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Flashcards in History Taking And Physical Deck (42):
0

Largest organ of the body

Part of a whole being

Reflect systemic or psychological disorders

Assist in diagnosis

Skin

1

Intertriginous skin

Armpits
Inguinal area

2

Examining scalp

Presence of hair
Pigments
Thinness/thickness of hair
Dandruff
Arrangement of hair
Infection - tangled hair
Alopecia ariata/totalis - fungi
Rashes

3

Thickening of the skin

Maybe an adaptation or familial

Hyper keratosis palmaris

4

Localized change in the color of the skin with no elevation or infiltration
Less than 1cm in diameter
Non-palpable

Macule

5

Small solid elevated lesion
May be flat topped, conical, polyhedral
Less than 1cm
Smooth or scaly when related to hair follicle

Papules

6

Solid elevated lesion of the skin whose greater portion is situated deeper in the skin or subcutaneous tissue
>5mm in diameter
Trichoepithelioma
Neurofibromas

Nodule

7

Define tumor

larger deeply circumscribed solid growth of infiltrationa of the skin whether benign or malignant whose greater portion projects above the surface of the skin

8

Large flat solid elevation usually of an irregular geometric pattern

Palpable

Plaque

9

Examples of plaque

Psoriasis
Fungal lesions
Eczema

10

Closed sac lines by epidermal epithelium filled with keratin materials

Cyst

11

Large unelevated lesion similar to a macule

Greater than 1cm

Patch

12

Differentiating factor for herpes zoster and herpes simplex

Recurrences (simplex)
Dermal distribution

13

Small collection of fluid either in the epidermis or between epidermis and dermis

Vesicle

Ex. Chicken pox, small blisters

14

Collection of fluid larger than a vesicles in the epidermis

Bulla

15

Superficial collection of pus

Pustules

Ex. Folliculitis, boils, acne

16

Primary or elemental lesions

Basic lesions
Special lesions
Modified lesions

17

Type of basic. Lesions

Macule
Papules

18

Types of modified lesions

Nodule
Tumor
Plaque
Patch
Cyst
Vesicles
Bulla
Pustules

19

Special lesions

Wheal
Millium
Cornedo
Burrow
Scutulum
Telangiectasia
Hemorrhage
Papilloma

20

Transient aberration of the skin

Subsides when you don't scratch

Get bigger when you do

Wheal

21

Papules of 1-2nm diameter contains sebaceous or cornified material, has no opening

Millium

22

Plug of sebum or keratin retained in pilosebaceous follicle

Comedenes

Eg. White black heads

23

Secondary or consecutive lesions

Scale
Crust
Excoriation
Lichenification
Erosion
Ulceration
Pigmentation
Fissure
Atrophy

24

Results if serum blood and pus dry in the skin

Crust or langib

25

Superficial loss of skin and mucous membrane

Excoriation

26

Serpentine excavation or passage satin the epidermis

Animal infestation - bacteria

Burrow

27

Shallow cup or saucer shapes crust distinctive of favic infection

Scutulum

28

Grossy visible dilations of new formations of small blood vessels

Telangiectasia

29

Extravasation of blood

Hemorrhages
May be classified further as petechia, eccymoses, varices, hematoses

30

Finger like projections

Papilloma

31

Widespread increase or decease in melanin

Uses to describe large areas discoloration by iron pigment

Pigmentation

Sunspots, an an

32

Thin, whitened slightly sunken in epidermis which wrinkles easily

Can be causes by strong topical steroid

Atrophy

33

What to look for in physical exam of skin

Distribution

Extent involvement
Patterns
Characteristics patterns of distribution

Arrangement

Shape

Color

Texture
Moisture
Induration
Borders

34

Arrangement

Annular
Grouped
Linear
Zoseteriform
Confluent
Gyrate
Polycyclic

35

Shapes

Round
Oblong
Irregulars
Pedunculated

36

Color if diffuse

Brown
Reddish brown
Ivory white
Purplish

37

Color if circumscribed

Red
Orange
Yellow
Green
Brown
Black

38

Superficial loss of epidermis down the basal later without leaving a scar

Erosion

39

Crack in the skin which destroys elasticity of the skin

Fissure

40

Thickened and infiltrated yellowish brown or reddish brown skin with exaggerated lines or folds

Lichenification

41

Parts of dermatological history

Present dermatological illness
General history
Review of systems
Past medical dermatological history
Family medical history
Social history
Sexual history
Dermatological history