Article-Undertaking an assessment of the skin using a holistic approach Flashcards
Description of Macule
Flat mark, a circumscribed area of colour change, brown, red, white, blue or tan with smooth surface eg. Flat mole, freckle, measles
Description of Papule
Elevated spot, palpable, firm, circumscribed lesion, generally less than 5mm in diameter. May be solitary or multiple and can be: acuminate (pointed), dome-shaped (rounded), filiform (thread-like), flat-topped, oval or round, pedunculated (with a stalk), sessile (without a stalk), umbilicated (with a central depression), verrucous (warty) eg. Acne, scabies, warts
Description of Nodule
Elevated, firm, circumscribed, palpable, large solid lesion greater than 5mm in diameter eg. Cysts, lipomas
Description of Plaque
Elevated, flat-topped, firm, rough, superficial papule greater than 2cm in diameter with well-defined or ill-defined borders eg. Psoriasis
Description of Wheal
Elevated, solid, transient, changing and irregular-shaped area of cutaneous oedema. Variable in diameter, pale pink or white eg. Urticaria
Description of Vesicle
Elevated, circumscribed, superficial fluid filled blister less than 5mm in diameter. They may be grouped eg. Eczema herpeticum
Description of Bulla
Vesicle (blister) greater than 5mm in diameter eg. Bullous pemphigoid
Description of Pustule
Vesicle filled with pus eg. Acne, folliculitis
What is the term used for lesions that are all the same
monomorphic eg. rash
What is the term used for lesions that are different
polymorphic eg. chicken pox
Description of Scale
Heaped-up keratinised cells, flaky exfoliation, irregular, thick or thin, dry or oily, variable size, silver, white or tan in colour
Description of Crust
Dried serum, blood or purulent exudate, slightly elevated and variable in size
Description of Excoriation
Loss of epidermis, linear area usually due to scratching
Description of Lichenification
Rough, thickened epidermis; accentuated skin markings caused by rubbing or scratching
Description of Maceration
Softened, soggy epidermis