Exam #4: Skin, Hair, & Nails Flashcards

1
Q

What are the different appendages of the skin?

A

1) Hair
2) Nails
3) Sebaceous glands
4) Eccrine sweat glands
5) Apocrine sweat glands

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2
Q

What are the ABCDE’s of melanoma?

A
Asymmetry 
Borders (irregular) 
Color (variation) 
Diameter (>6mm)
Evolution (change in size/symptoms)
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3
Q

What is basal cell carcinoma?

A

Most common cause of skin cancer that appears:

  • A waxy papule that bleeds easily
  • Central crater with rolled borders
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4
Q

What are the risk factors for basal cell carcinoma?

A

Sun exposure

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5
Q

What is squamous cell carcinoma?

A

Second most common skin cancer

- Scaling, crusting, raised nodule that may bleed

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6
Q

What are the risk factors for squamous cell carcinoma?

A

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7
Q

What are the characteristics of a normal mole?

A
Uniformly tan or brown
All look alike 
Round or oval 
Clear defined borders 
Flat or smooth 
Less than 6mm 
Found on waist, scalp, breast, sun exposed areas
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8
Q

What is a “dysplastic mole?”

A

An atypical moles that is unusually benign but may resemble melanoma

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9
Q

What are the characteristics of a dysplastic mole?

A
Varied appearance 
Irregular borders 
Fades in surrounding skin 
Smooth, scaly, rough, irregular 
>6mm
Found on back, below waist, scalp, breast buttocks
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10
Q

What is the difference between vellus & terminal hair?

A

Vellus= short, fine, inconspicuous, and relatively unpigmented

Terminal= coarser, thicker, more conspicuous, usually pigmented (e.g. scalp & eyebrows)

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11
Q

What is a yellow nail an indication of?

A

Psoriasis
Fungal infection
Chronic respiratory problems

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12
Q

What is a darkening nail an indication of?

A

Drugs
Candida
Hyperbilirubinemia
Chronic trauma

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13
Q

What is a green-black nail an indication of?

A

Injury

Pseudomonas infection

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14
Q

What is a single blue or black nail an indication of?

A

Trauma

Melanoma

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15
Q

What are blue nails an indication of?

A

Cyanosis
Asthma
Cardiac disorder
Severe anemia

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16
Q

What are longitudinal red or brown streaks in the nails an indication of?

A

“Splinter hemorrhages” associated with endocarditis

17
Q

What is Schamroth Sign?

A

Clubbing of the digits due to increased amounts of vascular connective tissue