1) H&P Flashcards
Spring conditions
- Atopic dermatitis
- Contact dermatitis
Summer conditions
- Contact dermatitis
- Insect bites
- Photosensitivity
- Miliaria
Fall conditions
- Ragweed dermatitis
- Contact dermatitis
Winter conditions
- Chapping
- Xerostosis
- Pruritis
Occupational hazards
- Chemicals
- Biological
- Physical
- Mechanical
- Psychological
Common offending medications
- Antibiotics
- Antihistamines
- Fungicides
- Local anesthetics
Poor arterial circulation may contribute significantly to dermatological manifestations including
- Arterial ulcers
Bad venous circulation could cause various dermatoses including
- Venous stasis
- Hemosiderin deposition
- Edema
- Venous ulcers
Characteristics of lesions to describe
- Size
- Shape
- Outline
- Border
- Color
- Texture
- Topography
- Contents
Nail characteristics to look at
- Color of nail plate, bed, and lunula
- Thickness/texture
- Shape (longitudinal or transverse curvature)
- Attachment
- Surrounding structures
- Presence of pain
The nail plate
- Formed by the matrix
- Active metabolic process and susceptible to local/metabolic disorders
Anonychia
- Absence of nail
- One that has failed to develop
Beau’s lines
- Horizontal depression across nail plate
- Caused by transient arrest of nail growth from MI, PE, high fever
Blue nails
- Self evident
- Exposure to silver nitrate, antimalarial drugs, poor circulation, etc
Brown nails
- Occurs in Addison’s, arsenic intoxication, melanoma, etc.
Dystrophic nail
- Secondary to poor nutrition
Gray nail
- Argyria (silver accumulation)
Green nail
- PSeudomonas infection
Hapalonychia
- Rubbery & pliable nail secondary to hyperhidrosis or endocrine disorders
Hippocratic nails (clubbing)
- Excessive longitudinal curvature
- Seen in cardiac diseases, pulmonary disease, or GI diseases
Koilonychia
- Plumber’s nail
- Long standing iron deficiency
Leukonychia
- White spots or stria
Lindsay’s nail
- Liver disease, azotemia
- Proximal nail is dull and white while distally is pink or brown with sharp demarcation
Mee’s lines
- Single transverse white band
- Arsenic poisoning
Melanonychia
- Pigmented longitudinal band
Muehrcke’s nails
- Nephrotic syndrome
- Paired narrow horizontal white bands
Onycholysis
- Separation from nail bed beginning distally and progressing proximally
Onychomadesis
- Separation from nail bed beginning proximally and progressing distally
Onychopuntata
- Pitting of the nails seen in psoriasis, lichen planus, and alopecia
Onychoschizia
- Splitting or lamination of nail plate into layers
Red lunula
- Associated with right-sided CHF
Splinter hemorrhages
- Associated with subacute bacterial endocarditis and trichonosis
Telangiectatic posterior nail fold
- Indicative of connective tissue disorder such as lupus & dermatomyositis
