Skin, Hair & Nails Flashcards

(81 cards)

1
Q

Type of lesion categories

A

Primary and secondary

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2
Q

Primary skin lesion

A

Arise primarily in the skin

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3
Q

Secondary lesion

A

due to other causes which may be systemic in origin

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4
Q

ABCDEs mole exam

A
Asymmetry
Borders
Color
Diameter
Evolution
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5
Q

What are you looking at when doing a Lesion exam? (5)

A
Location
Distribution
Pattern
Shape
Type
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6
Q

Secondary lesion examples

A

crust, scale, excoriation, Lichenification, Erosion, fissure

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7
Q

What type of lesion is a macule and describe it

A

primary; flat, non-palpable <1cm

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8
Q

example of a macule

A

freckle, lentigo, purpura

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9
Q

what type of lesion is a patch and describe it

A

primary; flat, >1cm

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10
Q

example of a patch

A

pityriasis rosea, melasma, lentigo

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11
Q

what type of lesion is a papule and describe it

A

primary; raised palpable, non fluid <1cm

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12
Q

example of a papule

A

Nevi, seborrheic keratosis, dermatofibroma

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13
Q

what type of lesion is a plaque and describe it

A

primary; raised, palpable, nonfluid >1cm

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14
Q

example of a plaque

A

psoriasis, mycosis fungoides

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15
Q

what type of lesion is a vesicle and describe it

A

primary; raised, fluid filled, <1cm

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16
Q

example of vesicle

A

herpes simplex, herpes zoster, contact dermatitis

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17
Q

what type of lesion is a bulla and describe it

A

primary; raised, fluid filled, >1cm

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18
Q

example of bulla

A

bullous pemphigoid, contact dermatitis, blisters of second-degree sunburn

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19
Q

what type of lesion is a nodule and describe it

A

primary; raised, papule, 1-2cm

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20
Q

example of nodule

A

Nevi, basal cell carcinoma, keratoacanthoma

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21
Q

what type of lesion is a tumor and describe it

A

primary; nodule, >2cm

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22
Q

example of tumor

A

basal cell carcinoma, squamous cell carcinoma, malignant melanoma

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23
Q

what type of lesion is a cyst and describe it

A

primary; varies in size, fluid filled but can be hard

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24
Q

example of cyst

A

sebaceous cyst

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25
what type of lesion is a pustule and describe it
primary; raised, clear fluid filled, <0.5cm
26
example of pustule
folliculitis, acne
27
what type of lesion is a wheal ("Hive")and describe it
primary; smooth & elevated area of localized edema that comes & goes
28
example of wheal
urticaria
29
urticaria
allergic reaction marked by multiple discrete swelling on the skin (wheals)
30
what type of lesion is a crust and describe it
secondary; dried exudate that may have been seous, purulent or hemorrhagic
31
example of crust
impetigo herpes zoster (late phase)
32
what type of lesion is a scale and describe it
thin plates of desquamated (skin pealing) stratum corneum (outer most layer of epidermis)that flake off easily
33
example of scale
xerosis (dry skin), ichthyosis
34
what type of lesion is a excoriation and describe it
secondary; shallow hemorrhagic excavation, linear or punctate, results from scratching
35
examples of excoriation
contact dematitis
36
what type of lesion is Lichenification and describe it
secondary; thickening of skin wall exaggeration of skin creases
37
example of Lichenification and hallmark of what illness?
chronic eczema, hallmark of eczematous dermatitis
38
What type of lesion is Erosion and describe it
secondary; partial break in epidermis
39
example of erosion
herpes simplex or zoster, pemphigus vulgaris (autoimmune disease that can cause erosions of skin)
40
pemphigus vulgaris
autoimmune disease that can cause erosions of skin, its an example of a secondary lesion
41
what type of lesion is fissure and describe it
secondary; linear (straight line) crack in epidermis
42
examples of fissure
xerosis (abnormal dryness of skin), angular cheilitis (chapping of lips), severe eczema
43
Xerosis
abnormal dryness of skin
44
angular cheilitis
chapping of lips
45
3 Distribution of lesions
Localized, Regional, Generalized
46
category of localized lesions and definition
a distribution; lesion appears in one small area
47
category of regional lesions and definition
a distribution; lesion involve specific region of body
48
category of generalized lesions and definition
a distribution; lesions appears widely distributed
49
examples of localized lesions
impetigo, tinea corporis
50
examples of regional lesions
psoriasis (extensor surfaces and skini folds), acne vulgaris
51
examples of generalize lesions
urticaria, disseminated (scattered) drug eruptions
52
round shape definition
coin
53
annular shape definition
round, active margins
54
zosteriform shape definition
following nerve or segment of body
55
polycyclic shape definition
interlocking or coalesced circles
56
linear shape definition
in a line
57
iris target shape definition
pink macules with purple central papules
58
stellate shape definition
star shaped
59
serpiginous shape definition
snakelike or wavy line track
60
reticulate shape definition
netlike or lacy
61
morbilliform shape definition
confluent (flowing together) & salmon colored
62
Discrete border definition
well defined
63
indistinct border definition
poorly defined
64
active border definition & example
margin of lesion shows greater activity than center; example ring worm
65
irregular border definition & example
nonsmooth or notched; malignant melanoma
66
border raised above center definition and example
center of lesion depressed compared to edge; basal cell carcinoma
67
advancing border definition and example
expanding at margins; cellulitis
68
what is central clearing of a lesion
an associated change; erythematous border surrounds lighter skin
69
what is desquamation of a lesion
an associated change; peeling or sloughing
70
what is keratotic of a lesion
an associated change; hypertrophic (increase in size) stratum corneum (outermost layer of skin)
71
stratum corneum
outtermost layer of skin
72
what is punctate of lesion
central umbilication or dimpling
73
what is telangiectasias of a lesion
dilated blood vessels within lesion blanch completely
74
Alopecia Areata (adrogenic areata)
sudden onset of hair loss, can occur in anyone, localized, no scaling or erythemia
75
1. ) Telogen Effluvium | 2. ) Anagen Effluvium
1. ) hair distribution normal but hair pull test positive | 2. ) diffuse hair loss from roots, hair pull test negative
76
scarring alopecia
scarring on the scalp, skiny skin, complete loss of hair, any scarring refer to dermatologist
77
Paronychia
infection of nail folds. Red swollen, tender
78
Habit tic deformity
depression of central nail that gives a "Christmas tree" appearance
79
Melanonychia
increased pigmentation in nail matrix
80
Onycholysis
traumatic shearing of nails
81
Onychomycosis
nail thickening