PE Describing Extra Flashcards
Document your ___ not just the Dx
Findings
Macule
flat
<10mm
Patch
flat
>10mm
Wheal
raised
Papule
raised
<5mm
Nodule
raised
>5mm
Plaque
> 10mm
raised
On top of skin
“scaly white”
What skin finding has a (+) Auspitz sign?
Plaque
Vesicle
fluid filled
<5mm
Bulla
fluid filled
>5mm
Vesicles and Bulla are
sterile
Pustule
fluid fulled
infectious
Focal fluctuant collection to area.
under the skin
cyst
cysts can be
benign or malignant
scaling
know it
crusting is usually
infectious
impetigo “honey comb drainage”
Excoriation
lines of “scratches”
fIssure
lines into skin
Stasis dermatitis or PAD
Ulcer
Stretch marks-permanent
Atrophy/Striae
Scars that stay within surgical margins
hypertrophic scar
Scars that go beyond surgical lines
Keloid scar
Keloid- sunscreen for
6mo
blanching means
Capillary beds intact
Non blanching means
extravagated blood
Non-blanching infectious rash
meningitis
MAD
Morphology – shape and size of lesion(s), color, elevation, margination
Arrangement – single, grouped, annular, patterns
Distribution – localized, disseminated
**red w/ sharp demarcation:_______
helps you differentiate from _____
erysepelas (staph)
cellulitis
Always document whether skin over the reigon is _______
intact or not
Document regional_____
lymph nodes
mouth involvement
mucosal
systemic
DIP t0 PIP
1 inch (2.5cm)
pinkey
2.5inch
what has central clearing?
tinea
wheals are ___
cellulitis is_____
itchy
not itchy
is tinea warm?
no
Q’s for a lac
Does it enter fascial plane (muscle)
Bleeding controlled?
No FB- clean vs contaminated wound
Where is the laceration?-
**Does it cross a joint space?-need surg wash
CMS
New tissue granulation can be ___
stringy or viscous
Inner ear: 3 things to doc
Percentage TM involvement
Discharge
Location as a clock
What to check for dislocation
Distal CMS. Pulses, movement.
Skin is intact (OPEN vs closed fx)
Bony deformity to AC joint (step-off)
CHECK AXILLARY SENSATION.
What 3 things cause Cullens sign?
Pancreatitis
Ruptured ectopic
Trauma
Finger dislocation check:
*Check CMS.
Medial (ulnar) angulation
*ALWAYS check PRE and POST films
Disconjugate gaze:
towards the nose
Esotropia
away from the nose
exotropia
toward the maxilla
hypotropia
toward the eyebrow
hypertropia
What is non blanching telangiectasia?
vascular
Stitch removal: always document:
amount of stitches removed