Derm Documenation Flashcards
(80 cards)
1
Q
what are these
A
macules
2
Q
what are these
A
patches
3
Q
__ are flat and < 10 mm
__ are flat and > 10 mm
A
macules
patches
4
Q
what is this
A
plaque
5
Q
what is this
A
wheal
6
Q
__ are raised and > 10 mm
A
plaques
7
Q
what do wheals make you think of
A
hives
8
Q
what is this
A
papule
9
Q
what is this
A
nodule
10
Q
__ are raised and < 5 mm
__ are raised and > 5 mm
A
papule
nodule
11
Q
what are these
A
vesicles
12
Q
what is this
A
bulla
13
Q
__ are serous, fluid filled and < 5 mm
__ are serous, fluid filled and > 5 mm
A
vesicle
bulla
14
Q
what are these
A
pustules
15
Q
what is this
A
cyst
16
Q
what differentiates vesicles vs pustules
A
vesicles: serous
pustules: pus
17
Q
describe a cyst
A
fluid filled
mobile
18
Q
how do you describe this
A
scaling
19
Q
how do you describe this
A
crusting
20
Q
what does “crusting” make you think of
A
impetigo
21
Q
what is this
A
excoriation
22
Q
describe this
A
umbilicated
23
Q
what is this
A
fissure
24
Q
what is this
A
ulcer
25
what is this
atrophy/striae
26
what is this
lichenification w. overlying scale
27
what is this
hypertrophic scar
28
what is this
keloid
29
what configuration is this
annular
30
what configuration is this
arcuate
31
what configuration is this
circinate
32
what configuration is this
confluent
33
what configuration is this
discoid
34
what configuration is this
eczematoid
35
what configuration is this
grouped
36
what configuration is this
keratotic
37
what configuration is this
linear
38
what configuration is this
reticulated
39
what configuration is this
serpiginous
40
what configuration is this
telangiectactic
41
what configuration is this
zosterform
42
what does linear configuration make you think of (2)
zoster
contact dermatitis
43
telangiectacic configurations are always__
and will never __
vascular
blanch
44
blanching indicates __
nonblanching indicates __
blanching: intact capillary system
nonblanching: not intact capillary system
45
what does MAD stand for
morphology
arrangement
distribution
46
morphology includes (5)
shape
size
color
elevation
margination
47
arrangement includes (4)
single
grouped
annular
patterns
48
distribution includes (2)
localized
disseminated
49
non blanching makes you think of (2)
purpura
petechiae
50
do not miss non blanching rash
meningococcal rash
51
bright red, linear eruption of edematous papules and bullae along the lateral aspect of the left leg
contact dermatitis
52
what does excoriation make you think of in terms of symptoms
itching/bothersome
53
between the DIP and the PIP is __ inches/__ cm
1 in
2.5 cm
54
always document __ depending on area of lesion/rash
LAD if present in area w. regional lymph nodes
55
describe this
1 cm nodule, post r shoulder, no drainage, surrounding erythema, or discoloration
56
describe this
2.5 cm circular, raised plaque w. well defined borders and some central clearing
57
what is this
tinea corporis -> ringworm
58
describe this
9 cm oval, raised, mildly pink wheal on upper back - overlying skin is intact w.o discharge
59
one way to differentiate wheal vs cellulitis based on symptoms
wheal is more likely itchy
60
what is this
draining/infected wheal
61
what does a draining wheal make you think of (2)
thermal burns -> sun/heat source
meds rxn
62
describe this
five annular lesions ranging from 1 cm to 7-8 cm on ant l shoulder - consistent w. tinea corporis
63
describe this
several confluent and linear intact blisters/vesicles over an erythematous base on left lower leg
64
what is this
contact dermatitis
65
describe this
well healing laceration of RUE w. four intact sutures - no e.o infxn
66
describe this
perforated right TM w. serous drainage - perf is apx 25% of TM and located btw 3 and 6 o'clock
67
3 most important things to document w. perforated TM
size
infected vs non infected
hearing fxn
68
describe this
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
describe this
obese pt - large region of periumbilical ecchymosis
cullen sign
70
cullen sign is mc __
but could also be __
necrotizing pancreatitis
ectopic pregnancy
71
describe this
obvious deformity of left 3rd finger at PIP joint w. ulnar angulation of distal segment - overlying skin intact
72
what must you always do for dislocations (2)
pre/post films
check and document CMS
73
describe this
left eye deviated nasally (esotropia) - clear sclera/conjunctiva, no periorbital edema, trauma, erythema, or drainage
74
what is this
esotropia
75
what is this
exotropia
76
what is this
hypotropia
77
what is this
hypertropia
78
describe this
1 cm x 1.5 cm oval ulceration distal to medial malleolus - e.o wound healing w. granulation - no discharge or surrounding erythema
79
describe this
4-5 in gaping linear laceration over medial aspect of distal thigh above knee joint - involves subq tissue - bleeding controlled, no FB
80
3 things to document w. lacerations
clean vs contaminated
joint space involvement
CMS intact
