Integumentary Flashcards

(55 cards)

1
Q

What are the risk factors for melanoma from greatest to least?

A
History of previous melanoma
Mole changing
Male gender
Regular dermatologist absent
Age over 50
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2
Q

What lesions are blanchable?

A
  • Erythema
  • Spider Angioma (liver disease)
  • Spider Vein (varicosities)
  • Cherry Angioma (benign)
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3
Q

If someone comes in with hives, raised itchy wheals, what do they have?

A

urticaria

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4
Q

A patient presents with itching on the skin, what is another term for itching?

A

pruritus

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5
Q

A patient has a red hue due to increased blood flow, what is the medical term for this?

A

erythema

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6
Q

A patient presents with small (1-2 mm) red or purple spots on body, likely caused by broken capillaries, what is the medical term for this?

A

petchiae

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7
Q

A patient presents with a 0.3 to 1 cm red/purple discoloration on the skin that doesn’t blanch when applying pressure. What do they have?

A

purpura

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8
Q

A patient presents with a huge bruise on their hand greater than 3 mm with extravasation of erythrocytes, what do they have?

A

ecchymosis

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9
Q

A patient presents with a mark on their body where connective tissue arose from an old injury or disease, what is this?

A

a scar

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10
Q

A patient shows you that they are losing their hair in a round/oval patch, what is this called?

A

alopecia

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11
Q

A patient presents with a fibrotic scar tissue, where it is hypertrophic and the scarring extends beyond the borders of the initial injury. what is the medical term for this?

A

a keloid

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12
Q

A patient comes in with a leathery induration and thickening of their skin on their foot, what is this called?

A

lichenification

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13
Q

What is the difference between a primary lesion and a secondary lesion?

A

A primary lesion are actual changes in the skin due to a disease process, while secondary lesions are due to external forces that cause changes in primary lesions.

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14
Q

What are examples of primary lesions

A

macule, patch, papule, plaque, nodule, vesicle, bulla, pustule, wheal, tumor

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15
Q

What are examples of a secondary lesion?

A

scale, excoriation, fissure, crust, erosion, ulcer cicatrix, atrophy

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16
Q

What is a small, flat non-palpable lesion (<1cm in diameter)?

A

a macule

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17
Q

A patient presents with a flat, nonpalpable lesion (>1cm in diameter), what is this called?

A

a patch (aka. a large macule)

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18
Q

A patient presents with a small, superficial, circumscribed, palpable lesion elevated about the skin surface (<1 cm in diameter). What is this called?

A

a papule

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19
Q

What is palpable lesion elevated that is elevated above the skin surface and greater than 1 cm in diameter?

A

a plaque

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20
Q

What is a firm (indurated) lesion that is thicker/deeper than an average papule or plaque?

A

a nodule

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21
Q

What is an elevated lesion (blister) that contains clear fluid and is less than one cm in diemter?

A

A vesicle

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22
Q

What is an elevated lesion that contains clear fluid and is greater than one centimeter in diameter?

A

a bulla

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23
Q

What is a superficial elevated lesion containing pus (yellow fluid), protein rich and contains neutrophils?

24
Q

What is a circumscribed, evanescent papule or irregular plaque of edema that is slightly reddened, changes in size and shape, and extends into adjacent areas?

25
A patient presents with think flakes of dead skin, what is this called?
scales
26
A patient presents with linear breaks in the skin surface, covered with blood/serum crusts. What is this called?
excoriation
27
A patient presents with a linear crack in the skin due to dryness like athletes foot. What is this called?
fissure
28
A patient presents with a hard outer layer/covering formed by dried serum or pus on surface of ruptured blister or pustule. What is this called?
A crust
29
A patient presents with a wearing away area of his skin by either friction or pressure (like a shallow ulcer), what is this called?
Erosion
30
A patient presents with a lesion on the surface of skin or mucosal surface caused by loss of tissue, with inflammation. What is this called?
Ulcer
31
A patient presents with a hypertrophic, keloid scar. what is this called?
Cicatrix
32
A patient presents with a wasting of tissues from death, reaborption of cells, decreased cellular volume, pressure, ischemia, malnutrition, or lessened function or hormonal changes. What is this called?
Atrophy.
33
What are the features of nail clubbing?
bulbous swelling of soft tissue at the nail base. A lose angle between nail and proximal fold and is increased to 10 degrees or more.
34
What are the causes of nail clubbing?
vasoidilation, increased blood flow to distal digit, changes in CT, hypoxia, changes in innervation, genetics or PDGF (platelet derived growth factors?)
35
What are associated diseases of nail clubbing?
Congenital heart disease, interstitial lung disease, lung cancer, irritable bowel syndrome (IBS), Malignancies
36
What are the ABCD warning signs associated with malignant melanoma?
A for asymmetry of one side of mole compared to the other B for irregular borders, especially ragged, notched or blurred C for variation or change in color, especially blue or black D is for diameter > 6mm or different from others, especially if changing, itching or bleeding.
37
What are physical changes in skin, hair and nails that represent symptoms of disease?
Changes in the skin's color, moisture, texxture, temperature, mobility and turgor, or lesions. Changes in hair: birttleness and hairloss Changes in nails: nail bed colors, clubbing, color of nails, brittleness and thickness.
38
What is a cafe-au lait spot?
A macule/patch of pigmentation
39
What is a tinea versicolor?
A infection, hypopigmented, scaly macule
40
What is vitiligo?
loss of pigment completely
41
What is heliotrope?
purple eyelids
42
A patient presents with swollen and tender nail folds, what is this called?
paronychia
43
A patient presents with ground glass appearance nails with a distal band of red/brown and oliteration of the lunula. What is this called?
Terry's nails
44
A patient presents with white spots on their nails, what is this called?
leukoychia
45
A patient presents with transverse white bands on their nails. What is this called?
Mees' lines
46
A patient presents with transverse linear depressions on their nails. What is this called?
Beau's lines
47
What is the function of the skin?
A barrier to prevent fluid loss and infection
48
What compounds give skin their color? What color?
Melanin (brownish with sun), carotene (golden yellow from fat), and Deoxy/Oxy Hemoglobin (cyanosis or erythematous)
49
What are the cellular components of the skin?
keratinocytes, melanocytes, and langerhans cells
50
What are the different general layers of the skin?
Epidermis, dermis and subcutaneous tissue
51
What is the composition of the subcutaneous tissue?
layer of loose CT directly beneath dermis that has adipose cells, fibroblasts, hair follicle roots, blood vessels, lymphatic vessels and nerve endings.
52
What is the function of the dermis?
provide circulation, nutrition and support
53
If I see free nerve endings and adipose cells, what layer of tissue am I in?
subcutaneous tissue
54
If I see mast cells, macrophages, dendritic cells, vascular structures and nerves, what layer of the skin am I in?
Dermis
55
What are the layers of the epidermis from superficial to deep?
``` Stratum Corneum Stratum lucidum Stratum granulosum Stratum spinosum Stratum basale ```