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Flashcards in 4/9/13 Deck (20)
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1

What types of skin changes do you want to ask about in a history?

dryness
pruritis
sores
rashes
lumps
color
texture
odor
perspiration

2

If someone notices skin changes, which symptoms should you ask for?

itching
pain
exudate
bleeding
color changes
seasonal/climate variations

3

What are some associated symptoms you should ask about if someone has skin changes? What are extra onset questions?

Associated Symptoms: presence of systemic disease, fever, relationship to stress or leisure activities
Other Questions: recent exposure of skin
apparent cause
travel history

4

What are some hair changes that somebody might complain about?

loss of hair
growth of hair
distribution of hair
text of hair
color of hair

5

What are some associated questions you should ask about patients who complain of hair changes?

sudden or gradual onset
symmetric or asymmetric distribution
Associated Symptoms: pain, itching, lesions, disease or fever, stress
recent exposure
nutritional changes

6

What nail changes might a patient complain about?

splitting
breaking
discoloration
ridging
thickening
markings
separation of the nail from the bed

7

What are some extra questions that you should ask when a patient complains about nails?

recent illness
recent stress
Associated Symptoms: pain, swelling, exudate

8

What types of meds might you want to ask someone if they are using if they are having problems with their nails?

chemotherapy, psoralens, retinoids, tetracyclines, antimalarials

9

What are some systemic diseases that you should ask someone about if they have hair problems?

liver disorder
thyroid disorder
severe illness
malnutrition
associated skin disorder

10

What are calluses?

painful lesions found over pressure points

11

What are corns?

bony prominences

12

What do you palpate for on a skin exam?

moisture
temp (back of hand)
texture
turgor

13

Moles are usually harmless, but which areas of the bodies of men & women are they sometimes considered dysplastic?

back of men
legs of women

14

What is hyperkeratosis a sign of?

toxic exposure

15

What is Seborrheic Keratoses?

pigmented, raised, warty lesions, on face or trunk, may look similar to actinic keratoses (malignant)

16

What is sebaceous hyperplasia?

yellowish, flat, papules w/ central depressions

17

What are age spots?

solar lentigines

18

• Single transverse palmar crease Indicative of what?

Downs SYndrome

19

What are some signs of atopic dermatitis?

crease beneath the eyes (denii morgan fold)
eye rubbing

20

• Epidermal verrucous nevi What is this?

this is a warty lesion & could indicate a CNS, ocular problem