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HDC - Final
HDC - Final
43
Health Care
Professional
06/21/2011

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Cards

Term
The initial basic change/changes associated with a lesion
Definition
Primary lesion
Term
A circumscribed area of the epidermis or mucosa distinguised by color from its surroundings.  Usually < 1 cm.
Definition
Macule.  Note, a macule is smaller than a patch.
Term
A superficial, elevated solid lesion or structure that is < 1 cm. 
Definition
Papule
Term
T/F Papules can be any color.
Definition
True.  
Term
What are the 2 things papules may be attached with?
Definition
Broad base (sessile) or a stalk (pedunculated).
Term
What is a solid mass of tissue that has the dimension of depth, < 1cm?
Definition
Nodule
Term
A solid mass of tissue that has the dimension of depth > 1 cm.  
Definition
Tumor.  Also a neoplasm.
Term
Wha tis a uniform density lesion?
Definition
Mass
Term
What is a fluid-filled or fluctuant lesion?
Definition
Mass.
Term
What is a circumscribed fluid filled elevation of mucosa < 1cm?
Definition
Vesicle
Term
What are vesicles filled with?
Definition
Lymph, serum, or blood.
Term
What's the difference between a vesicle and bulla?
Definition
Bulla are larger than vesicles, typically > 5 mm.
Term
What is a mass that is lined with epithelium in the skin, submucosa, or within bone?
Definition
Cyst.
Term
What can a cyst be filled with?
Definition
Can be empty, partially or totally filled with fluid or a semi-solid or solid substance.
Term
What is a small elevatin of the skin containing cloudy or purulent material?
Definition
Pustule.
Term
What kind of cells are in a pustule?
Definition
Necrotic inflammatory cells.
Term
What are changes that evolve from primary lesions of a disorder - b/c they naturally occur later in the pathophysiology of the disorder or due to secondary causes like scratching/itching.
Definition
Secondary Lesions
Term
What is a lesion that doesn't go below the basal layer.
Definition
Erosion.
Term
T/F Erosion lesions bleed.
Definition
False.
Term
Lesions that extend below the basal layer.
Definition
Ulcer
Term
T/F Ulcers are more painful than erosions.
Definition
True
Term
T/F Ulcers don't have blood vessels exposed.
Definition
False.  Called erythomatous.
Term
What is an edematous papule or plaque?
Definition
Wheal
Term
What is an intra-epithelia extravasation of serum?
Definition
Wheal
Term
T/F Wheals are transitory.
Definition
Wheal
Term
T/F Wheals have no association with allergies.
Definition
False - they are allergic rxns to insect bites or contact w/ an irritating substance/mechanical trauma.
Term
What is a circumscribed elevation of the skin/mucosa filled w/ pus (purulent exudate)?
Definition
Pustule.
Term
What is typically associated with infection?
Definition
Pustule.
Term
What is a split or cleft in the skin/mucosa?
Definition
Fissure.
Term
T/F the walls of a fissure are not well-defined.
Definition
False - they are 
Term
Fissured ulcers are typically filled with....?
Definition
Blood or other exudates.
Term
What is a dried exudate, excretion or secretion of the skin/mucosa?
Definition
Crust.
Term
T/F Crusts/scales often appear on the lips and in the oral cavity.
Definition
False - not in the oral cavity - too moist.
Term
What is dried epithelium that is superficially located?
Definition
Scales.  These are dandruff.
Term
What is the M in MINDO?
Definition
Is the lesion a result of a Metabolic or system disease (diabetes, liver failure).
Term
What is the I in MINDO?
Definition
Is the lesion a result of an Infectious, Inflammatory or a reactive process?
Term
What is the N in MINDO?
Definition
Neoplasm - new growth.
Term
What is the D in MINDO?
Definition
Is the lesion developmental?  Has it developed during the maturation process?  Usually appear at a young age, slow growth
Term
What is MINDO?
Definition
Other - a lesion/process not easily placed in one of the other groups - example - immune-mediated vesiculobullous-ulcerative conditions
Term
What is the A in ABCDs?
Definition
Is the lesion asymmetrical?
Term
What is the B in ABCDs?
Definition
Irregular Borders.
Term
What is the C in ABCD?
Definition
Color - many colors and dark colors.
Term
What is the D in ABCDs?
Definition
Diameter - > 6 mm (pencil eraser).
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