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CDM2 - Midterm > Derm Documenation > Flashcards

Derm Documenation Flashcards

1
Q

what are these

A

macules

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2
Q

what are these

A

patches

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3
Q

__ are flat and < 10 mm
__ are flat and > 10 mm

A

macules
patches

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4
Q

what is this

A

plaque

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5
Q

what is this

A

wheal

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6
Q

__ are raised and > 10 mm

A

plaques

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7
Q

what do wheals make you think of

A

hives

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8
Q

what is this

A

papule

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9
Q

what is this

A

nodule

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10
Q

__ are raised and < 5 mm
__ are raised and > 5 mm

A

papule
nodule

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11
Q

what are these

A

vesicles

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12
Q

what is this

A

bulla

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13
Q

__ are serous, fluid filled and < 5 mm
__ are serous, fluid filled and > 5 mm

A

vesicle
bulla

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14
Q

what are these

A

pustules

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15
Q

what is this

A

cyst

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16
Q

what differentiates vesicles vs pustules

A

vesicles: serous
pustules: pus

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17
Q

describe a cyst

A

fluid filled
mobile

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18
Q

how do you describe this

A

scaling

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19
Q

how do you describe this

A

crusting

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20
Q

what does “crusting” make you think of

A

impetigo

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21
Q

what is this

A

excoriation

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22
Q

describe this

A

umbilicated

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23
Q

what is this

A

fissure

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24
Q

what is this

A

ulcer

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25
Q

what is this

A

atrophy/striae

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26
Q

what is this

A

lichenification w. overlying scale

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27
Q

what is this

A

hypertrophic scar

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28
Q

what is this

A

keloid

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29
Q

what configuration is this

A

annular

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30
Q

what configuration is this

A

arcuate

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31
Q

what configuration is this

A

circinate

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32
Q

what configuration is this

A

confluent

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33
Q

what configuration is this

A

discoid

34
Q

what configuration is this

A

eczematoid

35
Q

what configuration is this

A

grouped

36
Q

what configuration is this

A

keratotic

37
Q

what configuration is this

A

linear

38
Q

what configuration is this

A

reticulated

39
Q

what configuration is this

A

serpiginous

40
Q

what configuration is this

A

telangiectactic

41
Q

what configuration is this

A

zosterform

42
Q

what does linear configuration make you think of (2)

A

zoster
contact dermatitis

43
Q

telangiectacic configurations are always__
and will never __

A

vascular
blanch

44
Q

blanching indicates __
nonblanching indicates __

A

blanching: intact capillary system
nonblanching: not intact capillary system

45
Q

what does MAD stand for

A

morphology
arrangement
distribution

46
Q

morphology includes (5)

A

shape
size
color
elevation
margination

47
Q

arrangement includes (4)

A

single
grouped
annular
patterns

48
Q

distribution includes (2)

A

localized
disseminated

49
Q

non blanching makes you think of (2)

A

purpura
petechiae

50
Q

do not miss non blanching rash

A

meningococcal rash

51
Q

bright red, linear eruption of edematous papules and bullae along the lateral aspect of the left leg

A

contact dermatitis

52
Q

what does excoriation make you think of in terms of symptoms

A

itching/bothersome

53
Q

between the DIP and the PIP is __ inches/__ cm

A

1 in
2.5 cm

54
Q

always document __ depending on area of lesion/rash

A

LAD if present in area w. regional lymph nodes

55
Q

describe this

A

1 cm nodule, post r shoulder, no drainage, surrounding erythema, or discoloration

56
Q

describe this

A

2.5 cm circular, raised plaque w. well defined borders and some central clearing

57
Q

what is this

A

tinea corporis -> ringworm

58
Q

describe this

A

9 cm oval, raised, mildly pink wheal on upper back - overlying skin is intact w.o discharge

59
Q

one way to differentiate wheal vs cellulitis based on symptoms

A

wheal is more likely itchy

60
Q

what is this

A

draining/infected wheal

61
Q

what does a draining wheal make you think of (2)

A

thermal burns -> sun/heat source
meds rxn

62
Q

describe this

A

five annular lesions ranging from 1 cm to 7-8 cm on ant l shoulder - consistent w. tinea corporis

63
Q

describe this

A

several confluent and linear intact blisters/vesicles over an erythematous base on left lower leg

64
Q

what is this

A

contact dermatitis

65
Q

describe this

A

well healing laceration of RUE w. four intact sutures - no e.o infxn

66
Q

describe this

A

perforated right TM w. serous drainage - perf is apx 25% of TM and located btw 3 and 6 o’clock

67
Q

3 most important things to document w. perforated TM

A

size
infected vs non infected
hearing fxn

68
Q

describe this

A

arm is abducted and against body - loss of shoulder contour w. obvious deformity - palpable gap just under acromion where humeral head usually lies - overlying skin is intact w.o e.o rash/trauma/edema/ecchymosis

69
Q

describe this

A

obese pt - large region of periumbilical ecchymosis
cullen sign

70
Q

cullen sign is mc __
but could also be __

A

necrotizing pancreatitis
ectopic pregnancy

71
Q

describe this

A

obvious deformity of left 3rd finger at PIP joint w. ulnar angulation of distal segment - overlying skin intact

72
Q

what must you always do for dislocations (2)

A

pre/post films
check and document CMS

73
Q

describe this

A

left eye deviated nasally (esotropia) - clear sclera/conjunctiva, no periorbital edema, trauma, erythema, or drainage

74
Q

what is this

A

esotropia

75
Q

what is this

A

exotropia

76
Q

what is this

A

hypotropia

77
Q

what is this

A

hypertropia

78
Q

describe this

A

1 cm x 1.5 cm oval ulceration distal to medial malleolus - e.o wound healing w. granulation - no discharge or surrounding erythema

79
Q

describe this

A

4-5 in gaping linear laceration over medial aspect of distal thigh above knee joint - involves subq tissue - bleeding controlled, no FB

80
Q

3 things to document w. lacerations

A

clean vs contaminated
joint space involvement
CMS intact

CDM2 - Midterm (12 decks)

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