General Terms Flashcards

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1
Q

Define:

Pruritus
Lesion
Rash
Naevus

What is a comedone? 2 types?

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A

Itching

An area of altered skin

An eruption

A localised malformation of tissue structures

A plus in a sebaceous follicle containing altered sebum, bacteria and cellular debris

White heads and black heads

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2
Q

Distribution (the pattern of spread of lesions)

Generalised 
Widespread
Localised 
Flexural 
Extensor 
Pressure areas 
Dermatome 
Photosensitive 
Koebner pneumomenon 

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A

All over the body

Extensive

Restricted to one area of skin only

Body folds (groins, neck, behind ears)

Knees, elbows and shins

Sacrum, buttocks, ankles, heels

An area of skin supplied by a single spinal nerve

Affects sun-exposed areas such as face, neck and back of hands

A linear eruption arising at site of trauma

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3
Q

Configuration (the pattern or shape of grouped lesions)

Discrete 
Confluent 
Linear 
Target
Annular 
Discoid/nummular 

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A

Individual lesions separated from each other

Lesions merging together

In a line

Concentric ring

Like a circle or ring

A coin-shaped/round lesion

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4
Q

Colour

Erythema (blanching or not)
Purpura (blanching or not)
Hypo-pigmentation 
De-pigmentation 
Hyper-pigmentation 

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A

Redness (due to inflammation and vasodilation) which balances on pressure

Red/purple colour (due to bleeding in to the skin/mucous membranes) which does not blanch on pressure
Petechiae - pinpoint macules
Ecchymoses - large bruises

Area of paler skin

White skin due to absence of melanin

Darker skin which may be due to various causes (e.g. post-inflammation)

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5
Q

Morphology (the structure of a lesion) - primary lesions

Macule 
Patch 
Papule
Nodule
Plaque
Vesicle 
Bulla 
Pustule 
Abscess 
Weal 
Boil/furuncle
Carbuncle 

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A

a flat area of altered colour

Larger flat area of altered colour or texture

Solid raised lesion <0.5cm

Solid raised lesion >0.5cm

Palpable scalling raised lesion >0.5cm

Small blister - raised, clear fluid filled lesion <0.5cm

Large blister - raised, clear fluid filled lesion >0.5cm

Pus filled lesion <0.5cm

Localised accumulation of pus in the dermis or subcutaneous tissues

Transient raised lesion due to dermal oedema

Staph infection around or within a hair follicle

Staph infection of adjacent hair follicles (multiple boils/furuncles)

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6
Q

Morphology (lesions that evolve from primary lesions) - secondary lesions

Excoriation 
Lichenification
Scales 
Crust
Scar
Ulcer
Fissure
Striae
A

Loss of epidermis following trauma (excoriations in eczema)

Well defined roughening of skin with accentuation of skin markings (chronic rubbing in eczema)

Flakes of stratum corneum (psoriasis)

Rough surface consisting of dried serum, blood, bacteria and cellular debris that has exuded through an eroded epidermis (from burst blister for example)

New fibrous tissue which occurs post-wound healing (keloids)

Loss of epidermis and dermis (heals with scarring)

An epidermal crack often due to excess dryness (eczema)

Linear areas which progress from purple to pink to white

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7
Q

Hair

Alopecia
Hirsutism
Hypertrichosis

A

Loss of hair

Androgen-dependent hair growth in females

Non-androgen dependent pattern of excessive hair growth

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8
Q

Nails

Clubbing
Koilonychia
Onycholysis
Pitting

A

Loss of angle between posterior nail fold and nail palate

Spoon-shaped depression of the nail plate

Separation of the distal end of the nail plate from nail bed

Punctate depression of the nail palate

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