Skin Examination Flashcards

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1
Q

what is distribution looking at?

A

which areas are affected

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2
Q

what is configuration looking at?

A

how lesions are arranged

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3
Q

what is morphology looking at?

A

what the lesions look like

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4
Q

when assessing skin disease, what three things should be looked at?

A

distribution
configuration
morphology

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5
Q

besides skin, what four things should be examined in skin disease?

A

nails
mouth
joints
hair

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6
Q

what are two common nail findings in psoriasis?

A

pitting

onycholysis

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7
Q

what is onycholysis?

A

separation of the nail from the nail bed

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8
Q

what is hypertrichosis?

A

general excess hair growth

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9
Q

what is hirsutism?

A

excess growth in a male pattern

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10
Q

what is alopecia?

A

loss of hair

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11
Q

what is purpura?

A

redness that doesn’t blanche

may be raised

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12
Q

what causes purpura?

A

extravasation of blood

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13
Q

what is petechia?

A

a small area of flat purpura

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14
Q

what is erythema?

A

redness due to vascular dilation

blanches on pressure

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15
Q

what is hypopigmentation?

A

skin lacking melanin

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16
Q

what is hyperpigmentation?

A

skin with increased melanin

17
Q

what is a flat lesion <1cm called?

A

macula

18
Q

what is a flat lesion >1cm called?

A

patch

19
Q

what are two names for a raised solid lesion?

A

papule

nodule

20
Q

what is a flat rash called?

A

a macular rash

21
Q

what is an elevated rash called?

A

papular rash

22
Q

what is a rash with flat and raised components called?

A

maculopapular rash

23
Q

what is a plaque?

A

lesion with a raised edge and flat surface

24
Q

what is a wheal?

A

a compressible dermal swelling

25
Q

what is a fluid filled lesion <0.5cm?

A

vesicle

26
Q

what is a fluid filled lesion >0.5cm?

A

bulla

27
Q

what is a cyst?

A

a nodule containing semi solid material

28
Q

what is a pustule?

A

a pus filled raised lesion

29
Q

what is scale?

A

accumulated fragments of the keratin layer

30
Q

what is crust?

A

dried exudate

31
Q

what does lichenified mean?

A

thickening with increased skin markings

32
Q

what are fissures?

A

linear splits in the epidermis

33
Q

what is an erosion?

A

a superficial break in the epidermis

34
Q

what is an ulcer?

A

a deeper break into the dermis

35
Q

what does it mean if lesions are discrete?

A

well demarcated and individual

36
Q

what are the two possible configurations of grouped lesions?

A

annular

linear

37
Q

what does it mean if lesions are coalescing?

A

individual lesions that are starting to merge

38
Q

what does it mean if lesions are confluent?

A

no normal skin is visible

39
Q

what is the ABCDE approach for assessing pigmented lesions?

A
asymmetry 
border 
colour 
diameter 
elevation