21 - Skin, Hair and Nails

Question 1

Parts of the nail

Answer 1

Nail plate
Nail bed
Cuticle
Nail root
Nail plate
Lunula
Proximal nail fold

LOOK AT PG. 33 IN LAB MANUAL

Question 2

Appendages of the skin

Answer 2

Hair
Nails
Sebaceous glands
Eccrine sweat glands
Apocrine sweat glands

Question 3

ABCDEs of melanoma recognition

Answer 3

Asymmetry
Borders irregular
Color variation
Diameter > 6 mm
Evolution in size, etc.

“This will be a test question”

Question 4

Basal cell carcinoma

Answer 4

Most common skin cancers

Sun exposure
Pearly, waxy papule
Usually stays local (so death is rare)

Advanced stage - look like a volcano

Treatment is excision

Question 5

Squamous cell carcinoma

Answer 5

Second most common skin cancer

Can metastasize
Preceded by actinic keratosis lesion
Scaling, crusting, ulcer

Excision, possibly with radiology or chemo

Question 6

Normal mole

Answer 6

Uniform
Clear defined borders
< 6 mm
Round or oval

Question 7

Dysplastic mole

Answer 7

Varied appearance
Irregular borders
Smooth, scaly, rough, irregular
> 6 mm

Question 8

Schamroth sign

Answer 8

If clubbing is absent, the window appears between two pointer nails together (small diamond shaped window)

Increased volume of the clubbed digit is primarily due to increased amounts of vascular connective tissue

Question 9

Schamroth sign can indicate…

Answer 9

Lung issues
Cardio issues

Could be many other things

Question 10

Melanoma

Answer 10

Right away you take a wide margin excision if you suspect this - asymmetry, irregular border, etc.

Causes most skin cancer deaths

Check lymph nodes for metastasis