Week 5 Skin, Hair, Nails Flashcards
Melanoma in whites is noted to be ____ times highe4 than in blacks and ___ higher than latinos
20 / 4
The most common primary skin lesions
Erythema (Reddness of skin surface)
Pitting Edema
+1 (How many mm deep) Associated with interstitial fluid volume above ____ %
+ 2 (How many mm depp)
+ 3 (How many mm depp)
+ 4 (How many mm depp)
______ Final level, name & describe it
2mm / 30% increase
4mm
6mm
8mm
Brawny Edema / cannot be “pitted”
What does the
A
B
C
D
E
F
self examination technique consist of
Asymmetrical
Border
Color
Diameter
Elevation/ Enlargement
Feeling
How large of a mole is a concern
> 6mm
Onycholysis ( when your nail separates from its nail bed.)
Causes: Trauma / Fungi infection
Can result from this disease
Hyperthyroidism
Splinter hemorrhage & Janeway’s lesions are associated with this disease
Endocarditis (Infection Heart Inner lining, Valves)
Presents as: transverse depressions in nail
Cause: Trauma, Exposure to Cold, Raynaud’s disease, Episodic disease that disrupts normal nail growth
Beau’s Lines
Longitudinal black discoloration on finger nails.
Common in dark-skinned
Accompanied by pigmentation of underlying skin and disruption of nail growth GET BIOPSY
Melanotic Bands
Koilonchia (spoon nail)
Sign of ____ deficiency
Which Disease
Iron- Deficiency/ Anemia
Confluent
Flowing together
_______ lesions are rings with central clearing.
Examples:
Granuloma annulare,
drug eruptions,
dermatophyte infections (tinea [ringworm])
Secondary Syphilis
Annular or Circular
Separate Lesions that are not join3d to one another.
Geographic- resemble outline map
Geometric- arranged in circles or angular lines
Grouped- Clustered together
Discrete
Type of grouping that looks like lines making a circle like pattern Almost brian-like
Gyrate
______ lesions manifest as Annular lesions with a violaceous center and pink halo separated by a pale ring
Typical of Erythema Multiforme
Target lesions / iris lesions
Cutaneous larva margins is a parasitic skin infection causes by hook worm larva
Presents itself how…
Linear pattern
Primary skin lesions or Secondary
Macule
Primary
What is the difference between Primary skin lesions or Secondary skin lesions?
Primary isn’t associated with another disease or illness
Primary skin lesions or Secondary
Crust
Secondary
Primary skin lesions or Secondary
Scale
Secondary
Primary skin lesions or Secondary
Papule
Primary
Primary skin lesions or Secondary
Patch
Primary
Primary skin lesions or Secondary
Fissure
Second
Primary skin lesions or Secondary
Erosion
Second
Primary skin lesions or Secondary
Plaque
Primero
Primary skin lesions or Secondary
Nodule
Primary
Primary skin lesions or Secondary
Ulcer
Second
Primary skin lesions or Secondary
Excoriation
Second
Primary skin lesions or Secondary
Wheal
Primero
Primary skin lesions or Secondary
Tumor
Primero
Excoriation
skin picking disorder is where you cannot stop picking at your skin.
Primary or Secondary Skin Lesions
Scar / Atrophic Scar
Second
Atrophic scar
pitted or indented scars
Like potholes in the road
Lichenificat
the skin has become thickened and leathery. This often results from frequently rubbing or scratching the skin
Primary or Secondary skin lesions
Keloid
Second
Primary or Secondary skin lesions
Urticaria (Hives)
Primary
Primary or Secondary skin lesions
Vesicles
Primary
Primary or Secondary skin lesions
Cyst
Primary
Primary or Secondary skin lesions
Bulla
Primary
Primary or Secondary skin lesions
Pustule
Primary
Primary skin lesion
Flat, distinct, discolored area of skin less than 1 cm.
Exp. Freckles, flat moles (nevi), petechiae, measles, scarlet fever
Macules
Primary skin lesion
Macules
Description
Examples
Flat, distinct, discolored area of skin less than 1 cm.
Exp. Freckles, flat moles (nevi), petechiae, measles, scarlet fever
Primary skin lesion
Solid, Elevated lesion with no visible fluid, 1/2 - 1 cm diameter
Examples
Warts (verruca), elevated moles, lichen planus, cherry angioma, neurofibroma, skin tag
Papule
Primary skin lesion
Papule
Description
Examples
Solid, Elevated lesion with no visible fluid, 1/2 - 1 cm diameter
Examples
Warts (verruca), elevated moles, lichen planus, cherry angioma, neurofibroma, skin tag
Primary skin lesion
Larger papules
Locat3d in any of the 3 skin layers
> 1/2 cm in diameter
Exp.
Dermatofibroma, erythema nodosum, lipomas, melanoma, hemangioma, neurofibroma
Nodule
Primary skin lesion
Nodule
Description
Examples
Locat3d in any of the 3 skin layers
> 1/2 cm in diameter
Exp.
Dermatofibroma, erythema nodosum, lipomas, melanoma, hemangioma, neurofibroma
Primary skin lesion
Elevated irregular shaped area of cutaneous edema; solid, transient, variable diameter
Exp.
Insect bites
Urticaria (Hives)
Allergic reaction
Lupus
Erythematosus
Wheal
Primary skin lesion
Wheal
Description
Examples
Elevated irregular shaped area of cutaneous edema; solid, transient, variable diameter
Exp.
