15Multiple Choice Questions 15References 172 Assessment of the Skin 18Assessing the Skin 19Variations in Presentations Between Dark and Light Skin 20The Patient History 21Exudate 21Family and Social History 23Physical Examination 24Inspection 24Skin Examination 26Hair and Nail Assessment 27Psychodermatology 28Conclusion 29Glossary of Terms 29Multiple Choice Questions 30References 313 Psoriasis 32Types of Psoriasis 32Pathophysiological Changes Associated with Psoriasis 34Epidemiology 36Risk Factors 36Clinical Presentation 37Clinical Investigations and Diagnosis 39Psoriasis Area and Severity Index 39Use of Photography 42Investigations 45Management 46Health Teaching 48Conclusion 48Glossary of Terms 49Multiple Choice Questions 50References 514 Eczema 52Types of Dermatitis 52Atopic Dermatitis 52Contact Dermatitis 52Seborrhoeic Dermatitis 54Pompholyx Eczema 54Nummular Eczema 54Venous Eczema 54Pathophysiological Changes Associated with Atopic Dermatitis 54Epidemiology 56Risk Factors 57Clinical Presentation 59Clinical Investigations and Diagnosis 60Management 62Health Teaching 64Conclusion 64Glossary of Terms 65Multiple Choice Questions 65References 675 Melanoma 68Skin Cancer 68Melanocytes 69Pathophysiological Changes Associated with Melanoma 70Epidemiology 72Risk Factors 72Clinical Presentation 74ABCDE EFG and 7-Point Check List 75Clinical Investigations and Diagnosis 76Staging 79Management 80Health Teaching 82Conclusion 84Glossary of Terms 84Multiple Choice Questions 85References 876 Burns 88First Aid for Burns 88Classification of Burns 89Complications and Associated Problems 91Pathophysiological Changes Associated with Burns 91Epidemiology 94Risk Factors 95Clinical Presentation 96Clinical Investigations and Diagnosis 96Clinical Assessment 97Management 98Health Teaching 101Conclusion 102Glossary of Terms 103Multiple Choice Questions 104References 1057 Herpes Zoster 107Herpes Infection 107Pathophysiological Changes Associated with Herpes Zoster 107Reactivation of the Virus 107Complications 110Transmission 110Epidemiology 111Risk Factors 111Clinical Presentation 112Clinical Investigations and Diagnosis 115Management 117Health Teaching 118Vaccination 119Conclusion 120Contents viiGlossary of Terms 120Multiple Choice Questions 121References 1228 Acne Vulgaris 123Acne 123Pathophysiological Changes Associated with Acne Vulgaris 124Epidemiology 126Risk Factors 126Clinical Presentation 128Clinical Investigations and Diagnosis 128Management 131Long-term Treatment Requirement 132Continued Therapy 132Specific Circumstances Concerning Isotretinoin 133Importance of Monitoring 133Long-term Remission 133Health Teaching 133Conclusion 135Glossary of Terms 135Multiple Choice Questions 136References 137MCQ Answers 138Index 139

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