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Medicine: Dermatology > Dermatology History and Examination > Flashcards

Dermatology History and Examination Flashcards

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Dermatology Board Prep flashcards
1
Q

What should you ask about presenting complaint in dermatology?

A

Nature, site and duration of presentation.

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2
Q

What questions should you ask about history of presenting complaint in dermatology?

A
  1. Initial appearance and evolution of lesion?
  2. Itch/pain>
  3. Aggravating/relieving factors?
  4. Previous/current treatment and effectiveness?
  5. Recent contact/stress/illness/travel?
  6. Any trauma?
  7. History of sunburn and tanning machines?
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3
Q

What scale can you use for skin type and what are the features of each type?

A

Fitzpatrick scale

  1. Light, pale, white - always burns, never tans
  2. White, fair - usually burns, tans with difficulty
  3. Medium, white to olive - sometimes mild burns, gradually tans to olive
  4. Olive, moderate brown - rarely burns, tans with ease to moderate brown
  5. Brown, dark brown - very rarely burns, tans very easily
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4
Q

What should you ask about in past medical history in dermatology?

A
  1. History of atopy?

2. History of skin cancer and suspicious lesions?

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5
Q

What should you ask about in family history in dermatology?

A

Family history of skin disease/atopy?

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6
Q

What should you ask about in social history in dermatology?

A
  1. Occupation and skin contacts at work
  2. Improvement of symptoms when away from work?
  3. Change in detergents/jewellery?
  4. Sexual history
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7
Q

What is included in a general inspection in dermatology?

A
  1. General observation
  2. Site and number of lesions
  3. Pattern of distribution
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8
Q

What is ABCD for and what does it stand for in dermatology?

A

For describing pigmented skin lesions:

  1. Asymmetry
  2. irregular Border
  3. > 2 Colours
  4. Diameter >6mm
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9
Q

What should you identify on palpation of a skin lesion?

A
  1. Surface
  2. Consistency
  3. Mobility
  4. Tenderness
  5. Temperature
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10
Q

Where on the body should you check specifically for a skin lesion examination?

A
  1. Nails
  2. Scalp
  3. Hair
  4. Mucous membranes
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11
Q

What is this describing?

Thinning of the skin.

A

Atrophy

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12
Q

What is this describing?

Large fluid-filled blister.

A

Bulla

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13
Q

What is this describing?

Dried serum/exudate on the skin.

A

Crusted

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14
Q

What is this describing?

Large confluent area of purpura (bruise).

A

Ecchymosis

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15
Q

What is this describing?

Denuded area of skin (partial epidermal loss).

A

Erosion

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16
Q

What is this describing?

Scratch mark.

A

Excoriation

17
Q

What is this describing?

Deep linear crack/crevice (often in thickened skin).

A

Fissure

18
Q

What is this describing?

Thickened epidermis with prominent normal skin markings.

A

Lichenified

19
Q

What is this describing?

Flat, circumscribed, non-palpable lesion.

A

Macule

20
Q 
What is this describing?
Large papule (>0.5cm).
A

Nodule

21
Q

What is this describing?

Small, palpable, circumscribed lesion (<0.5cm).

A

Papule

22
Q

What is this describing?

Pinpoint-sized macule of blood in the skin.

A

Petechia

23
Q

What is this describing?

Large flat-topped, elevated, palpable lesion.

A

Plaque

24
Q

What is this describing?

Larger macule of papule of blood in the skin which does not blanch on pressure.

A

Purpura

25
Q

What is this describing?

Yellowish white pus-filled lesion.

A

Pustule

26
Q

What is this describing?

Visible flaking and shedding of surface of skin.

A

Scaly

27
Q

What is this describing?

Abnormal visible dilatation of blood vessels.

A

Telangiectasia

28
Q

What is this describing?

Deeper denuded area of skin (full epidermal and dermal loss).

A

Ulcer

29
Q

What is this describing?

Small fluid-filled blister.

A

Vesicle

30
Q

What is this describing?

Itchy raised ‘nettle-rash’ like swelling due to dermal oedema.

A

Weal

Medicine: Dermatology (19 decks)

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