POM Flashcards
What question should you ask regarding skin?
Is there anything new or different? (shampoo/detergent/chemical/clothes and what not)
We exam the skin by ___ and ___?
Palpation (turgor/temp/texture/mobility) and inspection (shape/color/characteristics/distribution)
Difference between macule, papule and nodule/tumor?
Macule is flat/papule is slightly raised/nodule is more raised (wart)
Difference between vesicle and pustule?
Vesicle (blister) is serous filled/pustule (acne) is pus filled
Common example of wheal?
Mosquito bite (hives)
Example of primary lesions?
Plaques/cyst/telangiectasia (dilated superficial vessels—>go away when pressed, come back when released)/bullae (large vesicles)
Examples of secondary lesions (evolved from primary lesion)?
Excoriation (skin erosion caused by scratching)/lichenification (skin thickening due to chronic inflammation and scratching)/edema/crust/scale/fissure (crack)/erosion (skin your knee)/ulceration/atrophy/scar/hypo/hyper/depigmentation
What is ABCDE for skin lesion?
Asymmetry/border/color/diameter/evolution
What is the most common skin cancer?
Basal cell carcinoma (almost never metastasize) (dent in the middle)
What is the second most common skin cancer?
Squamous cell cancer: ulcerated/scabbed/bleed/usually at sun exposed area
Feature of melanoma?
Metastasize early and wide/at non-sun exposed area/lethal
Features of eczematous dermatitis?
Thick crusting skin/cause by allergic contact or offending agent
Rosacea?
Inflamed skin (rosy)/treat with sun protection and moisturizing
Folliculitis?
Inflamed hair follicle by bacteria (staph)
Cellulitis?
Infection forming bullae
Psoriasis?
Slivery patch on extensor surface (elbow/knee)/nail pitting
Acanthosis nigricans?
Leathery thickening of the skin at skin fold/obesity and diabetics
Herpes zosters?
Group vesicles on a erythematous base/unilateral