L20- Dermatology

Question 1

history checklist

Answer 1

• Symptoms- itchy or sore??
• Exacerbating and relieving factors
• Past medical history
• Family history of skin including atop
• Thorough drug history evaluation
• Social, occupation and travel and sexual history
• Psychosocial impact of skin disease

Question 2

examination checklist

Answer 2

• Adequate exposure and good lighting are essential
• Examination should include/ hair, mucous membranes and nails
• Comment of morphology (how individuals lesion look and distribution/ sites involved
• Palpate
• Examine other systems if appropriate e.g. joins, lymph nodes

Question 3

lichenification

Answer 3

skin condition that occurs in response to excessive itching or rubbing of the skin and results in thick, leathery patches of skin. This occurs because the outer layer of skin naturally thickens with the extra irritation, and it often happens in tandem with eczema or other skin disorders.

Question 4

where does lichenification occur

Answer 4

usually in flexural ares e.g. wrist and ankle

Question 5

papule

Answer 5

small lump <5mm

Question 6

nodule

Answer 6

larger lump 5-10mm

Question 7

erythema

Answer 7

redness

Question 8

vesicle

Answer 8

small water blister

Question 9

pustule

Answer 9

larger water blister

Question 10

telangiectasia

Answer 10

thread vein

Question 11

alopecia

Answer 11

hair loss

Question 12

hirsutism

Answer 12

hairiness

Question 13

excoriations

Answer 13

scratch marks

Question 14

striae

Answer 14

stretch marks

Question 15

pruritus

Answer 15

itching

Question 16

atrophy

Answer 16

thinning

Question 17

macule

Answer 17

non palpable area of discolouration

Question 18

patch

Answer 18

macule >2cm

Question 19

plaque

Answer 19

palpable, flat topped ares >2cm

Question 20

erosion

Answer 20

loss of epidermis (superficial)

Question 21

ulcer

Answer 21

loss of epidermis and dermis (deep)

Question 22

lichenification

Answer 22

thickening of the skin with exaggerated skin marking

Question 23

6 signs of inflammation

Answer 23

rubor
tumor
calor
dolor
functio laesa
pruritus

Question 24

rubor

Answer 24

redness

Question 25

swelling

Answer 25

tumor

Question 26

calor

Answer 26

heat

Question 27

pain

Answer 27

dolor

Question 28

functio laesa

Answer 28

loss of function

Question 29

itching

Answer 29

pruritus

Question 30

the process of inflammation results from three main events

Answer 30

vasodilation increased vascular permeability influx of leukocytes

Question 31

toxic epidermal necrolysis (TEN)

Answer 31

- Severe muco-cutaneous drug reaction - Full thickness epidermal damage - Skin separated to leave raw, oozing dermis - Life threating, high mortality