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lesion attributes Flashcards

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Dermatology Board Prep flashcards
1
Q

describing lesion attributes

A

“patient appears to present with NUMBER SHAPE TEXTURE COLOR TYPE SIZE.
CONFIGURATION DISTRIBUTION LOCATION.
a AMOUNT amount of CONSISTENCY COLOR ODOR exudate is observable”

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2
Q

what are the lesion attributes

A

number
size
color
shape
texture
type
distribution
location
configuration
exudate

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3
Q

number lesion =

A

single
multiple
actual

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4
Q

size lesion =

A

measured in mm or cm

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5
Q

color lesion =

A

red (erythema)
black
white
yellow

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6
Q

shape lesion =

A

round
annular (ring shaped)
irregular

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7
Q

texture lesion =

A

scale (eczema look)
crusted
smooth
firm
fluctuant

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8
Q

type lesion =

A

macule
papule
vesicle
patch
ulcer
pustule
bulla
fissure
nodule
plaque

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9
Q

define macule

A
  • less than 01 cm
  • flat, non palpable (cannot be felt)
  • represent change in color, not raises or depressed compared to the skin surface

EX: FRECKLES FLAT MOLES TATTOOS

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10
Q

define papule

A
  • circumscribed solid elevation up to 01cm in diameter on skin
  • solid or cystic raised spot
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11
Q

define vesicle

A
  • fluid inside up to 05cm in diameter (clear fluid) (blister)
  • ex: anthrax
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12
Q

define patch

A
  • flat discoloration
  • greater than 01cm
  • large area of color change
  • smooth surface
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13
Q

define ulcer

A
  • open sore on skin
  • reduction in blood flow
  • open wound
  • sore on the skin / mucous membrane accompanied by the disintegration of tissue
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14
Q

define pustule

A

DIFF THAN VESICLE
- pus filled sores
- inside has purulent (pus discharge) material
- common on face, chest, back
- infectious disease, bacteria, viruses, fungi, parasites

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15
Q

define bulla

A
  • greater than 05mm
  • large vesicle
  • large blisters on the skin that are filled with clear fluid
  • caused by infection / inflammation of the skin
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16
Q

define fissure

A
  • split in the skin
  • bleeding due to dryness
  • abnormal keratinization / exfoliation
17
Q

define nodule

A
  • similar look to papule / vesicle
  • to many cells aggregated in one place. feels like a ball of something but it’s fixed (won’t move, tender, non tender)
18
Q

define plaque

A
  • circumscribed elevated platoed like greater than 01cm
  • solid lesion
  • raised red patches colored with silvery white buildup dead skin cells or scale
19
Q

configuration

A

grouped
clustered

20
Q

distribution

A

generalized (spread out)
localized (one area)

21
Q

location

A

superior
posterior
anterior
proximal
distal
inferior

frontal , transverse , sagittal

22
Q

what information does exudate give us

A

amount, consistency, color

23
Q

exudate amounts

A
  • no visible
  • scant (moist tissue)
  • small (visibly moist tissue)
  • moderate (saturated tissue)
  • large (saturated tissue draining freely expressed / GUSHING)
24
Q

exudate consistency

A
  • watery
  • thin
  • runny
  • thick
  • sticky
25
Q

exudate color

A

red
black
white
yellow
clear
opaque
cloudy

26
Q

skin color descriptions

A
  • pale (low circulation)
  • jaundiced
  • mottled (pattern of redness / paleness due to body temp)
  • cyanotic (blue = no oxygen, central reached organs body is trying to protect)
  • flushed
27
Q

define maceration

A
  • skin in contact with moisture for TOO LONG
28
Q

what happens to the skin when it’s been macerated

A
  • light in color
  • wrinkly
  • wet
  • soggy to the touch
29
Q

what is a woods lamp

A

BLACK LIGHT
- distinguish hypopigmentation
(decrease) from depigmentation (loss)
- darken room and 4 to 5 inches from affected area

30
Q

what conditions will fluoresce with woods lamp?

A

TINEA VERSICOLOR
- fluoresce pale white - yellow

31
Q

what conditions will not fluoresce with woods lamp?

A

TINEA …
cruris
corporis
pedis

32
Q

what is wound culture

A

SPECIMEN
- small sample taken from the body to represent the nature of the whole

33
Q

what is the goal of the tissue specimen

A

provide lab with a sample biologically representative of the substance collected

34
Q

what to determine for wound culture

A

collecting
WOUND SPECIMEN
OR
TISSUE / STS SPECIMEN

35
Q

have to’s for a physical examination

A

OPQRSTTT
3 ssq’s

36
Q

define palpate

A

MCLATTTTE

37
Q

MCLATTTTE

A

moisture
color
lesions
abnormalities
tenderness
temperature
texture
turgor (forearm abdomen)
edema

38
Q

body regions to inspect / palpate

A

scalp
face
neck
shoulders
chest
abdomen
back
arms & hands
legs & feet

derm (2 decks)

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