Derm Exam Flashcards

1
Q

primary lesion

A

first recognizable skin lesion or involved basic skin changes

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2
Q

secondary lesion

A

evolve from primary

-natural history of disorder or scratching of infection

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3
Q

layers of skin

A

epidermis
dermis
subQ

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4
Q

vellus hair

A

short, fine, unpigmented

-peach fuzz

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5
Q

terminal hair

A

coarser, thicker, pigmented

-scalp, eyebrows, pubes

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6
Q

3 growth phases of hair

A

catagen
telogen
anagen

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7
Q

catagen phase

A

transitional phase 3%

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8
Q

telogen phase

A

resting phase 10-15 %

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9
Q

anagen phase

A

growing phase 85-90%

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10
Q

nail anatomy

A

lunula (white part)

cuticle (hang nail)

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11
Q

clubbing

A

rounding of nail

-soft and spongy

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12
Q

psoriasis

A

small pits in nails

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13
Q

mees lines

A

lines of discoloration across nail

-indicate poisoning or in renal failure

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14
Q

beaus line

A

grooves in nail (horizontal)

-normal with aging

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15
Q

skin coloration blend of what pigments?

A

melanin - brown
carotene - yellow
carboxyhemoglobin - red
de-oxyhemoglobin - blue/red

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16
Q

albino

A

no melanin

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17
Q

ski color determined by

A

amount of melanin

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18
Q

melanocytes

A

cells containing melanin in organelles called melanosomes

-migrate outward to the epidermis

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19
Q

central cyanosis

A

look in lips

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20
Q

jaundice

A

yellowing of sclera first, then skin

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21
Q

red color of carboxyhemoglobin

A

at fingertips, lips, mucous

dark-skinned - palms and soles

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22
Q

temperature

A

with back of fingertips

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23
Q

mobility and turgor

A

ease with which it lifts - mobility

speed it returns to place - turgor

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24
Q

be bound patients

A

may get pressure sores

-compression of arteries and capillary blood flow to skin

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25
Q

distribution

A

extensor and flexor surfaces

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26
Q

macule

A

circumscribed change in skin color flush with surrounding tissue
< 1cm

ex/ vitiligo

27
Q

patch

A

circumscribed change in skin color flush with surrounding skin color > 1 cm

ex/ cafe-au-lait spots

28
Q

papule

A

solid or cystic elevation < 1cm

ex/psoriasis

29
Q

nodule

A

solid or cystic elevation between 1-2 cm

ex/dermatofibroma

30
Q

tumor

A

solid or cystic elevation >2cm

31
Q

scale

A

desiccated, thin plates of cornified epidermal cells that form flakes

ex/ ichthyosis vulgaris

32
Q

wheal

A

circumscribed, flat-topped firm elevation of skin with well-demarcated and palpable margin
-blanche with pressure

ex/ urticaria

33
Q

vesicle

A

circumscribed, elevated lesion containing clear serous or hemorrhagic fluid that is <1cm in diameter

ex/ herpes zoster

34
Q

bulla

A

circumscribed, elevated lesion containing clear serous or hemorrhagic fluid that is > 2cm

ex/ insect bite

35
Q

pustule

A

vesicle containing purulent exudate

36
Q

atrophy

A

depression from surface of skin with underlying loss of epidermal or dermal substance

37
Q

erosion

A

depression from surface of skin with a loss of all or part of the epidermis
-can be secondary

38
Q

ulceration

A

depression from surface of skin with loss of entire epidermis and at least some of dermis
-can be secondary

39
Q

lichenification

A

dry, leathery, thickening of skin with exaggerated skin markings

from rubbing or scratching

40
Q

scar

A

elevated or depressed area of fibrosis of the dermis of subQ tissue resulting from antecednet destructive process

41
Q

fissure

A

deep linear split in skin extending through epidermis

42
Q

crust

A

dried exudates of serum, blood, sebum, or purulent material on the surface of the skin

43
Q

plaque

A

raised lesion > 1cm

44
Q

cyst

A

nodule filled with material

  • liquid or semisolid
  • encapsulated
45
Q

pustule

A

open lesion filled with pus

ex/ acne

46
Q

crust

A

dried residue of skin exudates such as serum, pus, or blood

ex/ impetigo

47
Q

excoriation

A

linear erosions caused by scratching

48
Q

koebner phenomena

A

skin trauma from scratching may cause new lesions

49
Q

fissure

A

linear crack in skin

ex/ tinea pedis

50
Q

patterns and shapes

A
linear
cluster
geographyic
serpiginous - slowly progressive
annular - ring shaped**
heliotrope - around eyes
51
Q

potassium hydroxide

A

dermatophyte or yeast infection

52
Q

gram stain

A

gram +/- bacteria

53
Q

tzanck stain

A

herpesvirus infection

-rounded. multinucleate keratinocytes

54
Q

oil mount

A

scabies

55
Q

punch biopsy

A

microscopic alterations in all 3 layers

56
Q

shave or snip biopsy

A

microscopic alterations in epidermis and upper dermis

57
Q

excisional biopsy

A

microscopic alterations in epidermis, dermis, and subQ with entire architecture of lesion in specimin

58
Q

basal cell carcinoma

A

basal layer of epidermis

slow, rarely metastasize

59
Q

squamous cell carcinoma

A

upper layer of epidermis

-can metastasize

60
Q

malignant melanoma

A

from melanocytes
-can spread rapidly and metastasize

sun exposure

61
Q

ABCDE screening

A
A - asymmetry
B - border
C - color
D - diameter >6mm or different
E - elevation
62
Q

basal cell carcinoma looks like

A

pearl white
dome shaped papule with telangiectasias

center can ulcerate

63
Q

squamous cell carcinoma looks like

A

often head, neck, hands

may develop from precursor keratoses

64
Q

malignant melanoma signs

A

asymmetriclal border

  • uneven edges
  • two or more colors
  • larger than 6mm