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Clinical Exam Skin Chapter
Chapter 8 Mosby's Clinical Exam book
35
Medical
Graduate
11/27/2011

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Term
macule
Definition
flat,circumscribed area that is a change in the color of the skin
less than 1 cm
ex: freckles, flat moles (nevi) petechiae, measles, scarlet fever
Term
papule
Definition
elevated, firm, circumscribed area
less than 1 cm
ex: wart (verruca), elevated moles, lichen planus
Term
patch
Definition
a flat, nonpalpable, irregular-shaped macule
greater than 1 cm
ex: vitiligo, port-wine stains, Mongolian spots, café au lait patch
Term
plaque
Definition
elevated, firm, and rough lesion with flat top surface
greater than 1 cm
ex: psoriasis, seborrheic and actinic keratoses
Term
wheal
Definition
elevated, irregular-shaped area of cutaneous edema
solid and transient
variable diameter
ex: insect bites, urticaria, allergic reaction
Term
nodule
Definition
elevated, firm, circumscribed lesion
deeper in dermis than a papule
1-2 cm
ex: erythema nodosum, lipoma
Term
tumor
Definition
elevated and solid lesion
may or may not be clearly demarcated
deeper in dermis
greater than 2 cm
ex: neoplasm, benign tumor, lipoma
Term
vesicle
Definition
elevated, circumscribed, superficial, not into dermis
filled with serous fluid
less than 1 cm
ex: varicella, herpes zoster
Term
bulla
Definition
vesicle greater than 1 cm
ex: blister, pemphigus vulgaris
Term
pustule
Definition
elevated, superficial lesion
similar to a vesicle but filled with purulent fluid
ex: impetigo, acne
Term
cyst
Definition
elevated, circumscribed, encapsulated lesion
in dermis or subcutaneous layer
filled with liquid or semisolid material
ex: sebaceous cyst, cystic acne
Term
telangiectasia
Definition
fine, irregular, red lines produced by capillary dilation
ex: telangiectasia in rosacea
Term
scale
Definition
heaped-up, keratinized cells
flaky skin; irregular; thick or thin; dry or oily; variation in size
ex: flaking of skin with seborrheic dermatitis following scarlet fever or flaking of the skin following a drug reaction; dry skin
Term
lichenification
Definition
rough, thickened epidermis secondary to persistent rubbing, itching or skin irritation
often involves flexor surface of extremity (knees/elbows)
ex: chronic dermatitis
Term
keloid
Definition
irregular-shaped, elevated, progressively enlarging scar
grows beyond the boundaries of the wound; caused by excessive collagen formation during healing
Term
scar
Definition
thin to thick fibrous tissue that replaces normal skin following injury or laceration to the dermis
Term
excoriation
Definition
loss of the epidermis; linear hollowed-out, crusted area
ex: abrasion or scratch, scabies
Term
fissure
Definition
linear crack or break from the epidermis to the dermis
may be moist or dry
ex: athlete's foot, cracks at the corner of the mouth
Term
erosion
Definition
loss of part of the epidermis; depressed, moist, glistening
follows rupture of a vesicle or bulla
ex: varicella, variola after rupture
Term
ulcer
Definition
loss of epidermis and dermis
concave, varies in size
ex: decubiti, stasis ulcers
Term
crust
Definition
dried serum, blood, or purulent exudates
slightly elevated, size varies; brown, red, black, tan or straw-colored
ex: scab on abrasion, eczema
Term
atrophy
Definition
thinning of skin surface and loss of skin markings
skin translucent and paper-like
ex: striae, aged skin
Term
central clearing
Definition
an erythematous border surrounds lighter skin
Term
desquamation
Definition
peeling or sloughing of skin
Term
keratotic
Definition
hypertrophic stratum corneum
Term
punctation
Definition
central umbilication or dimpling
ex: basal cell carcinoma
Term
telangiectasias (def)
Definition
dilated blood vessels within lesion blanch completely, may be markers of systemic disease
ex: basal cell carcinoma, actinic keratosis
Term
annular
Definition
round, active margins with central clearing
Term
zosteriform (dermatomal)
Definition
following a nerve or segment of the body
ex: herpes zoster
Term
polycyclic
Definition
interlocking or coalesced circles (formed by enlargement of annular lesions)
ex: psoriases, urticaria
Term
iris/target lesion
Definition
pink macules with purple central papules
ex: erythema multiforme
Term
stellate
Definition
star-shaped
meningococcal septicemia
Term
serpiginous
Definition
snakelike or wavy line track
ex: cutanea larva migrans
Term
reticulate
Definition
netlike or lacy
ex: polyarteritis nodosa, llichen planus lesions of erythema infectiosum
Term
morbilliform
Definition
measles like: maculopapular lesions that become confluent on the face and body
ex: measles, roseola, drug eruptions
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