Dermatology 1 Flashcards
Definition of macule
A flat, circumscribed region of skin with different color or texture (example: freckle)
definition of patch
A large macule (> 1 cm) or a coalescence of macules (example: vitiligo) (like huge areas of depigmentation)
definition of papule**
A palpable, circumscribed change in consistency or contour of the skin (example: acne vulgaris - red zits) A SMALL RAISED AREA
define nodule
A papule larger than 1 cm in diameter (example: neurofibroma)
A LARGE PAPULE
define tumor
A large nodule (example: lymphoma)
define plaque**
A coalescence of papules (example: psoriasis) COLLECTION OF PAPULES
define cyst
An encapsulated nodule filled with soft material (example: epidermal cyst)
define vesicle
A circumscribed, clear fluid filled lesion; a blister (example: Herpes simplex)
(A BLISTER)
define bulla
A large vesicle (example: bullous pemphigoid)
define pustule
A vesicle filled with inflammatory cells (example: acne vulgaris - white head)
define wheal
A palpable, circumscribed, area of edema with central pallor and peripheral erythema that usually disappears relatively quickly. (HIVES - localized area of swelling. white area surrounded by red)
these are eosinophil mediated processes
define purpura
Discoloration of the skin due to the presence of blood in the tissue, outside of blood vessels; will not blanch with pressure (example: vasculitis)
* the pinpoint lesions lower in the picture = petechiae
define petechiae
A punctate region of purpura (tiny dots)
define comedo
A plug within a hair follicle canal which is composed of keratin and sebum; a blackhead (example: acne vulgaris)
define milium
A white papule composed of whorls of keratinized epidermal cells beneath the skin surface (example: milia)
those white dots on people’s eyelids
define burrow
A horizontal tunnel in the stratum corneum produced by a parasite (example: scabies)
define scaly
2ndary lesion: Characterized by exfoliation of surface keratin cells (example: psoriasis)
define hyperkaratoidic
2ndary lesions subtype: Having very thick scale (example: icthyosis)
define crusted
2ndary lesions: Displaying dried exudate of fluid and/or cellular components on the skin surface.
define serous
2ndary lesion: Composed of serum or tissue fluid (example: contact dermatitis)
define purulent
2ndary lesion: Containing pus (example: infection)
define hemorrhagic
2ndary lesion: Containing red cells; a scab (example: healing herpes zoster)
define eroded
2ndary lesion: Showing a superficial defect in the skin surface which does not penetrate through the epidermis (example: abrasion)
defne ulcerated
2ndary lesion: Showing a skin defect which penetrates through the epidermis (example: diabetic foot ulcer)
NO DERMIS LEFT
define excoriated
2ndary lesion: Eroded or ulcerated, often in a linear fashion, due to scratching (example: dermatitis factitia)
define fissured
2ndary lesion: Split horizontally (example: chronic dermatitis)
define erythematous
2ndary lesion: Reddened; due to vasodilation with increased blood flow. Blanches with pressure (example: viral exanthem)
define edematous
2ndary lesion: Swollen; due to extravasation of serum and lymph into tissue (example: urticaria)
define pigmented
2ndary lesion: Showing changes in color due to melanin pigment
define hyperpigmented
2ndary lesion: Dark; due to increased amount of melanin (example: nevus)
define hypopigmented
2ndary lesion: Light; due to decreased amount of melanin (example: vitiligo)
Melaocytes make pigment, transfer to keratinocytes.
This picture is prolly post-inflamatory hypopigmentation. Melanytes are destroyed or brought further into the dermis.
define lichenified
2ndary lesion: Showing thickening with accentuation of the normal skin markings; usually a sign of chronicity associated with scratching or rubbing (example: atopic dermatitis) - RESPONSE TO CONSTANT pressure/scratching etc (related to callus, but not exact)
define telangietatic
2ndary lesion: Showing dilated small arterioles or capillaries coursing parallel to the skin surface (example: spider telangiectasia)