Insect bites
Urticaria (Hives)
Allergic reaction
Lupus
Erythematosus
Primary skin lesion
Epidermal elevation of the skin
Contains clear liquid
<0.5 cm
Exp.
Varicella
Herpes zoster (Shingles)
Impetigo
Acute eczema
Vesicle
Primary skin lesion
Vesicle
Contains liquid?
Describe
Examples
Epidermal elevation of the skin
Contains clear liquid
<0.5 cm
Exp.
Varicella
Herpes zoster (Shingles)
Impetigo
Acute eczema
Primary skin lesion
Vesicle larger than 1cm in diameter
Epidermal elevation of skin
Contains clear fluid
Exp.
Blisters
Lupus erythematous
Impetigo
Bulla
Primary skin lesion
An enclosed sac that contains liquid or semisolid material
Also comes in a “sebaceous” variety
Cyst
Primary skin lesion
Circumscribed (small) elevation of the skin that contains a purulent exudate that may be white, yellow, or greenish-yellow in color
Examples
Impetigo
Acne
Folliculitis
Herpes simplex
Pustule
Primary skin lesion
Pustules
Description
Examples
Circumscribed (small) elevation of the skin that contains a purulent exudate that may be white, yellow, or greenish-yellow in color
Examples
Impetigo
Acne
Folliculitis
Herpes simplex
Secondary skin lesion
Dried drainage or blood; slightly elevated; variable size, colors variable - red, black, tan, or mixed
Crust Secondary skin lesions
Primary skin lesion
Heaped-up keratinized cells, flaky skin, irregular, thin or thick
Exp.
Dry skin
Pityriasis
Rosea
Eczema
Xerosis
Scale
Secondary skin lesions
Scale
Describe
Examples
Heaped-up keratinized cells, flaky skin, irregular, thin or thick
Exp.
Dry skin
Pityriasis
Rosea
Eczema
Xerosis (dry skin)
Secondary skin lesions
Linear cracks or breaks from the epidermis to the dermis
Moist or dry
Exp.
Athletes foot
Chapped hands
Eczema
Intertigo labialis
Fissure
Secondary skin lesions
Fissure
Describe
Examples
Linear cracks or breaks from the epidermis to the dermis
Moist or dry
Exp.
Athletes foot
Chapped hands
Eczema
Intertigo labialis
Secondary skin lesions
Loss of part of the epidermidis; depressed, Moist, glistening; follows rupture of a vesicle or bulla
Exp.
Varicella
Variola after rupture
Candidiasis
Herpes simplex
Erosion
Secondary skin lesions
Loss of epidermis
Linear hollowed out crusted area
Examples
Abrasion
Scratch
Scabies
Excoriation
Vascular Skin Lesions
Hemangioma are also known as
Birthmarks
Primary contact dermatitis is commonly caused from this metal
Nickel
Secondary Skin Lesions
Labial herpes simplex
Cold sore
Secondary Skin lesions
Tinea corporis
Ringworm
Primary or Secondary skin lesions
Psoriasis
Second
This cancer typically appears as a white waxy lump or a brown scaly patch on sun-exposed areas, such as the face and neck
Least Serious Skin Cancer
Basal cell carcinoma
The most serious type of skin cancer.
Occurs when the pigment-producing cells that give color to the skin become cancerous.
Malignant Melanoma
Toxic epidermidal necrosis reaction to drugs
Can be fatal in up to 30% of adults
Stevens-Johnson Syndrome
Variola major is aka
Small pox
_____ (disease) causes sebaceous glands to swell from infection.
MRSA
____ is produced in the 2 inner layers of skin from UV-B rays.
1 - 3 hrs weekly
Vitamin D
Pruritus
Itchiness
2 types Cyanosis
Central:
Peripheral:
Describe areas
Central: face, lips, mucous membranes oral cavity, nail beds
Peripheral: fingers toes, skin surrounding lips
??????
New burns with Jaundice are given phototherapy,
What happens if they are not treated
Brain damage
Define
Non-blanchable
When you press the redness doesn’t go away
2 types of Chinese medicine discussed
Coining
Cupping
Diaphoresis
Sweating
Poor skin tugar in a young person is associated with…
In elderly….
Dehydration
Normal Findings.
Due to loss of elastin
How much weight is gained before edema is noticed
5 kg
This Secondary lesion
Travels along nerve tract
Unilateral
Contagious if draining
Herpes zoster
Compulent
Overlapping
(verruca)
Type of primero skin lesion
Wart
Papule
Circumscribed
Limited to a certain area
Primary skin lesion
Circumscribed, elevated, plateaulike, solid lesion greater than 1 cm in size (e.g. psoriasis)
Plaque
______A circumscribed, flat area of discoloration that is less than 10 mm* in diameter. Example: Freckle.
______ A circumscribed, flat area of discoloration that is greater than 10 mm* in diameter. Slight scale may or may not be present. Example: Vitiligo.
MACULE / PATCH
Primary skin lesion
Solid, Elevated, transient
Urticaria means…
Name of of skin lesion
Hives
Wheal
A cherry angioma is a noncancerous (benign) skin growth made up of blood vessels
It is this type of primary skin lesion
Papule
Verruca is aka
It is this type of primary skin lesion.
Wart
Papule
Adverse drug reaction that can result in death (Skin)
Steven’s Johnson Syndrome
Tachycardia is associated with hyper / hypotension
Hypotension
neurofibroma is …
a type of peripheral nerve tumor that forms soft bumps on or under the skin.