Dermatology Flashcards

1
Q

Distribution

A

which areas are affected?

  • Widespread or localised?
  • Symmetrical?
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2
Q

Configuration

A

how are the lesions arranged?

  • Dermatomal?
  • Well circumscribed?
  • Scattered?
  • Discrete?
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3
Q

Morphology

A

What does the lesion look like?

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4
Q

Nail signs

A

pitting
onycholysis
(both common in psoriasis)

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5
Q

Mouth signs

A

In blistering disease the buccal mucosa may be affected

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6
Q

Hair signs

A

Hypertrichosis
Hirsutism
Alopecia

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7
Q

What to look for in morphology?

A
Colour (inc. pigment changes)
size
raised or flat
border features
surface features
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8
Q

Correct terminology of a red rash

A

Purpura (non-blanching)

Erythema (blanches)

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9
Q

Flat lesions

A

Macule <1cm

Patch >1cm

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10
Q

Raised lesions

A

Papules <0.5cm

Nodules >0.5cm

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11
Q

Define plaque

A

Raised edge, flat surface, >1cm

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12
Q

Wheal

A

Compressible dermal swelling

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13
Q

Fluid filled raised lesion

A

Vesicle <0.5cm

Bulla >0.5cm

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14
Q

Define cyst

A

Nodule containing semi-solid material

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15
Q

Border features

A

Well defined : regular or irregular

Poorly defined

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16
Q

Define scale

A

accumulated fragments of keratin

17
Q

Define crust

A

dried exudate

18
Q

Define lichenification

A

Thickening with increased skin markings

19
Q

Define scar

A

normal tissue replaced by fibrous tissue

20
Q

Split the epidermis

A

Fissure

21
Q

Atrophy

A

Loss of epidermis/dermis, but skin remains intact

22
Q

Superficial break in epidermis

A

Erosion

23
Q

Deep break in epidermis

A

Ulcer