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Derm > Physical Examination of the Skin, Hair, and Nails > Flashcards

Physical Examination of the Skin, Hair, and Nails Flashcards

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Dermatology Board Prep flashcards
1
Q

What are the components a skin exam?

A

inspection
palpation

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2
Q

what are the only essential tools for examining the skin

A

the IDCs eyes and hands

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3
Q

What is CUTS-HP

A

Color
Uniform
Thickness
Symmetry
Hygiene
Presence of lesions

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4
Q

How do we assess lesions?

A

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

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5
Q

Lesion shape: ring shape with central clearing

A

annular

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6
Q

lesion shape: coin shaped, solid circle or oval

A

round

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7
Q

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

A

Arcuate

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8
Q

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

A

multiform

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9
Q

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

A

polycyclic

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10
Q

lesion shape: target like

A

targetoid

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11
Q

lesion shape: dot like, typically around 1mm

A

punctuate

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12
Q

lesion shape: with a central depression on the surface

A

umbilicated, also known as ā€œdelledā€

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13
Q

lesion shape: resembling a straight line

A

linear

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14
Q

lesion shape: serpentine or snake like

A

serpiginous

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15
Q

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

A

seborrheic

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16
Q

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

A

intertriginous

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17
Q

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

A

macule

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18
Q

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

A

patch

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19
Q

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

A

papule

20
Q

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

A

plaque

21
Q

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

A

vesicle

22
Q

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

A

pustule

23
Q

skin lesion that is a vesicle greater than 1 cm

A

bulla

24
Q

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

A

wheal/hive

25
Q

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

A

nodule

26
Q

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

A

tumor (mass)

27
Q

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

A

cyst

28
Q

three ways secondary skin lesions are categorized

A

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

29
Q

what are loose or adherent flakes composed of stratum corneum cells

A

scales

30
Q

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

A

hyperkeratotic

31
Q

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

A

lichenification

32
Q

dried serum, blood, or purulent exudates

A

crust

33
Q

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

A

keloid

34
Q

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

A

hypertrophic scar

35
Q

keloids are common in what skin types

A

IV through VI

36
Q

causes of skin atrophy

A

long term topical corticosteroid use
aging
striae

37
Q

erosion is loss of what part of the skin?

A

epidermis

38
Q

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

A

ulcer

39
Q

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

A

excoriation

40
Q

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

A

alopecia areata

41
Q

hair loss secondary to excessive/constant traction

A

traction alopecia

42
Q

hair loss secondary to scar formation and follicle loss

A

scaring alopecia

43
Q

loss of all scalp hair

A

alopecia totalis

44
Q

loss of all body hair

A

alopeica universalis

45
Q

what is lovibonds angle

A

160 degrees-normal
greater than 180 degrees is clubbing

Derm (7 decks)

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