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Health Assessment CH 12
Jarvis Health Assessment ch 12
24
Nursing
Graduate
06/30/2013

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Term
annular (circular)
Definition
begins in center and spreads to periphery
ex: tinea corporis (ring worm), tinea versicolor, pityriasis rosea
Term
confluent
Definition
lesions run together
ex: urticaria (hives)
Term
discrete
Definition
distinct, individual lesions that remain separate
ex: acrochordon (skin tags), acne
Term
gyrate
Definition
twisted, coiled spiral, snake like
ex:
Term
linear
Definition
a scratch, streak, line or stripe
Term
zosteriform
Definition
linear arrangement along a unilateral nerve route
ex: herpes zoster
Term
grouped
Definition
clusters of lesions
ex: vesicles of contact dermatitis
Term
target
Definition
"iris" resembles iris of eye, concentric rings of color in the lesions
ex: erythema multiforme
Term
polycyclic
Definition
annular lesions grow together
ex: lichen planus, psoriasis
Term
macule
1
Definition
solely a color change, flat and circumscribed, less than 1cm
ex: freckles, flat nevi, hypopigmentation, petechiae, measles, scarlet fever
Term
patch
1
Definition
macules that are larger than 1 cm
ex: mongolian spot, vitiligo, cafe au lait spot, chloasma, measles
Term
papule
1
Definition
something you can feel (solid elevated circumscribed less than 1 cm - caused by superficial thickening in the epidermis
ex: elevated nevus (mole), lichen planus, molluscum, wart (verruca)
Term
plaque
1
Definition
papules coalesce - surface elevation wider than 1cm - plateau-like, disk shaped
ex: psoriasis, lichen planus
Term
nodule
1
Definition
solid, elevated, hard or soft, larger than 1cm - may extend deeper into dermis than papule
ex: xanthoma, fibroma, intradermal nevi
Term
tumor
1
Definition
larger than a few cm in diameter, firm or soft, deeper into dermis - benign or malignant
ex: lipoma, hemangioma
Term
wheal
1
Definition
superficial, raised, transient and erythematous, slightly irregular shape due to edema
ex: mosquito bite, allergic rxn, dermographism
Term
urticaria
1
Definition
(hives) wheals coalesce to form extensive rxn, intensely pruritic (itching)
Term
vesicle
1
Definition
elevated cavity of free fluid up to 1 cm, a "blister" clear serum flows if wall is ruptured
ex: herpes simplex, early varicella, herpes zoster (shingles), contact dermatitis
Term
bulla
1
Definition
> 1cm, usually single chambered (unilocular), superficial in epidermis, this walled, ruptured easily
ex: friction blister, pemphigus, burns, contact dermatitis
Term
cyst
1
Definition
encapsulated fluid-filled cavity in dermis or subcutaneous layer, tensely elevating skin
ex: sebaceous cyst (wen)
Term
pustule
1
Definition
turbid fluid (pus) in the cavity, circumscribed and elevated
ex: impetigo, acne
Term
crust
2
Definition
thickened, dried-out exudate left when vesicles/pustules burst or dry up (red-brown, honey, yellow per ingred - blood serum pus)
ex: impetigo, weeping eczematous dermatitis, scab after abrasion
Term
scale
2
Definition
compact, desiccated flakes of skin, dry or greasy, silvery or white from shedding of dead excess keratin cells
ex: scarlet fever or drug rxn - laminated sheets, psoriasis - silver, mica like, seborrheic dermatitis - yellow greasy, eczema, ichthyosis - lrg adherent laminated, dry skin
Term
hemangiomas
Definition
benign proliferation of blood vessels in the dermis
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