Term
1. skin changes are incidental findings in a well pt noted during routine PE
2. The skin changes are the chief complaint of the pt. |
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Definition
| 2 distinct clinical situations regarding the nature of skin changes |
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Term
1. When? onset.
2. Where? site of onset.
3. Does it itch or hurt? symptoms.
4. How has it spread (pattern)? evolution.
5. How have individual lesions changed? evolution
6. Provocative factors? head, cold, sun, exercise, travel hx, drug ingestion, pregnancy, season.
7. Previous tx? Topical or systemic?
Previous tx will change what the rash looks like! |
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Definition
| History of skin lesion - 7 key questions |
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Term
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Definition
| cicumscribed, flat discoloration, no elevatino or depression. <1cm |
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Term
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Definition
barely elevated plaque, a lesion between a macule and a plaque.
Seen in parapsoriasis or Kaposi Sarcoma. |
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Term
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Definition
| elevated solid lesion up to 0.5cm diameter, color varies, may become confluent & form plaques. |
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Term
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Definition
| circumscribed, well elevated, superficial, solid lesion > 0.5 cm, often formed by the confluence of papules |
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Definition
| less well defined, large plaque where the skin appears to e thickened and hte skin markings are accentuated. |
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Term
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Definition
| circumscribed, elevated, solid lesion > 0.5cm in diameter, palpable, solid, round, or ellipsoidal lesion that is larger than a papule. |
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Definition
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Definition
| circumscribed collection of leukocytes and free fluid that varies in size. Turbid content that may be white, yellow, greenish-yellow, or hemorrhagic. |
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Term
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Definition
<0.5cm, circumscribed, elevated, superficial cavity containing fluid. containing serum = yellow
containing blood = red to black |
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Term
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Definition
| circumscribed collection of free fluid > 0.5cm in diameter. |
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Term
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Definition
| firm edematous plaque resulting from infiltration of the dermis with fluid; transient and may last only a few hours. May be round, gyrate, or irregular with pseudopods. |
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Term
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Definition
| excess dead epidermal cells that are produced by abnorm keratinization and shedding. |
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Term
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Definition
when serum, blood, or purulent exudate dries on the skin surface, may be thin, delicate, and friable or thick and adherent like a scab.
Dried serum = yellow
purulent exudate = green or yellow-green
blood = brown, dark red, or black |
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Term
| urticarial exanthem, urticaria |
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Definition
| rash consisting of wheals. |
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Term
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Definition
| when the exudate involves the entire epidermis, the crusts may be thick and adherent. Accompanied by necrosis of the deeper tissues. |
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Term
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Definition
| focal loss of epidermis, doesn't penetrate below the dermalepidermal junction and therefor heal without scarring. |
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Term
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Definition
| focal loss of epidermis and dermis. Heal with a scar. |
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Term
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Definition
| linear loss of epidermis and dermis with sharply defined, nearly verticle walls. |
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Term
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Definition
| A depression in the skin resulting from thinning of the epidermis or dermis. |
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Term
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Definition
| manifested by thinning of the epidermis which becomes transparent, revealing the papillary and sub-papillary vessels. |
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Term
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Definition
| loss of connective tissue of the dermis and depression of the lesion |
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Term
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Definition
| abnormal formation of connective tissue implying dermal damage; after injury or surgery, initially thick and pink but with time become more white and atrophic |
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Definition
| erosion caused by scratching, often linear. |
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Term
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Definition
| plug of seaceous or keratinous material lodged in the opening of a hair follicle; the follicular orifice may be dilated (blackhead) or narrowed (whitehead). |
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Term
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Definition
| small, superficial keratin cyst with no visible opening. |
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Term
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Definition
| Circumscribed lesion with a wall and a lumen. Lumen may contain fluid or solid matter. May be skin colored, yellow, red, or blue. |
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Term
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Definition
| Narrow, elevated, tortuous channel produced by a parasite. |
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Term
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Definition
| An area of thickened epidermis induced by scratching, skin lines are accentuated so that the surface looks like a washboard. |
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Term
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Definition
| Dilated superficial blood vessel. |
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Term
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Definition
| circumscribed deposit of blood < 0.5cm in diameter. |
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Term
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Definition
| Circumscribed deposit of blood > 0.5cm in diameter. |
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Term
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Definition
| headache, chills, feverish, weakness |
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Term
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Definition
| fatigue, weakness, anorexia, weight loss, malaise |
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Term
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Definition
| used to detect slight degrees of elevation or depression |
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Term
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Definition
| Enhances contrast between circumscribed hypo/hyperpigmented lesions and normal skin. |
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Term
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Definition
| magnifying glass (hand lens) magnifies how much? |
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Term
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Definition
| binocular microscope magnifies how much? |
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Term
| We all hate dermatology as much as you do.....Keep Studying ;) |
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Definition
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Term
1. type of skin lesion
2. color
3. margination
4. consistency
5. shape
6. arrangement
7. distribution of lesions |
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Definition
| Derm Dx is the recognition of...(7 things) |
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