T2: Approach to diagnosis Flashcards

1
Q

Morphology

Macule

A
  • flat, circumscribed area of skin
    discolouration
  • < 0.5-1 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Morphology

Papule

A
  • solid raised lesion
  • < 0.5-1 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Morphology

Nodule

A
  • solid raised lesion
  • > 0.5-1 cm
  • goes deeper into dermis than papule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Morphology

Tumour

A
  • solid mass
  • > 1 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Morphology

Plaque

A
  • circumscribed, solid, raised flat topped elevated area of skin
  • > 0.5-1 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Morphology

Vesicle

A
  • raised lesion
  • filled with clear fluid
  • “small blister”
  • < 0.5-1 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Morphology

Bulla

A
  • circumscribed fluid filled lesions
  • “big blister”
  • > 0.5 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Morphology

Pustule

A
  • circumscribed, elevated lesion
  • contains pus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Morphology

Wheal

A
  • transient oedema in dermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Morphology

Abscesses

A
  • large subcutaneous collection of pus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Morphology

Cyst

A
  • epithelium lined cavity containing fluid/sold material
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Morphology

Ulcer

A
  • area of destruction of epidermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Morphology

Fissure

A
  • crack in skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Morphology

Annular lesion

A
  • round lesion
  • clear in centre
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Morphology

Purpura

A
  • area of RBCs in skin
  • petechiae: smaller than purpura
  • palpable purpura = vasculitis
  • deep red, red purple
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Morphology

Ecchymosis

A
  • bruise
  • over large area
  • purple, purple blue, green, yellow
17
Q

Distribution

Acral

A
  • hands
  • feet
  • sometimes face
18
Q

Distribution

Dermatomal

A
  • along nerve supply distribution
19
Q

Distribution

Flexural

A
  • under arms/breasts
  • in the groin
20
Q

Distribution

Follicular

A
  • spread in hair follicles
21
Q

Distribution

Photo distribution

A
  • where sun gets on skin
22
Q

Distribution

Seborrhoeic

A
  • scalp, central chest, axillae, groin area
  • sometimes on face
23
Q

Colour

Hyperpigmentation

A
  • darker than patients normal skin colour (melasma)
24
Q

Colour

Hypopigmented

A
  • lighter than patients normal skin colour
25
Q

Colour

Depigmented

A
  • no pigment (vitiligo)
26
Q

Procedure

Scrapings/clippings

A
  • take blade and scrape over lesion
  • KOH prep
    remove material
    place on glass slide
    10-20% KOH for few minutes
    coverslip
    apply heat + pressure
    microscopy
27
Q

Procedure

Skin biopsy

A
  • incisional
  • excisional
  • punch
28
Q

Procedure

Patch testing

A
  • done to tests for allergies
  • fill patches with allergens and assess skin