WVSOM Skin System 2012 Fogle- Geriatrics
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| what are the primary histologic changes of aging skin? | acellular, avascular, less dense, less elastic tissue, less sweat glands
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| <1cm diameter FLAT, circumscribed | Macule
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| >1cm diamete FLAT, circumscribed | Patch
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| <1cm ELEVATED, firm, circumscribed | Papule
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| 1-2 cm, ELEVATED, firm, circumscribded | Nodule
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| >2cm diametee ELEVATED, firm, circumscribed | tumor
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| <1cm ELEVATED circumscribed SEROUS fluid | vesicle
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| >1cm ELEVATED circumscribed SEROUS fluid | Bulla
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| ELEVATED superficial lesion filled with purulent fluid | Pustule
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| <0.5 cm Red-purple, non-blanchable discoloration | petechiae
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| >0.5 cm red-purple, non-blanchable, discoloration | purpura
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| Variable red-purple, non-blanchable discoloration | ecchymosis
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| ELEVATED, ROUGH lesion >1cm | Plaque
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| ELEVATED, irregular shaped area of cutaneous edema | Wheal
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| Keratinized cells that are irregular and are flaky | Scale
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| rough thickened epidermis secondary to persistent rubbing/itching | Lichenification
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| Loss of portions of the epidermis that is moist, glistening, usually following rupture of a vesicle or bulla | Erosion
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| Loss of Epidermis and Dermis which varies in size | Ulcer
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| Dried Serum, blood, or exudate | Crust
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| Define Nevus | Mole! which can be dysplastic, precancerous, or cancerous
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| Halo Nevus | Depigmented halo around a mole which needs biopsy due to the same pathological process as melanoma
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| What factors increase the risk for skin diseases? | Atherosclerosis, DM, HIV, CHF
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| What is solar lentigo? | Skin condition causes by Sun/UV exposure which is benign
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| Define the characteristics of solar lentigo | <5mm well demarcated in sun exposed areas
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| define Lentigo Maligna | Melanoma in situ; consists of maligant cells but does not have invasive growth.
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| What is seborrheic keratosis | waxy, arty papules of plaques with a "stuck on" appearance
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| define Actinic keratosis | rough, scaly flesh colored macules or papules on sun-exposed areas. pre-malignant for squamous cell CA.
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| what is the treatment for actinic keratosis? | cryotherapy, topicals, or excision
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| what is the difference between squamous cell carcinoma and basal cell carcinoma? | squamous cell carcinoma is a plaque or nodule with scaling, crusting, or ulceration in SUN EXPOSED areas.
Basal cell carcinoma has a variable appearance that is ulcerative.
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| What are the four types of melanoma? | Superficial, Lentigo, Acral, or Nodular
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| what is seborrheic dermatitis | erythema and scaling which appears in sebaceous glands
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| what organism causes seborrheic dermatitis? | Malassezia furfur
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| What is the treatment for seborrheic dermatitis? | Selenium sulfide and ketoconazole
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