Skin, Head, Neck, Lymph Assessment Flashcards

1
Q

Macule

A

Flat in less than 1 cm in diameter

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2
Q

Patch

A

Flat greater than 1 cm in diameter

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3
Q

Papule

A

Raise and less than 1 cm in diameter and not fluid filled

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4
Q

Plaque

A

Raised and greater than 1 cm in diameter and not fluid filled

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5
Q

Vesicles

A

Raised and less than 1 cm in diameter and filled with fluid

Fluctuant
Eg: varicella

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6
Q

Bulla

A

Raised, greater than 1 cm in diameter, filled with fluid, example blister

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7
Q

Pustule

A

In general less than 1 cm in diameter, filled with pus or keratin, example impetigo

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8
Q

Erosion

A

A loss of some or all of the epidermis, surface is denuded

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9
Q

Nodule

A

Larger and deeper than a papule you about 1 to 2 cm, they invade the dermis or subcutaneous fat, firm to palpation

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10
Q

Cyst

A

Closed sac beneath the outer layer of the epidermis that contains a liquid, semi solid gel, or gaseous substance

Eg sebaceoous cyst
Not firm

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11
Q

Wheal

A

Raised and generally probable area with varying configuration and location, erythematous or pale, rounded or flat top, comes and goes, result of circumscribed dermal edema

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12
Q

Petechiae

A

Purpuric lesions 1 to 3 mm, result of blood outside of vessels, do not Blanche, suggestive of microemboli or vasculitis

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13
Q

Annular lesion shape

A

Ring like with central clearing sometimes called target lesions

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14
Q

Nummular lesion shape

A

Queen like with no central clearing, example eczema

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15
Q

ABCDE of lesions

A

Asymmetry, border, color, diameter, evolution

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16
Q

Lunula

A

Moon shape at the base of the finger nail

17
Q

Onychomycosis

A

Thick, brittle nails indicative of fungal infection

18
Q

Splinter hemorrhages in nails

A

Linear, petechial discolorations seen sometimes in endocarditis, SLE, scleroderma

19
Q

Headache warning signs

A

Change in pattern from past headaches, progressively frequent or severe over a three-month period, sudden onset, new onset after age 50, precipitated by Valsalva for exertion, associated symptoms of fever night sweats or weight loss, recent head trauma, associated with abnormal exam findings of papilledema neck stiffness or focal neurodeficits, diagnosis of immunosuppression

20
Q

Neck lymph nodes

A

Preauricular, post auricular, occipital, tonsilar, submandibular, submental, superficial cervical, posterior cervical, deep cervical chain, supraclavicular

21
Q

Normal head documentation

A

Normocephalic, no bony abnormality, nontender to palpation. Hair texture is normal, some blading noted at the vertex, scalp is without lesions or next

22
Q

Normal neck documentation

A

Trachea midline, neck supple, thyroid isthmus is midline and palpable, lobes are palpable, Normal in size, without nodularity or masses

23
Q

Normal lymph documentation

A

Bilateral shoddy submandibular notes, nontender to palpation. There is no lymphadenopathy (axillary & inguinal exam deferred)