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Flashcards in Chapter 9 Deck (21)
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1

Ecchymosis

Bruise

2

Petechiae

pinpoint bleeding from capillaries. Does not blanch!

3

IPPA

  • Inspect- color, uniformity, symmetry, hygene, lesions, odors
  • Percussion
  • Palpation- moisture, temp, texture, turgor, mobility
  • Auscultation

4

Secondary lesion

  • scale
  • crust
  • atrophy
  • scar
  • erythema/ petechiae

5

Primary lesions

  • Size
  • shape
  • color
  • texture
  • config
  • distribution

6

Folliculitis

  • inflamm of hair follice
  • caused by bacteria, can be yeast/fungus
  • risk factors: shaving, make up, hot top, immunocompromised 
  • small (insert size), multiple lesion, 

7

Furuncle

  • Boil
  • involve hair follice 
  • Pustular, 6 mm-1 cm. Singular lesion
  • May be on back 

8

Carbuncle

  • Clusters of furuncles connected subQ

9

Tinea

  • Contagious
  • scalp (tinea capitis)
  • body (corporis)
  • groin (cruris)
  • angular/round/pink/central clearing/multiple lesions/ 1-2 cm

10

Cellulitis

  • bright red/tense/shiny/lower extremety starting mid calf/ swelling
  • systemic infxn/may need admit
  • need abx 
  • mark with pen to recheck next day

11

Tinea Pityriasis

  • hypopigmented/ disseminated patches/ 
  • not painful/contagious 
  • potassium hydroxide (KOH) - spaghetti meatball- FUNGAL indication!

12

Pityriasis Rosea

  • common skin patch
  • dissapear without tx 6-8 weeks 

13

Rosacea

  • 30 yr and older
  • facial redness/dilated blood vessels/ swelling/burning/stinging/ and occasionally Rhinophema

14

Acanthosis Nigricans

  • DM, obese, pregnancy
  • Area of dark, discoloration in body folds/creases
  • On rare occasion inidcative or organ tumor 
  • No tx

15

Basal cell carcinoma

  • pearly/raised/red/shiny/can bleed 
  • almost never metastasizes 
  • most frequent occuring skin cancer

16

Malignant Melanoma

  • cancer from melanocytes 
  • UV exporsure
  • ABCDEFG: F= firm to touch, G=growing

17

Squamous cell carcinoma 

  • uncontrolled growth of abnormal cell arising from squamous cells
  • second most common
  • UV light case
  • Small nodule that becomes necrotic and sloughs(ulcerates)

18

Kaposi Sarcoma

  • Abnormal tissue under skin
  • mouth,nose, throat
  • red/pruple
  • Weak immunity-HIV/AIDS
  • Older men of Jewish/Mediterranean decent

19

Alopecia

  • Immune mediated attack on hair follicles
  • clumos if hair fall out resulting smooth hairless patches
  • common

20

Nails

  • Inspect: pigment, length, symmetry, swelling, pain, tumors, warts, cysts, peeling, pitting, beading, ridging, exudate
  • palpate
  • measure

21