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BS Nursing 1 - NA
LABORATORY ASSIGNMENT 3
4. A 40-year-old beach boy is complaining to you that his suntan made him
popular when he was young - but now his face is all wrinkled, and has
several darkly pigmented moles that are growing rapidly and are as big as
large coins. He shows you the moles, and immediately think “ABCD.” What
does this mean, and why should he be concerned?
The dark pigmented moles that are growing rapidly are caused by rapid
production of melanin, as a result of the beach boy’s frequent sun exposure.
However, too much sun exposure caused malignant cells to form in the
melanocytes, which later on developed into skin cancer. The ABCD rule is used
to identify the tangible signs of skin cancer. These factors determine malignant
melanoma, which stands for: asymmetry, border, color, diameter, and sometimes
evolving. The A stands for asymmetry, wherein it can be seen that one half of a
mole is unlike the other half, a usual characteristic for cancerous moles. B is for
borders, which may appear irregular, scalloped, and poorly defined. A
noncancerous spot is more likely to demonstrate well-defined borders. The C
stands for color, which in cancerous spots, appears to have varying colors from
one area to the next, ranging from tan, brown, black, white, red, or blue.
However, signs for amelanotic melanoma may be harder to detect since it
doesn’t change melanin and blends in with the skin. The D is for diameter,
especially when its size is larger than 6 millimeters. The spot may also be
evolving, such that it may look different than the rest and grow or change shape.
With the visible presence of these signs on his skin, the beach boy should be
concerned because these signs imply he has melanoma.
5. A mother of a 13-month-old infant brings her child to the clinic because his
skin has turned orange. Why does the pediatrician inquire about the child’s
diet?
The pediatrician inquires about the infant’s diet because orange skin in
babies is developed when they eat a lot of baby foods high in carotene, such as
carrots, squash, sweet potato, corn, yams, pumpkin, egg yolks, spinach, and
beans. With this intake, a baby may acquire carotenemia, as shown in their skin
discoloration. Vegetables and fruits with a deep green or yellow color may also
contain high carotene levels. Even a breastfed baby can develop carotenemia if
the mother frequently eats food high in carotene. Although carotenemia is
typically harmless, the pediatrician may suggest changing the infant’s diet, so as
to prevent too much consumption of high-carotene foods. Carotenemia is usually
temporary and does not inflict major harm and as a result, the baby's skin color
should return to normal in a few months as more foods are introduced to their
diet.
Sources:
Pietrangelo, A. (2022, February 10). ABCDE rule for skin cancer: What it means and
how to use it. Healthline.
https://www.healthline.com/health/skin-cancer/abcd-rule-for-skin-cancer
Vanputte, C., Regan, J., & Russo, A. (2021). Seeley’s Essentials of Anatomy and
Physiology (11th ed.). MCGRAW-HILL US HIGHER ED.
Vincent, I. (2022, April 24). Carotenemia and Yellow Skin in Babies. Verywell Family.
https://www.verywellfamily.com/carotenemia-and-yellow-colored-skin-2634477