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Exam 6 > Primary and Secondary Lesions > Flashcards

Primary and Secondary Lesions Flashcards

1
Q

Vesicle > 1 cm

A

Bulla

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2
Q

Blisters, pemphigus vulgaris

A

Bulla

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3
Q

Palpable. Elevated, circumscribed, encapsulated lesion in dermis or subcutaneous layer

A

Cyst

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4
Q

Flat, circumscribed lesion changed from normal color of skin.

A

Macule

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5
Q

Freckles, nevi (small moles)

A

Macule

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6
Q

Elevated, firm “marble-like” circumscribed lesion deeper in dermis than a papule
1-2cm

A

Nodule

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7
Q

Erythema nodosum, fungal infection, lipoma, neoplasms, sarcoidosis, tuberculosis

A

Nodule

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8
Q

Elevated, firm circumscribed area

A

Papule

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9
Q

Lichen planus, mastocytoma, wart

A

Papule

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10
Q

Flat, non-palpable irregulary shaped macule >1cm

A

Patch

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11
Q

Cafe-au-lait patch, mongolian spots, port-wine stains, vitiligo

A

patch

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12
Q

Cafe-au-lait patch is also known as

A

birthmark

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13
Q

Red, purple, nonblanching discoloration

Less than 0.5cm
Greater than 0.5cm

A

Petechiae or purpura

Petechiae
Purpura

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14
Q

Caused by RBCs leaking out of capillaries. Trauma is most common cause

A

Petechiae and purpura

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15
Q

Directly associated with disease process

A

Primary lesions

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16
Q

Differential for ecchymoses must always include

A

physical abuse

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17
Q

DIC, Henoch-Schonlein purpura, RMSF, and thrombocytopenia

A

Petechiae and purpura

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18
Q

Elevated, firm and rough lesion with flat top surface > 1 cm

A

Plaque

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19
Q

Actinic keratosis, psoriasis, and seborrheic keratosis

A

plaque

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20
Q

Elevated, superficial lesion similar to a vesicle but with purulent fluid (pus)

A

Pustule

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21
Q

Acne, folliculitis, impetigo

A

Pustule

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22
Q

Fine, irregular red lines due to capillary dilatation

A

telangiectasia

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23
Q

Acne rosacea

A

telangiectasia

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24
Q

Elevated, solid lesion deep in dermis >2cm

A

tumor

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25
Q

Benign tumors, neoplasms

A

tumor

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26
Q

Elevated, circumscribed superficial lesion filled with serous fluid

A

Vesicle

27
Q

Blister, contact dermatitis, herpes simplex virus, varicella chickenpox, shingles herpes zoster

A

vesicle

28
Q

Transient

A

Wheal (hive,urticaria)

29
Q

Involves deeper dermis and hypodermis (subcutaneous) tissue. Associated with ACE inhibitors such as lisinopril

A

Angioedema

30
Q

Mast cell degranulation in superficial dermis with resulting vascular permeability. Pruritic from histamine release

A

Wheal (hive, urticaria)

31
Q

Pruritic

A

Itchy

32
Q

Wheal (hive, urticaria) will or will not blanch?

A

Blanch

33
Q

Allergic reactions, insect bites, urticaria cause

A

wheals (hive, urticaria)

34
Q

Primary skin lesions with modifications

A

Secondary skin lesions

35
Q

Thinning of skin surfaces and loss of skin markings

A

Atrophy

36
Q

Thin appearing, wrinkled surface

A

Epidermal atrophy

37
Q

Results in a detectable depression

A

Dermal atrophy

38
Q

Aged skin, striae

A

Atrophy

39
Q

Dried serum, blood, or purulent exudates

A

crust

40
Q

Results from ruptured vesicles, pustules, or bullae. Usually multicolored

A

Crust

41
Q

Atopic dermatitis, contact dermatitis, impetigo, scabs

A

crust

42
Q

Loss of part of epidermis with glistening, depressed moist appearance. Incomplete loss of dermis

A

Erosion

43
Q

Ruptured vesicle or bulla

A

Erosion

44
Q

Loss of epidermis leaving a linear, hollowed-out crusted area

A

Excoriation (scratch)

45
Q

Abrasions, scabies, scratches

A

Excoriation (scratch)

46
Q

Linear crack from epidermis to dermis

A

fissure

47
Q

angular cheilitis, funal infection (tinea pedis)

A

Fissure

48
Q

Dermal thickening associated with inflammation. Loss of elasticity and pliability

A

Induration

49
Q

Red, inflamed, thickened, and tender

A

induration

50
Q

Cellulitis, neoplasm, scleroderma

A

induration

51
Q

Irregular, elevated progressively enlarging scar growing beyond wound boundaries. Often following surgery

A

Keloid

52
Q

Excessive collagen formation during healing

A

Keloid

53
Q

Common in African Americans

A

Keloid

54
Q

Rough, thickened epidermis due to persistent rubbing, itching, or skin irritation.

A

Lichenification

55
Q

Visible and palpable skin thickening with accentuated skin lines

A

Lichenification

56
Q

Lichenification usually involves __________ surfaces

A

flexor

57
Q

Chronic dermatitis

A

lichenification

58
Q

Heaped up, kearatinized cells from corneum manifesting as flaky skin due to imperfect cornification

A

Scale

59
Q

Can be dry or oily

Normally silver/white or tan

A

Scale

60
Q

Actinic keratosis, eczema, psoriasis, seborrheic dermatitis

A

scale

61
Q

Fibrous tissue that replaces normal skin following injury to dermis

A

scar

62
Q

Loss of epidermis and dermis, typically concave

A

ulcer

63
Q

Reveals hypodermis (subcutaenous tissue)

Blue or reddish

A

Ulcer

64
Q

May include fibrotic tissue or eschar formation

A

Ulcer

Exam 6 (11 decks)

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