Dermatology Flashcards
Components of complete DERMATOLOGY exam (5)
(S)kin (M)ucosa (N)ails (H)air (L)ymph nodes Skin Might Not Have Lesions
Particularly important in derm hx
Assess for new meds
Descriptors every derm report must include (5)
- Color 2. Primary lesion 3. Secondary characteristics 4. Distribution 5. Grouping
Violaceous erythema
Erythema migrans
Beefy red erythema
Candidiasis
Bright red erythema
drug eruption
Dusky erythema
SJS-TEN
Macule (def.) (primary lesion)
Flat, non-palpable <1cm diameter
Patch (def.) (primary lesion)
Flat, non-palpable lesion >1cm
Papule (def.) (primary lesion)
Palpable, solid lesion <1cm
Plaque (def.) (primary lesion)
Elevated or depressed, often flat, palpable lesion >1cm
Nodule (def.) (primary lesion)
Palpable round lesion, usually deep dermal or SC process >1cm
Tumor (def.) (primary lesion)
Palpable solid lesion above or beneath skin surface >2cm
Vesicle (def.) (primary lesion)
Elevated lesion containing clear fluid <0.5cm
Pustule (def.) (primary lesion)
Elevated lesion, purulent content <1cm
Bulls (def.) (primary lesion)
Raised lesion containing non-purulent fluid >0.5cm
Scale (def.) (secondary lesion)
Quality (silvery, greasy, psoriatic)
Lichenification (def.) (secondary lesion)
Thickening of epidermis 2/2 persistent mechanical friction, hyperpigmented, hyperlinearity, implies chronicity
Erosion (def.) (secondary lesion)
Loss of epidermis +/- superficial dermis — despigmentación
Ulcer (def.) (secondary lesion)
Loss of significant dermis or SC tissue — scar
Other secondary lesion types
Excoriation, fissure, exudate/crust, desquamation/peeling
Derm distribution
Location of lesion
Flexural distribution
Atopic dermatitis
Extensor surface distribution
psoriasis
Upper back distribution
tinea versicolor
Acral distribution
2o syphilis, RMSF, erythema migrans
Dermatomal distribution
VZV
Follicular distribution
Folliculitis
Bilateral LE distribution
Stasis dermatitis
Unilateral LE distribution
Cellulitis
Seborrheic keratosis
