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Derma Osce > History Taking And Physical > Flashcards

History Taking And Physical Flashcards

0
Q

Intertriginous skin

A

Armpits

Inguinal area

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1
Q

Largest organ of the body

Part of a whole being

Reflect systemic or psychological disorders

Assist in diagnosis

A

Skin

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2
Q

Examining scalp

A 
Presence of hair
Pigments
Thinness/thickness of hair
Dandruff
Arrangement of hair
Infection - tangled hair
Alopecia ariata/totalis - fungi
Rashes
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3
Q

Thickening of the skin

Maybe an adaptation or familial

A

Hyper keratosis palmaris

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4
Q

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

A

Macule

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5
Q

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

A

Papules

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6
Q

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

A

Nodule

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7
Q

Define tumor

A

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

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8
Q

Large flat solid elevation usually of an irregular geometric pattern

Palpable

A

Plaque

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9
Q

Examples of plaque

A

Psoriasis
Fungal lesions
Eczema

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10
Q

Closed sac lines by epidermal epithelium filled with keratin materials

A

Cyst

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11
Q

Large unelevated lesion similar to a macule

Greater than 1cm

A

Patch

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12
Q

Differentiating factor for herpes zoster and herpes simplex

A

Recurrences (simplex)

Dermal distribution

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13
Q

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

A

Vesicle

Ex. Chicken pox, small blisters

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14
Q

Collection of fluid larger than a vesicles in the epidermis

A

Bulla

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15
Q

Superficial collection of pus

A

Pustules

Ex. Folliculitis, boils, acne

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16
Q

Primary or elemental lesions

A

Basic lesions
Special lesions
Modified lesions

17
Q

Type of basic. Lesions

A

Macule

Papules

18
Q

Types of modified lesions

A 
Nodule
Tumor
Plaque
Patch
Cyst
Vesicles
Bulla
Pustules
19
Q

Special lesions

A 
Wheal
Millium
Cornedo
Burrow
Scutulum
Telangiectasia
Hemorrhage
Papilloma
20
Q

Transient aberration of the skin

Subsides when you don’t scratch

Get bigger when you do

A

Wheal

21
Q

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

A

Millium

22
Q

Plug of sebum or keratin retained in pilosebaceous follicle

A

Comedenes

Eg. White black heads

23
Q

Secondary or consecutive lesions

A 
Scale
Crust
Excoriation
Lichenification
Erosion
Ulceration
Pigmentation
Fissure
Atrophy
24
Q

Results if serum blood and pus dry in the skin

A

Crust or langib

25
Q

Superficial loss of skin and mucous membrane

A

Excoriation

26
Q

Serpentine excavation or passage satin the epidermis

Animal infestation - bacteria

A

Burrow

27
Q

Shallow cup or saucer shapes crust distinctive of favic infection

A

Scutulum

28
Q

Grossy visible dilations of new formations of small blood vessels

A

Telangiectasia

29
Q

Extravasation of blood

A

Hemorrhages

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

30
Q

Finger like projections

A

Papilloma

31
Q

Widespread increase or decease in melanin

Uses to describe large areas discoloration by iron pigment

A

Pigmentation

Sunspots, an an

32
Q

Thin, whitened slightly sunken in epidermis which wrinkles easily

Can be causes by strong topical steroid

A

Atrophy

33
Q

What to look for in physical exam of skin

A

Distribution

Extent involvement
Patterns
Characteristics patterns of distribution

Arrangement

Shape

Color

Texture
Moisture
Induration
Borders

34
Q

Arrangement

A 
Annular 
Grouped
Linear
Zoseteriform
Confluent
Gyrate 
Polycyclic
35
Q

Shapes

A

Round
Oblong
Irregulars
Pedunculated

36
Q

Color if diffuse

A

Brown
Reddish brown
Ivory white
Purplish

37
Q

Color if circumscribed

A 
Red
Orange
Yellow
Green
Brown
Black
38
Q

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

A

Erosion

39
Q

Crack in the skin which destroys elasticity of the skin

A

Fissure

40
Q

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

A

Lichenification

41
Q

Parts of dermatological history

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

Derma Osce (26 decks)

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