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Derm /HP spring 2006 SFU

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Bates PhysicalExam
Table 4-1 and 4-8
Circumscribed flat, non palpable changes in skin color. Small flat spot, up to 1.0 CM. Example: freckle, petechia   Maculae: Woods Macule:Bates  
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Circumscribed, flat non palpable changes in skin color. Flat spot, 1.0CM or larger   Patch  
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Circumscribed superficial elevation of skin formed by free fluid in a cavity within the skin layers, up to 1.0 cm; filled with serous fluid. Example: herpes simplex   Vesicle  
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Circumscribed superficial elevations of the skin formed by free fluid in a cavity, within the skin layer, 1.0CM or larger. Example second-degree burn   Bulla  
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Circumscribed superficial elevation filled with pus. Example: acne , impetigo   Pustule  
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A flake of exfoliated epidermis. example: dandruff, dry skin, psoriasis   scale  
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Linear crack in the skin. Example: athlete's foot   Fissure  
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Palpable elevated solid mass up to 1.0 cm, example elevated Nevis   Papule  
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Elevated superficial lesion, palpable ,1.0 cm or larger . Often for my coalescence of papules   Plaque  
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Marblel ike lesion larger than 0.5 cm. Often deeper and firmer than papule.   Nodule  
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Palpable, elevated solid mass, somewhat irregular relative to the transient superficial area of localized skin edema. Examples: insect bite, hives   Weal  
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Loss of superficial epidermis; surface is moist but does not bleed. Example: ruptured chickenpox   Erosion  
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Dried residue of serum, plus, or blood. Example impetigo   Crust  
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Deep loss of epidermis or dermis; may bleed and scar, examples: Stasis ulcer on venous insufficiency, syphilitic chancre   Ulcer  
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Thickening and roughing of the skin that with increased visibility of the normal skin furrows example: atopic dermatitis   lichenification  
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Thinning of the skin with loss of the normal skin furrows, the skin looks shinier and more translucent than normal. Example arterial insufficiency   Atrophy  
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And abrasion or scratch mark, it may be linear, or rounded as in a scratched insect bite.   Excoriation  
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Replacement of destroyed tissue by fibrous tissue. May be thick and pink:hypertrophic. May be thin and white a hypotrophic but does not extend beyond the injured area.   Scar  
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