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Derm
| Term | Definition |
|---|---|
| Skin ROS | Color Changes, Dryness, Lesions, Masses, Rashes, Itching. |
| Skin Color Changes | Cyanosis: Blue Tone to Nail Bed = Poor Oxygenation. |
| Skin Dryness | Hypothyroidism |
| Skin Rashes | Scabies, Eczema, Meningitis |
| Scabies | Linear Rash w/ lesions btw fingers. |
| Eczema | Erythematous, Dry Patches in Antecubital space o Popliteal Fossa. |
| Meningitis | Purpuric Rash |
| Itching | Scabies, Urticaria, Xerosis. |
| Hair | Hair Loss, Excess, Texture Changes, Dyes, Perms. |
| Hair Loss | Hypothyroidism (esp if lateral 3rd of eyebrow thinning), Alopecia, Stress, Anemia, Malnutrition. |
| Hair Excess | Polycystic Ovarian Syndrome; Hypergonadal states. |
| Nails | Changes in Appearance; Texture Changes. |
| Nail Changes in Appearance | Onychomycosis, Iron Deficiency Anemia, Hypo-Perfusion. |
| Thickened, Yellow Nails | Onychomycosis |
| Spoon Nails | Iron Deficiency Anemia |
| Cyanosis | Hypo-Perfusion |
| Skin PE | Color, Temp, Texture, Lesions, Moisture. |
| Primary Skin Lesions | Macule, Patch, Papule, Plaque, Pustule, Cyst, Wheal, Vesicle, Bullae, Nodule, Telangiectasia. |
| Macule | Flat, < 1cm, Incr o Decr in Color, Well-Circumscribed. |
| Macule Examples | Freckle, Flat Nevus. |
| Patch | Macule > 1cm, Varies in Color. |
| Patch Examples | Mongolian Spot, Vitiligo. |
| Papule | Elevated, Circumscribed, < 1cm, Varies in Color. |
| Papule Examples | Wart, Elevated Nevus (Mole). |
| Plaque | Coalescence of Papules into Raised Lesion > 1cm. Varies in Color. |
| Plaque Examples | Psoriasis, Eczema. |
| Pustule | Elevated Superficial Lesion filled w/ Purulent Fluid. Size + Color Vary. |
| Pustule Examples | Acne Vulgaris, Folliculitis, Impetigo. |
| Cyst | Circumscribed, Palpable Lesion filled w/ Liquid o Semi-Solid Material. Size + Color Vary. |
| Cyst Example | Sebaceous Cyst. |
| Wheal | Raised area of Edema, Variable in Diameter, Varies in Color, may be Transient. |
| Wheal Example | Urticaria. |
| Vesicle | Elevated, Circumscribed, < 1cm, Serous-Fluid Filled, Varies in Color. |
| Vesicle Examples | Blister, Herpetic o Varicella Lesions, Contact Dermatitis. |
| Bullae | Serous-Fluid filled Lesion, > 1cm. |
| Bullae Examples | Pemphigus Vulgaris, Large Blister, 2nd Degr Burn, Necrotizing Fasciitis. |
| Nodule | Elevated, Firm, Palpable Lesion w/in Dermis, 1-2cm diameter. |
| Nodule Example | Lipoma |
| Telangiectasia | Fine, Red Lines produced by Capillary Dilatation. |
| Telangiectasia Example | Acne Rosacea, Basal Cell Carcinomas. |
| Primary Skin Lesions | Macule, Patch, Papule, Plaque, Pustule, Cyst, Wheal, Vesicle, Bullae, Nodule, Telangiectasia. |
| Primary Skin Lesions appear in | Response to External o Internal Skin Change. |
| Secondary Skin Lesions appear as | Result of Chronic Primary Lesion or Response to Trauma. |
| Secondary Skin Lesions | Scale, Crust, Lichenification, Fissure, Erosion, Ulcer. |
| Scale | Flaky, Irregular, Dry, Oily Lesion. Size + Color Varies. |
| Scale examples | Psoriasis, Dandruff, Seborrheic Dermatitis. |
| Crust | Dried Exudate. Size + Color Varies acc/to Causative agent. |
| Crust examples | Impetigo, Varicella. |
| Lichenification | Rough, Thickened Dermis w/ Accentuated Skin Markings. Size + Color vary. |
| Lichenification example | Chronic Atopic Dermatitis |
| Fissure | Linear Crack from Epidermis to Dermis, usually Small + Erythematous. |
| Fissure examples | Athlete's foot (tinea pedis), Angular Cheilitis. |
| Erosion | Loss of Epidermis (Partial o Full Thickness), usually following Rupture of Vesicle o Enlargement of Fissure. |
| Erosion example | Lesion caused by Rupture of Herpetic Vescile. |
| Ulcer | Loss of Epidermis + Dermis. Color + Size vary. |
| Ulcer examples | Pressure Sores, Venous o Arterial Ulcers. |
| Lesions' Shapes + Formation | Annular o Circular, Confluent, Discrete, Grouped, Linear, Zosteriform. |
| Annular or Circular | Begins Centrally + Spreads to Periphery. |
| Annular or Circular examples | Ringworm (tinea corporis), Erythema Migrans. |
| Confluent | Multiple Lesions w/ Borders that run together. |
| Confluent example | Hives |
| Discrete | Single or Multiple Lesions, but Each w/ Distinct Borders. |
| Discrete examples | Moles, early Herpes Simplex virus. |
| Grouped | seen in Clusters. |
| Grouped example | Herpes Zoster |
| Linear | In a line or stripe |
| Linear examples | Poison Ivy Dermatitis, Herpes Zoster, Scabies. |
| Zosteriform | Lesions along a Dermatone. |
| Zosteriform example | Herpes Zoster |
| Normal Capillary Refill | less than 3 sec |
| Normal Nail Angle | 160 degrees |
| Nail Plate Thickening | Fungal Infection |
| Nail Thinning, Depressions, Ridging | Systemic Dz: Iron Deficiency Anemia, Syphilis, Peripheral Vascular Disease, or DM |
Created by:
c4758210
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