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Chapter 5-Integumentary 3
Chapter 5-Integumentary 3
13
Medical
Graduate
10/17/2012

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Term

superficial flattend papules covered in dry scale. often multiple, they maybe round, irregular, and are pink, tan, or grayish. 

 

They appear on sun exposed skin on older fair skin peeps.

Definition

actinic keratosis

 

(those themselves are benign. these lesions may give rise to squamous cell carcinoma. typical areas are face and hand).

Term

these are common, benign, yellowish to brown, raised lesions, that feel slightly greasy or velvety or warty. 

 

typically multiple and symmetically distrubuted on the trunk of older people. 

 

may also appear on the face and elsewhere.

Definition

seborrheic keratosis

 

(in black people, often younger women, they may appear as small, deeply pigmented papules on the cheeks and temples--dermatoiss papulosa nigra). 

Term

though malignant, this grows slowly, and seldom metastizes. it is most common in fair skinned adults over 40, and usually appears on theface. 

 

an initial translucent nodule spreads, leaving a depressed center and a firm, elevated border. Telangiectatic vessles are oten visible. 

Definition
Basal Cell Carcinoma.
Term

usually appears on sun exposed skin on fair skined adults over 60. 

 

It may develop into actinic keratosis. 

 

Uusally grows more quickly than basal cell carcimoma, and is redder and harder. The face and back of hand are often affected. 

Definition
Squamous Cell Carcinoma. 
Term

a malignant tumor that accompanies AIDS and may appear in many forms:

 

including macules, papules, plaques, or nodules almost anywhere on the body. Lesions are often multiple and may involve internal structures. 

 

 

Definition
Kaposi's Sarcoma in AIDS
Term

the distal phalanx of each finger is rounded and bulbous. The nail plate is more convexed; and the angle between the plate and the proximal nail fold increases to 180 degress or more. 

 

the proximal nail fold feels spongy or floating. 

Definition

clubbing of the fingers 

 

(causes include--chronic hypoxia from heart disease or lung cancer and hepatic cirrhosis). 

Term

an inflammation of the proximal and lateral nail folds; maybe acute or chronic; folds are red, swollen, and often tender. the cutical maynot be visible. 

 

people who frequently immerse thier nails in water are susceptible. Multiple nails are often affected.

Definition
Paronychia
Term
a painless separation of the nail plate, from the nail bed. It starts distally, enlarging the free edge of the nail, to a varying degress. several or all nails are usually affected. Causes are many. 
Definition
Onycholysis
Term

mostly whitish with a distal band of reddish bown on the nails. the lunulae of the nails maynot be visible. these

nails maybe seen with aging and people with chronic diseases such as cirrhosis of the liver, congestive heart failure, and non insulin dependent diabetes. 

Definition
Terrys nails. 
Term

trauma to the nails is commonly followed by white spots. they grow slowly out of the nail. spots are caused by over manicuring. 

 

 

Definition
white spots (leukonychia)
Term
these are transverse lines, not spots, and their curves are similiar to those of the lunula, not the cuticale. these uncommon lines may follow an acute or severe illness. they emergefrom under the proximal nail folds and grow out with the nails. 
Definition
transverse white lines (mees' lines).
Term
small pits in the nails maybe early signs of this condition but are not specific for it. additional findings, not shown here, include oncholysis and a circumscribed yellowish tan discoloration known as an oil spot lesion. Marked thickening the the nails may develop. 
Definition
psoriasis
Term
transverse depresssions in the nails associated with acute severe illness. The lines emerge fromunder the proximal nail folds weeks later and grow gradually out with the nails. As with Mees' lines, clinicacians may be able to estimate the timing of a causal illness.
Definition
Beau's Lines
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