Skin:Lesions Flashcards

1
Q

circumscribed, flat, nonpalpable change in skin color (up to 1 cm)

A

macule (freckles, flat nevi)

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2
Q

circumscribed, flat non palpable change in skin color (> 1 cm)

A

patch(mongolian spot)

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3
Q

Palpable, elevated, circumscribed, solid mass; caused by superficial thickening in epidermis (

A

Papule(elevated nevus, wart)

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4
Q

flat, elevated surface; often formed by coalescence of papules (> 0.5 cm)

A

plaque(psoriasis)

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5
Q

solid, elevated, firm or soft mass; extending into dermis; may be benign or malignant (0.5 - 2 cm)

A

nodule(fibroma, intradermal nevi)

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6
Q

solid, elevated, firm or soft mass; extending into dermis; may be benign or malignant (> 1-2cm)

A

tumor(lipoma, hemangioma)

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7
Q

superficial, raised, erythematous lesion with irregular borders due to localized edema (transient)

A

wheal(varies in size)(mosquito bite, allergic reactions)

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8
Q

wheals coalescing to form an extensive reaction; intensely pruritic

A

urticaria(hives)

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9
Q

circumscribed, superficial, elevated cavity containing free fluid (clear - flows if ruptured) (

A

vesicle(herpes, chicken pox)

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10
Q

large vesicle; usually single chambered and thin - walled - ruptures easily (clear fluid); superficial in epidermis (> 1cm)

A

bulla(friction blister)

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11
Q

circumscribed, superficial, elevated cavity containing turbid fluid (pus) (

A

pustule(acne)

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12
Q

encapsulated, fluid or pus filled cavity in dermis or subcutaneous layer - tensely elevating skin (> 1 cm)

A

cyst(sebaceous cyst)

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13
Q

thickened, dried residue of burst vesicles, pustules or blood; red-brown, honey-colored or yellow depending on origin

A

crust(eczema)

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14
Q

compact desiccated flakes of skin (dry or greasy; silvery or white) from shedding of excess keratin cells; exfoliation of the dermis

A

scale(post-scarlet fever, dry skin, dandruff)

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15
Q

scratch mark; superficial

A

excoriation(scratch, insect bite, scabies, varicella)

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16
Q

linear crack with abrupt edges; extends into dermis (dry or moist)

A

fissure(cheilosis - corners of mouth; athlete’s foot)

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17
Q

superficial, circumscribed loss of epidermis; leaves scooped-out/shallow depression; moist, but no bleeding; no scar (bc does not extend into dermis)

A

erosion(stage 2 pressure ulcer)

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18
Q

circumscribed depression extending into dermis, irregular shape, may bleed; leaves scar once healed

A

ulcer(pressure sore, malignant growth)

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19
Q

replacement of destroyed normal skin tissue by fibrous connective tissue (permanent change)

A

scar

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20
Q

hypertrophic scar - resulting skin level elevated by excess scar tissue - invasive beyond site of injury

A

keloid

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21
Q

depressed skin level from loss of tissue; thinning of epidermis with loss of normal skin furrows (shiny, translucent skin)

A

atrophy

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22
Q

thickening and roughening of skin (usually from scratching); results from tightly packed papules; causes increased visibility of superficial skin markings

A

lichenification(long-standing eczema)

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23
Q

pallor

A

lack of color: anxiety, fear, anemia

24
Q

erythema

A

redness (excess blood supply): CO poisoning, fever, infection

25
Q

cyanosis

A

blue (decreased perfusion): frostbite, hypoxemia

26
Q

jaundice

A

yellow (skin, sclera): cirrhosis, sickle cell, hepatitis

27
Q

mongolian spots

A

(babies) hyper pigmentation due to melanocytes; does NOT blanch; will go away (butt/sacrum)

28
Q

cafe au lait spots

A

oval/round patch, usually harmless unless >6 large spots

29
Q

temporary cyanosis

A

(normal for NB, will blanch)- acrocyanosis- curtis marmorata (cold temps)

30
Q

acne

A
  • comedonal: white/black heads, closed (due to clogging)- pustular: larger, infection (pimple)
31
Q

2 conditions in older adults (less fat, loss of blood supply, dry skin)

A
  • seborrheic keratosis: raised, thickened pigmentation, skin will repair slowly (ulcers/sores)- senile lentigines: liver spots
32
Q

diaphoresis

A

excess sweating (anxiety, fever, chest pain)

33
Q

edema (grade 1+ - 4+) and causes

A

fluid in interstitial spaces- deep venous thrombosis (DVT)- chronic venous insufficiency- lymphedema (will not stay when pressed)- orthostatic edema (standing too long)- congestive heart failure (standing in feet, laying in butt/back)

34
Q

mobility vs turgor

A

mobility: skin’s ease of rising (elasticity)turgor: ability to return promptly (elasticity and moisture)

35
Q

configuration: annular

A

circular

36
Q

configuration: confluent

A

lesions running together

37
Q

configurations: discrete

A

single/by itself

38
Q

configurations: grouped

A

clustered (poison ivy)

39
Q

configurations: gyrate

A

twisted, coiled

40
Q

configurations: target

A

resemble iris of eye/have a center (lyme disease)

41
Q

configurations: linear

A

in a line

42
Q

configurations: polycyclic

A

circular (cirrhosis)

43
Q

zosteriform

A

along a dermatome; virus will live along nerves in the dermatome; start in center and spread outward (shingles)

44
Q

red pin sized macules of the blood in the skin

A

petechiae

45
Q

large macule or papule of blood in the skin (from bruise)

A

purpura

46
Q

small hemorrhagic spot on skin or mucous membrane (larger than petechiae) non-elevated, round, purple-blue patch

A

ecchymosis(escape of blood into tissues from ruptured blood vessels)

47
Q

small bright red papules; benign, usually on trunk in elderly or middle-aged

A

cherry angioma

48
Q

legs radiating from center with palpable feeding vessel in center; if pressed will blanch

A

spider angioma (stellate telangiectases)

49
Q

permanently dilated and visible vessels in skin; appear linear, punctate, or stellate; crimson purple

A

telangiectasia

50
Q

pale pink to purple macules; present at birth; caused by dilated dermal capillaries

A

nevus flammeus (port wine stain)

51
Q

Skin Cancer Warning Signs

A

A: asymmetry in shapeB: border is irregularC: color is mottled (haphazard display)D: diameter is large(elevation almost always present; enlargement - history of size increase)

52
Q

slow growing skin cancer, rarely metastasized, almost translucent; dome shaped papule with overlying telangiectasia; locally invasive and destructive

A

basal cell carcinoma (most common)

53
Q

(skin cancer) invasive malignancy; bleeding and scabbing repeats; may arise from actinic keratosis

A

squamous cell carcinoma

54
Q

superficial spreading skin cancer, nodular - very dark in color

A

melanoma

55
Q

hirsutism

A

excess hairiness on women where terminal hair does not normally occur (can be a symptom of polycystic ovarian)

56
Q

clubbing

A

end of nail/skin becomes bulbus

57
Q

paronychia

A

infection (nail)