L20- Dermatology Flashcards

1
Q

history checklist

A
  • Symptoms- itchy or sore??
  • Exacerbating and relieving factors
  • Past medical history
  • Family history of skin including atop
  • Thorough drug history evaluation
  • Social, occupation and travel and sexual history
  • Psychosocial impact of skin disease
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2
Q

examination checklist

A
  • Adequate exposure and good lighting are essential
  • Examination should include/ hair, mucous membranes and nails
  • Comment of morphology (how individuals lesion look and distribution/ sites involved
  • Palpate
  • Examine other systems if appropriate e.g. joins, lymph nodes
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3
Q

lichenification

A

skin condition that occurs in response to excessive itching or rubbing of the skin and results in thick, leathery patches of skin. This occurs because the outer layer of skin naturally thickens with the extra irritation, and it often happens in tandem with eczema or other skin disorders.

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4
Q

where does lichenification occur

A

usually in flexural ares e.g. wrist and ankle

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5
Q

papule

A

small lump <5mm

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6
Q

nodule

A

larger lump 5-10mm

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7
Q

erythema

A

redness

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8
Q

vesicle

A

small water blister

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9
Q

pustule

A

larger water blister

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10
Q

telangiectasia

A

thread vein

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11
Q

alopecia

A

hair loss

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12
Q

hirsutism

A

hairiness

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13
Q

excoriations

A

scratch marks

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14
Q

striae

A

stretch marks

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15
Q

pruritus

A

itching

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16
Q

atrophy

A

thinning

17
Q

macule

A

non palpable area of discolouration

18
Q

patch

A

macule >2cm

19
Q

plaque

A

palpable, flat topped ares >2cm

20
Q

erosion

A

loss of epidermis (superficial)

21
Q

ulcer

A

loss of epidermis and dermis (deep)

22
Q

lichenification

A

thickening of the skin with exaggerated skin marking

23
Q

6 signs of inflammation

A
rubor
tumor
calor
dolor
functio laesa
pruritus
24
Q

rubor

A

redness

25
Q

swelling

A

tumor

26
Q

calor

A

heat

27
Q

pain

A

dolor

28
Q

functio laesa

A

loss of function

29
Q

itching

A

pruritus

30
Q

the process of inflammation results from three main events

A

vasodilation

increased vascular permeability

influx of leukocytes

31
Q

toxic epidermal necrolysis (TEN)

A
  • Severe muco-cutaneous drug reaction
  • Full thickness epidermal damage
  • Skin separated to leave raw, oozing dermis
  • Life threating, high mortality