History Taking And Physical

Question 0

Intertriginous skin

Answer 0

Armpits

Inguinal area

Question 1

Largest organ of the body

Part of a whole being

Reflect systemic or psychological disorders

Assist in diagnosis

Answer 1

Skin

Question 2

Examining scalp

Answer 2

Presence of hair
Pigments
Thinness/thickness of hair
Dandruff
Arrangement of hair
Infection - tangled hair
Alopecia ariata/totalis - fungi
Rashes

Question 3

Thickening of the skin

Maybe an adaptation or familial

Answer 3

Hyper keratosis palmaris

Question 4

Localized change in the color of the skin with no elevation or infiltration
Less than 1cm in diameter
Non-palpable

Answer 4

Macule

Question 5

Small solid elevated lesion
May be flat topped, conical, polyhedral
Less than 1cm
Smooth or scaly when related to hair follicle

Answer 5

Papules

Question 6

Solid elevated lesion of the skin whose greater portion is situated deeper in the skin or subcutaneous tissue
>5mm in diameter
Trichoepithelioma
Neurofibromas

Answer 6

Nodule

Question 7

Define tumor

Answer 7

larger deeply circumscribed solid growth of infiltrationa of the skin whether benign or malignant whose greater portion projects above the surface of the skin

Question 8

Large flat solid elevation usually of an irregular geometric pattern

Palpable

Answer 8

Plaque

Question 9

Examples of plaque

Answer 9

Psoriasis
Fungal lesions
Eczema

Question 10

Closed sac lines by epidermal epithelium filled with keratin materials

Answer 10

Cyst

Question 11

Large unelevated lesion similar to a macule

Greater than 1cm

Answer 11

Patch

Question 12

Differentiating factor for herpes zoster and herpes simplex

Answer 12

Recurrences (simplex)

Dermal distribution

Question 13

Small collection of fluid either in the epidermis or between epidermis and dermis

Answer 13

Vesicle

Ex. Chicken pox, small blisters

Question 14

Collection of fluid larger than a vesicles in the epidermis

Answer 14

Bulla

Question 15

Superficial collection of pus

Answer 15

Pustules

Ex. Folliculitis, boils, acne

Question 16

Primary or elemental lesions

Answer 16

Basic lesions
Special lesions
Modified lesions

Question 17

Type of basic. Lesions

Answer 17

Macule

Papules

Question 18

Types of modified lesions

Answer 18

Nodule
Tumor
Plaque
Patch
Cyst
Vesicles
Bulla
Pustules

Question 19

Special lesions

Answer 19

Wheal
Millium
Cornedo
Burrow
Scutulum
Telangiectasia
Hemorrhage
Papilloma

Question 20

Transient aberration of the skin

Subsides when you don’t scratch

Get bigger when you do

Answer 20

Wheal

Question 21

Papules of 1-2nm diameter contains sebaceous or cornified material, has no opening

Answer 21

Millium

Question 22

Plug of sebum or keratin retained in pilosebaceous follicle

Answer 22

Comedenes

Eg. White black heads

Question 23

Secondary or consecutive lesions

Answer 23

Scale
Crust
Excoriation
Lichenification
Erosion
Ulceration
Pigmentation
Fissure
Atrophy

Question 24

Results if serum blood and pus dry in the skin

Answer 24

Crust or langib

Question 25

Superficial loss of skin and mucous membrane

Answer 25

Excoriation

Question 26

Serpentine excavation or passage satin the epidermis Animal infestation - bacteria

Answer 26

Burrow

Question 27

Shallow cup or saucer shapes crust distinctive of favic infection

Answer 27

Scutulum

Question 28

Grossy visible dilations of new formations of small blood vessels

Answer 28

Telangiectasia

Question 29

Extravasation of blood

Answer 29

Hemorrhages | May be classified further as petechia, eccymoses, varices, hematoses

Question 30

Finger like projections

Answer 30

Papilloma

Question 31

Widespread increase or decease in melanin Uses to describe large areas discoloration by iron pigment

Answer 31

Pigmentation Sunspots, an an

Question 32

Thin, whitened slightly sunken in epidermis which wrinkles easily Can be causes by strong topical steroid

Answer 32

Atrophy

Question 33

What to look for in physical exam of skin

Answer 33

Distribution Extent involvement Patterns Characteristics patterns of distribution Arrangement Shape Color Texture Moisture Induration Borders

Question 34

Arrangement

Answer 34

``` Annular Grouped Linear Zoseteriform Confluent Gyrate Polycyclic ```

Question 35

Shapes

Answer 35

Round Oblong Irregulars Pedunculated

Question 36

Color if diffuse

Answer 36

Brown Reddish brown Ivory white Purplish

Question 37

Color if circumscribed

Answer 37

``` Red Orange Yellow Green Brown Black ```

Question 38

Superficial loss of epidermis down the basal later without leaving a scar

Answer 38

Erosion

Question 39

Crack in the skin which destroys elasticity of the skin

Answer 39

Fissure

Question 40

Thickened and infiltrated yellowish brown or reddish brown skin with exaggerated lines or folds

Answer 40

Lichenification

Question 41

Parts of dermatological history

Answer 41

``` Present dermatological illness General history Review of systems Past medical dermatological history Family medical history Social history Sexual history Dermatological history ```