SG - Clinical Skin Exam Flashcards
Flat skin lesions
Macules and patches
Macule
Flat, non palpable, less than 1cm
Patch
Same as a macule just larger than 1 cm
Raised lesions
Papule
Plaque
Nodule
Papule
Raised
Less than 1 cm
Plaque
Broad raised palpable lesion, confluence of smaller raised lesions coming together
Nodule
Very large bump or lump larger than 1 cm
Raised and fluid filled lesions
Vesicles
Bulla
Pustule
Vesicles
Small palpable lesions less than 1 cm filled with fluid
Bulla
Large fluid filled lesion larger than 1cm
Pustule
Vesicle where fluid inside it is turbid due to pus
Linear
In a line
Annular
Ring shaped
Herpetiform
Clustered together
Target Shaped
Shaped like a target
Serpiginous
Snake like
Discoid/Coin/Round/Nummular
Rounded, circular
Gyrate
Whirling in a circle
Violaceous
Bluish tint
Types of pigmentation
Depigmented
Hyperpigmented
Hypopigmented
Intertiginous
Skin flaps
Dystrophy
Abnormal formation of skin, common around the skin
Excoriation
a scratch
Erosion
Loss of skin surface
Fissure
This crack
Ulcer
full thickness skin loss
Fungating
Erupting like a fungus
Lichenification
Thickened skin from rubbing
Lichenoid
Lichenification that adheres tightly
Scaling
Hyperkeratosis, an increase thickening of skin
Verrucous
Warty
Maceration
Moist peeling skin
Desquamation
Skin coming off in scales
Exfoliation
Peeling skin
Psoriasiform
Large white or silver flakes
Keratotic
Horny scale
Pityriasiform
Powdery scale
Boggy
fluidy
Woody
Firm, wood-like
Indurated
Thickened via infection, hard and wet
Blanching
Color goes away when you press on it
Weeping
Oozing, liquidy
What causes Tinea Versicolor?
Malessezia yeast
Saprophyte
Lives off of dead and decaying matter
Dermatophyte
Infects keratinized skin
Is Tinea Versicolor a saprophyte or dermaophyte?
Saprophyte
Treatment for Tinea Versicolor
Antifungals
Presentation of Tinea Versicolor
Hypo/Hyperpigmented, or Erythematous macules on trunk
How do we treat Pityriasis Rosa?
Erythromycin treats this
Presentation of Pityriasis Rosa
Starts with a herald patch and within 1-2 weeks, general exanthem of bilateral and symmetric macules with scaling along cleavage lines
Common cause of Pseudomonas Folliculitis
Hot tub is a common cause of this
Presentation of Pseudomonas Folliculitis
Pruitic, erythematous macules progressing to papules and pustules
Cause of Seabather’s Eruption
Cnidaria Larvae exposure
Treatment for Seabather’s Eruption
Wash with fresh water, NO RUBBING
Presentation of Seabather’s
Inflammatory papules in area of exposure
Other name for Atopic Dermatitis?
Eczema
Presentation of eczema
Xerosis (dry skin), ezcematous lesions, lichenification
Treatment for Eczema
Control triggers and itching
Etiology of Psoriasis
Hyperproliferation of keratinocytes
Treatment for Psoriasis
Anti-inflammatories