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FNP~Derm

Dermatology Disorders

QuestionAnswer
Primary lesion is defined as... result from a dz process, has not been altered by outside manipulation, tx,
Secondary lesion is defined as... lesion altered by outside manipulation, tx, natural course of disease
Example of "primary" lesion... vesicle is an example of this type of lesion
Example of "secondary" lesion... crust is an example of this type of lesion
4 types of lesions <1cm... macule, papule, vesicle, pustule
3 types of lesions >1cm... patch, plaque, bullae
3 types of lesions that can be any size... cyst, wheal, purpura
Macule... flat, nonpalpable discoloration
Papule... solid elevation
Vesicle... fluid-filled
Pusutle... veiscle-like lesion with purulent content
Patch... flat, nonpalpable area of skin discoloration, larger than macule
Plaque... raised, lesion, smae or different color from surrounding skin, can result from a coalescence of papules
Bullae... fluid-filled
Cyst... raided, encapsulated, fluid-filled lesion
Wheal... circumscribed area of skin edema
Purpura... flat red-purple discoloration caused by RBCs lodged in the skin
Example of macule... freckle
Example of papule... mole
Example of vesicle... varicella, HSV
Example of pusutle... impetigo
Example of patch... vitiligo
Example of plaque... psoriasis
Example of bullae... blister
Example of cyst... intradermal
Example of wheal... bug bites, hives
Example of purpura... petichiae if pinpoint
Excoriation... usually linear, raised, often covered with crust
Crust... raised lesions produced by dried serum and blood remnants
Lichenification... skin thickening usually found over prurutuc or friction areas
Scales... raised superficial lesion that flake with ease
Erosion... loss of epidermis
Ulcer... loss of epidermis and dermis
Fissure... narrow linear crack into epidermis, exposing dermis
Example of Excoriation... scratch
Example of Crust... scab
Example of Lichenification... eczema
Example of Scales... psoriasis
Example of Erosion... sloughing
Example of Ulcer... syphillis chancre
Example of Fissure... cracking foot
Annular... in a ring
Scattered... generalized over body without a specific pattern or distribution
Confluent or coalescnet... multiple lesions blending together
Clustered... occurring in a group without pattern
Linear... in streaks
Reticular... appearing in a net-like cluster
Dermatomal... limited to boundaries of a single or multiple dermatomes
Tx of "psoriasis vulgaris"... Vit D derivative cre'me
Tx of "Herpes Zoster"... Acyclovir
Tx of "Scabies"... Permethrin
Tx of "Verruca vulgaris"... Imiquimod (Aldara)
Tx of "Tinea pedis"... Topical ketoconazole
Pityriasis rosea is usually located... Christmas-tree distribution on trunk
Psoriasis vulgaris is usually located... anterior surface of knees
Actinic keratosis is usually located... sun-exposed areas
Scabies is usually located... over waist-band area
Eczema is usually located... antecubital fossa
Early signs of "Rocky Mountain Spotted Fever"... fever, nausea, vomiting, muscle pain, decreased appetite, sever H/A
Late signs of "Rocky Mountain Spotted Fever"... rash, abd pain, joint pain, diarrhea
Most common tx of "Rocky Mountain Spotted Fever"... Doxy 100mg b.i.d x5-7d,
Lyme dz...
Created by: KimmiNP
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