Derm Exam Flashcards
primary lesion
first recognizable skin lesion or involved basic skin changes
secondary lesion
evolve from primary
-natural history of disorder or scratching of infection
layers of skin
epidermis
dermis
subQ
vellus hair
short, fine, unpigmented
-peach fuzz
terminal hair
coarser, thicker, pigmented
-scalp, eyebrows, pubes
3 growth phases of hair
catagen
telogen
anagen
catagen phase
transitional phase 3%
telogen phase
resting phase 10-15 %
anagen phase
growing phase 85-90%
nail anatomy
lunula (white part)
cuticle (hang nail)
clubbing
rounding of nail
-soft and spongy
psoriasis
small pits in nails
mees lines
lines of discoloration across nail
-indicate poisoning or in renal failure
beaus line
grooves in nail (horizontal)
-normal with aging
skin coloration blend of what pigments?
melanin - brown
carotene - yellow
carboxyhemoglobin - red
de-oxyhemoglobin - blue/red
albino
no melanin
ski color determined by
amount of melanin
melanocytes
cells containing melanin in organelles called melanosomes
-migrate outward to the epidermis
central cyanosis
look in lips
jaundice
yellowing of sclera first, then skin
red color of carboxyhemoglobin
at fingertips, lips, mucous
dark-skinned - palms and soles
temperature
with back of fingertips
mobility and turgor
ease with which it lifts - mobility
speed it returns to place - turgor
be bound patients
may get pressure sores
-compression of arteries and capillary blood flow to skin
distribution
extensor and flexor surfaces