Quiz 1 Flashcards
Lesion
-a general term to denote a pathologic or traumatic change in the tissue
Macule
size and shape-focal area of color change not elevated or depressed in relation to its surroundings; flat
Papule
size and shape-solid, raised lesion less than 5mm in diameter
Nodule
size and shape-solid, raised lesion greater than 5mm in diameter
Erythematous
color-red in color due to dilation and congestion of capillaries
Sessile
mode of attachment-base is the widest part of an elevated lesion
Pedunculated
mode of attachment-base of an elevated lesion is narrower than the widest part
Papillary
surface texture-exhibiting numerous surface projections
Verrucous
surface texture-exhibiting a rough, warty surface
Erosive
surface texture-superficial, partial or total loss of surface epithelium; may arise secondarily from rupture of bulla (blister)
Ulcerated
surface texture-loss of surface epithelium down to the connective tissue, often appears depressed
Fissure
surface-narrow, slit like ulceration or groove
Plaque
surface-slightly elevated and generally flat; (homonym of “plaque” which is the soft white deposit that accumulates on teeth)
Petechia(e)
surface-flat, round, pinpoint area(s) of hemorrhage, usually 3mm or less
Purpura
surface-hemorrhage into the skin, larger than petechia, but less than 1cm
Ecchymosis
surface-flat area of hemorrhage larger than 1 cm; bruise
Vesicle
blister-fluid filled, elevated, superficial, 5mm or less in diameter
Bulla
blister-fluid filled, elevated, superficial, greater than 5mm in diameter
Pustule
blister-superficial, circumscribed cavity filled with pus (purulent exudate)
Indurated
-hardened
Fluctuant
consistency-wavelike on palpation due to liquid content
Copious
-present in large quantity
Dermatoglyphics
-lines forming a skin pattern
Crenated
-scalloped
Varicose
surface-abnormal swollen, distended or dilated
Scale
surface-flakes of retained surface keratin
Crust
surface-dried blood, serum, or purulent exudate on the skin surface
Importance of descriptive terminology
- accuracy of patient records
- comparison at later date
- communication among providers
Descriptive Clinical Findings
- size
- site
- shape
- symmetry
- surface
- color
- borders/margins
- mode of attachment
- consistency
- number
Occipital Lymph Node Drainage
-back of head near occipital protuberance; drain occipital region of scalp
Retroauricular (mastoid) Lymph Node Drainage
-behind the ear near the mastoid process; drain the scalp over the ear, part of the ear
Parotid Lymph Node Drainage
-anterior to the ear, on or in the parotid gland; drains the scalp above the parotid gland, lymphatics from most of the eyelids, the parotid gland, part of the ear, part of the external nose, lateral part of the cheek
Buccal Lymph Node Drainage
-cheek over the buccinator mm, drain part of the cheek and lower eyelid, drains to the submandibular gland
Submandibular Lymph Node Drainage
-grouped around the submandibular gland near the angle of the mandible; drains all the maxillary teeth except maxillary third molars, maxillary sinus, mandibular canines and posterior teeth, FOM, most of the tongue, cheek, hard palate, anterior nasal cavity. Submental nodes drain into these nodes also
Submental Lymph Node Drainage
-found beneath the chin; drains the chin, mandibular incisors, tip of tongue, midline of lower lip
Anterior Cervical Lymph Node Drainage
-superficial and beneath the anterior SCM; drain the throat, posterior pharynx, tonsils and thyroid gland
Posterior Cervical Lymph Node Drainage
-posterior to the SCM; drain posterior scalp, upper respiratory structures
“NPNT” mean
-non palpable, non tender
