Dermatology Physical Exam Flashcards
Atopy – What is it
Exaggerated IgE-mediated immune response triggering a histamine response (asthma, atopic dermatitis)
blades for scraping and incising lesions
10, #11, and #15
measurement of lesion is done in
mm or cm
Ring shape with central clearing
Annular
Often a result of incomplete formation of an annular lesion
Arcuate (arc-shaped)
Formed from coalescing circles, rings, or incomplete rings
Polycyclic
Target-like, with a center darker than the periphery
Targetoid
Dot-like, typically around 1 mm
Punctate
With a central depression of the surface
Umbilicated
Resembling a straight line
Linear
Serpentine or snake-like
Serpiginous
Thin, pink-colored discharge associated with normal
wound healing.
Serosanguinous
Seborrheic
Favoring the hair-bearing locations of the skin
Elevated, circumscribed, superficial fluid-filled
Vesicle
Elevated, superficial lesion. Similar to a vesicle but filled with purulent fluid
Pustule
Clear serous fluid
Exudates
An elevated firm, rough, lesion
Plaque
An elevated, firm, circumscribed area less than 1 cm in diameter.
Papule
Vesicle greater than 1 cm
Bulla
An elevated, irregularly-shaped area of cutaneous edema. Solid, transient and variable diameter.
Wheal (Hive)
Elevated, firm, circumscribed lesion; deeper in the dermis than a papule. 1-2
cm in diameter.
Nodule
Elevated and solid lesion; may or may not be clearly demarcated;
deep in dermis. Greater than 2 cm.
Tumor (Mass)
Encapsulated lesion in the dermis or hypodermis; filled with liquid or semi-solid
material.
Cyst
Rough & thickened epidermis secondary to persistent rubbing,
itching, or irritation. Accentuation of skin markings is often seen.
Lichenification
Irregularly shaped, elevated scar that grows beyond the boundaries of the
initial injury or wound.
Keloid
Dermatoglyphics
fingerprint lines (helps tell the difference with warts)
