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Lesions
Integument Assessment (2/29/08)
| Word | Description |
|---|---|
| annular | circular; begins in center and spreads to periphery |
| confluent | lesions run together |
| discrete | distinct, individual lesions that remain separate |
| grouped | clusters of lesions |
| gyrate | twisted, coiled spiral, snakelike |
| target | iris; concentric rings of color in the lesions |
| linear | scratch, streak, line, or stripe |
| polycyclic | annular lesions grow together |
| zosteriform | linear arrangement along a nerve route |
| macule | solely a color change; flat and circumscribed; less than 1 cm |
| patch | macules that are larger than 1 cm |
| nodule | solid, elevated, hard or soft, larger than 1 cm |
| tumor | larger than a few centimeters; firm or soft; deeper into dermis |
| papule | something felt caused by superficial thickening in the epidermis |
| plaque | papules coalesce to form surface elevation wider than 1 cm; plateaulike, disk-shaped lesion |
| wheal | superficial, raised, transient, and erythematous |
| urticaria | (hives); wheals coalesce to form extensive reaction |
| cyst | encapsulated fluid-filled cavity in dermis or subcutaneous layer, tensely elevating skin |
| vesicle | elevated cavity containing free fluid; up to 1 cm; (blister) |
| bulla | larger than 1 cm diameter; usually single chambered; superficial in epidermis; thin-walled (ruptures easily) |
| pustule | turbid fluid (pus) in cavity; circumscribed and elevated |
| crust | thickened, dried-out exudate left when vesicles/pustules burst or dry out; color varies |
| scale | compact, desiccated flakes of skin |
| fissure | linear crack with abrupt edges; extends into dermis |
| erosion | scooped out but shallow depression; superficial; moist but no bleeding |
| ulcer | depression extending into dermis; irregular shape; may bleed |
| scar | normal tissue is lost and replaced with connective tissue |
| lichenification | prolonged intense scratching eventually thickens the skin and produces tightly packed sets of papules |
| excoriation | self-inflicted abrasion; superficial; scratches from intense itching |
| atrophic scar | resulting skin level depression with loss of tissue; thinning of epidermis |
| keloid | hypertrophic scar; skin level is elevated by scar tissue |
| pattern injury | wound whose shape suggests the instrument that caused it |
| hematoma | bruise that elevates skin and seen as swelling |
| contusion | (bruise); large patch of capillary bleeding into tissues |