Physical Examination of the Skin, Hair, and Nails

Question 1

What are the components a skin exam?

Answer 1

inspection
palpation

Question 2

what are the only essential tools for examining the skin

Answer 2

the IDCs eyes and hands

Question 3

What is CUTS-HP

Answer 3

Color
Uniform
Thickness
Symmetry
Hygiene
Presence of lesions

Question 4

How do we assess lesions?

Answer 4

Size
Shape and configuration
Color
Texture
Elevation/depression
Exudates
Attachment at the base
Location and Distribution

Details with magnifying glass
Fluid vs solid with flashlight
Fluorescence (Woods Lamp)

SSC TEAL

Question 5

Lesion shape: ring shape with central clearing

Answer 5

annular

Question 6

lesion shape: coin shaped, solid circle or oval

Answer 6

round

Question 7

lesion shape: often a result of incomplete formation of an annular lesion

Answer 7

Arcuate

Question 8

lesion shape: multiple different shapes located closely together (grab bag)

Answer 8

multiform

Question 9

lesion shape: formed from coalescing circles, rings, or incomplete rings

Answer 9

polycyclic

Question 10

lesion shape: target like

Answer 10

targetoid

Question 11

lesion shape: dot like, typically around 1mm

Answer 11

punctuate

Question 12

lesion shape: with a central depression on the surface

Answer 12

umbilicated, also known as “delled”

Question 13

lesion shape: resembling a straight line

Answer 13

linear

Question 14

lesion shape: serpentine or snake like

Answer 14

serpiginous

Question 15

term for when lesion distribution is favoring the hair bearing locations of the skin

Answer 15

seborrheic

Question 16

term for lesion distribution when it is occurring in the skin folds, where two skin surfaces are in contact

Answer 16

intertriginous

Question 17

skin lesion that is flat, circumscribed area of color change less than 1 cm in diameter

Answer 17

macule

Question 18

skin lesion that is a flat, non palpable, irregularly shaped macule greater than 1 cm in diameter

Answer 18

patch

Question 19

skin lesion that is an elevated, firm, circumscribed area less than 1 cm in diameter

Answer 19

papule

Question 20

skin lesion that is an elevated firm, rough, lesion with flat top greater than 1 cm in diameter

Answer 20

plaque

Question 21

skin lesion that is an elevated, circumscribed, superficial fluid filled (clear/serous). Less than 1 cm

Answer 21

vesicle

Question 22

**skin lesion that is elevated, superficial lesions. similar to a vesicle but filled with a purulent fluid**

Answer 22

pustule

Question 23

skin lesion that is a vesicle greater than 1 cm

Answer 23

bulla

Question 24

skin lesion that is an elevated, irregularly shaped area of cutaneous edema. solid, transient and variable diameter

Answer 24

wheal/hive

Question 25

skin lesion with elevated, firm, circumscribed lesion; deepre inthe dermis than a papule. 1-2 cm in diameter

Answer 25

nodule

Question 26

elevated and solid lesion; may or may not be clearly demarcated; deep in dermis. greater than 2 cm

Answer 26

tumor (mass)

Question 27

encapsulated lesion in the dermis of hypodermis; filled with liquid or semi-solid material

Answer 27

cyst

Question 28

three ways secondary skin lesions are categorized

Answer 28

change in skin integrity or thickness accumulation of material loss of layers or skin breakdown

Question 29

what are loose or adherent flakes composed of stratum corneum cells

Answer 29

scales

Question 30

what is the term for small areas of thick adherent scale?

Answer 30

hyperkeratotic

Question 31

rough or thickened epidermis, secondary to persistent rubbing, itching, or irritation

Answer 31

lichenification

Question 32

dried serum, blood, or purulent exudates

Answer 32

crust

Question 33

what is an irregularly shaped, elevated scar that grows beyond the boundaries of the initial injury or wound

Answer 33

keloid

Question 34

overgrowth of scar tissue that remains confined to the site of injury

Answer 34

hypertrophic scar

Question 35

keloids are common in what skin types

Answer 35

IV through VI

Question 36

causes of skin atrophy

Answer 36

long term topical corticosteroid use aging striae

Question 37

erosion is loss of what part of the skin?

Answer 37

epidermis

Question 38

what is a loss of skin layers that is a loss of epidermis and dermis

Answer 38

ulcer

Question 39

what is a loss of epidermis that is linear hollow out crusted area due to scratching

Answer 39

excoriation

Question 40

hair loss that is variable patchy and round hair loss on scalp

Answer 40

alopecia areata

Question 41

hair loss secondary to excessive/constant traction

Answer 41

traction alopecia

Question 42

hair loss secondary to scar formation and follicle loss

Answer 42

scaring alopecia

Question 43

loss of all scalp hair

Answer 43

alopecia totalis

Question 44

loss of all body hair

Answer 44

alopeica universalis

Question 45

what is lovibonds angle

Answer 45

160 degrees-normal greater than 180 degrees is clubbing