WVSOM -- Skin -- Derm Diagnosis
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macule | circumscribed, flat discoloration that may be brown, blue, red or hypopigmented; may be whole or part of eruption
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patch | large macule greater than 1 cm
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papule | elevated solid lesion with no fvisible fluid up to 1 cm
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squamous papules | papules topped with scales
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plaques | circumscribed, elevated, superficial solid leasions greater than 1cm in diameter.
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nodules | circumscribed, elevated, solid leasions greater than 1cm
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vesicles | circumscribed epidermal elevation that contains free fluid up to 1 cm; may come from macule or papule
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bulla | roudned or irregularly shaped blisters containing serious or seropurulent fluid greater than 1 cm
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wheal | evanescent, edematous plateua like elevation of various sizes; develop quicly adn tend to be transient
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pustules | circumscribed collection of necrotic inflammatory cells and free fluid; inflammatory areola
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scales | dry or greasy laminated masses of keratin
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crusts | scabs; collection of dried serum, pus or blood
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erosion | focal loss of epidermis; does NOT penetrate below the dermoepidemral junction; heals without scarring
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ulcer | focal loss of epidermis and dermis; heals with scarring
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fissures | cracks; linear cleft thru the epidermis or into the dermis; usually when sin is thickened or inelastic
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atrophy | depression in teh skin resulting form thinning of the epidermis or dermis
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scar | new connective tissue tha replaces lost substance in teh dermis or deeper parts as the result of injury or disease
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excoriations | caused by scratching
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comedones | plug of seaceous and keratinous material in teh openign of a hair follicle
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milia | small, superficial keratin cyst with no visible opening (seen around eyes)
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cysts | small, circumscribed lesions with a wall and lumen containing eitehr fluid or solid matter
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burrow | narrow, elevated tortuous channel; parasitic
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lichenification | thickened epidermis induced by scratching
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telangectasia | dilated superficial blood vessels
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petechiae | circumscribed deposit of blood less than 1 cm
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purpura | circumscribed deposit of blood; greater than 1cm
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annular | forming ring/circle
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arcuate | part of a circle
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polycyclic | several intersecting portions of circles
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serpigninous | snake like -- curving line
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guttate | small round lesions; "drop like"
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nummular | coin-like
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