Skin Examination

Question 1

what is distribution looking at?

Answer 1

which areas are affected

Question 2

what is configuration looking at?

Answer 2

how lesions are arranged

Question 3

what is morphology looking at?

Answer 3

what the lesions look like

Question 4

when assessing skin disease, what three things should be looked at?

Answer 4

distribution
configuration
morphology

Question 5

besides skin, what four things should be examined in skin disease?

Answer 5

nails
mouth
joints
hair

Question 6

what are two common nail findings in psoriasis?

Answer 6

pitting

onycholysis

Question 7

what is onycholysis?

Answer 7

separation of the nail from the nail bed

Question 8

what is hypertrichosis?

Answer 8

general excess hair growth

Question 9

what is hirsutism?

Answer 9

excess growth in a male pattern

Question 10

what is alopecia?

Answer 10

loss of hair

Question 11

what is purpura?

Answer 11

redness that doesn’t blanche

may be raised

Question 12

what causes purpura?

Answer 12

extravasation of blood

Question 13

what is petechia?

Answer 13

a small area of flat purpura

Question 14

what is erythema?

Answer 14

redness due to vascular dilation

blanches on pressure

Question 15

what is hypopigmentation?

Answer 15

skin lacking melanin

Question 16

what is hyperpigmentation?

Answer 16

skin with increased melanin

Question 17

what is a flat lesion <1cm called?

Answer 17

macula

Question 18

what is a flat lesion >1cm called?

Answer 18

patch

Question 19

what are two names for a raised solid lesion?

Answer 19

papule

nodule

Question 20

what is a flat rash called?

Answer 20

a macular rash

Question 21

what is an elevated rash called?

Answer 21

papular rash

Question 22

what is a rash with flat and raised components called?

Answer 22

maculopapular rash

Question 23

what is a plaque?

Answer 23

lesion with a raised edge and flat surface

Question 24

what is a wheal?

Answer 24

a compressible dermal swelling

Question 25

what is a fluid filled lesion <0.5cm?

Answer 25

vesicle

Question 26

what is a fluid filled lesion >0.5cm?

Answer 26

bulla

Question 27

what is a cyst?

Answer 27

a nodule containing semi solid material

Question 28

what is a pustule?

Answer 28

a pus filled raised lesion

Question 29

what is scale?

Answer 29

accumulated fragments of the keratin layer

Question 30

what is crust?

Answer 30

dried exudate

Question 31

what does lichenified mean?

Answer 31

thickening with increased skin markings

Question 32

what are fissures?

Answer 32

linear splits in the epidermis

Question 33

what is an erosion?

Answer 33

a superficial break in the epidermis

Question 34

what is an ulcer?

Answer 34

a deeper break into the dermis

Question 35

what does it mean if lesions are discrete?

Answer 35

well demarcated and individual

Question 36

what are the two possible configurations of grouped lesions?

Answer 36

annular | linear

Question 37

what does it mean if lesions are coalescing?

Answer 37

individual lesions that are starting to merge

Question 38

what does it mean if lesions are confluent?

Answer 38

no normal skin is visible

Question 39

what is the ABCDE approach for assessing pigmented lesions?

Answer 39

``` asymmetry border colour diameter elevation ```