Dermatoscope Flashcards

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1
Q

Name eight dermatoscopic findings in melanoma.

A
  1. atypical pigmented network and agulated lines 2.Negative network globular structures surrounded by hypopigmentation. 3.Atypical dots and globules 4.Irregular streaks 5.Blue White veil 6. Polymorphous vessels with milky red areas 7.Atypical peripheral blotch 8. Shiny white lines in polarized light.
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2
Q

What do shiny white lines under polarized light represent dermatoscopically?

A

Invasion. May be seen in melanoma, Nevus or Spitz nevus.

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3
Q

Glomerular vessels are found in 90% of these lesions along with brown and white scales

A

Bowens disease

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4
Q

what is this lesion

A

Bowen’s disease

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5
Q

What is this tumor and what is the feature we identify

A

Bowen’s Disease with cotton candy keratosis

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6
Q

Brown dots arranged in lines is a feature of what?

A

pigmented Bowen’s disease

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7
Q

What is this?

A

angiokeratoma Dark lacunae with blue white veil

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8
Q

What are 3 ways to tell apart a reticulated seb ker from a nevus

A

The pigmented network lines are sharp the hole are bigger in the network and there is abrupt endings at edges of the reticulated seb ker.

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9
Q

What is this?

A

solar lentigo displaying circles

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10
Q

What features help in identifying this lesion?

A

irritated seb ker white color surrounding vessels

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11
Q

What are some features of BCC under dermatoscopic exam?

A

Blue Gray ovid nests and globules

Arborizing vessels

Spoke wheel areas

Maple leaf like areas

blue gray dots

Crystalline structures

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12
Q

What are features of SCC under dermatoscope

A

White circles which are plugs

milkly red areas

varying thickness of scale

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13
Q

glomerular vessels are associated with what condition

A

Bowen’s disease

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14
Q

Comma vessels are associated with what

A

mostly dermal nevi

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15
Q

Hairpin looped vessels are associated with what?

A

Seb Kers, SCC, periphery of BCC

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16
Q

Arborizing vessels are associated with what

A

BCC

17
Q

Polymorphous vessels (dotted, diffuse milky red, irregular, coiled) are associated with what?

A

Melanoma

18
Q

serpentine vessels are seen in what two enities?

A

BCC & melanoma

19
Q

Crowning vessels are seen in what entity under the dermatoscope?

a crown of vessels around the lesion (radial)

don’t cross the center of the lesion

A

sebaceous hyperplasia

20
Q

string of pearl vessels are seen in what entity under the dermatoscope

A

clear cell acanthoma

21
Q

what are the features of a lentigo maligna

A

grey dots or globules

asymmetic pigmented follicular openings

annular-granular structures

Rhomboidal thick pigmented lines around appedage openings