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Flashcards in Peds - Derm Deck (66)
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1

first degree burn

dry, red, no blisters
epidermis only

2

second degree burn

moist, blisters

extends beyond epidermis

3

third degree burn

dry, leathery, pearly, waxy

extends from epidermis to dermis to underlying tissues (fat, muscle, bone)

4

Of particular concern with significant burns?

HYPO thermia especially in young children

First 6 hours are critical, hospitalize immediately

5

Identifying factors in dermatology

MORPHOLOGY - character of lesion itself
CONFIGURATION - how the lesions present in relation to each other
DISTRIBUTION - where on the body the lesions appear

6

(morphology)

MACULE

small, flat discoloration

freckle, petechiae, flat nevi

7

(morphology)

PATCH

large, flat discoloration
may have surface changes

big macule

mongolian spots, cafe au lait spot

8

(morphology)

PAPULE


small, elevated skin lesion
< 1 cm

ant bite, psoriasis

9

(morphology)

NODULE

elevated, firm lesion

> 1 cm

(big papule)

fibroma

10

(morphology)

TUMOR

"mass"

firm, elevated lump

(big nodule)

can be benign or malignant

11

(morphology)

WHEAL

slightly raised and extending a bit below the epidermis

often allergic in origin

aka hive or PPD

12

(morphology)

PLAQUE

scaly, elevated lesion

classic for psoriasis

13

(morphology)

VESICLE

small lesion filled with serous fluid

< 1 cm

varicella, herpes simplex, herpes zoster

14

(morphology)

BULLA

large lesion filled with serous fluid (big vesicle)

> 1 cm

blister

15

(morphology)

PUSTULE

small lesion filled with pus

< 1 cm

acne, impetigo

16

(morphology)

ABCESS

large lesion filled with pus

> 1 cm

17

(morphology)

CYST

large, raised lesion filled with serous fluid, blood and pus

18

primary lesion

first appearing

19

secondary lesion

follow primary

20

(configuration)

SOLITARY or DISCRETE

individual lesions that remain separate

21

(configuration)

GROUPED

in a cluster

22

(configuration)

CONFLUENT

lesions that run together

23

(configuration)

LINEAR

scratch, streak, line, or stripe

poison ivy

24

(configuration)

ANNULAR

circular

ring worm

25

(configuration)

POLYCYCLIC

annular lesions that merge

26

Distribution

examples

Where on the body the lesions appear

face
trunk
extremities
groin
dermatomal
feet
axilla

27

Rash which typically is found in buccal cavity, palms, and soles

Rash of syphilis

ddx - pityriais rosea

28

Rash which follows dermatomes

Zoster

29

Rash which tends to be confluent

Tinea

30

Medications which exacerbate acne. (2)

steroids
anticonvulsants