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Geriatrics
WVSOM Skin System 2012 Fogle- Geriatrics
| Question | Answer |
|---|---|
| what are the primary histologic changes of aging skin? | acellular, avascular, less dense, less elastic tissue, less sweat glands |
| <1cm diameter FLAT, circumscribed | Macule |
| >1cm diamete FLAT, circumscribed | Patch |
| <1cm ELEVATED, firm, circumscribed | Papule |
| 1-2 cm, ELEVATED, firm, circumscribded | Nodule |
| >2cm diametee ELEVATED, firm, circumscribed | tumor |
| <1cm ELEVATED circumscribed SEROUS fluid | vesicle |
| >1cm ELEVATED circumscribed SEROUS fluid | Bulla |
| ELEVATED superficial lesion filled with purulent fluid | Pustule |
| <0.5 cm Red-purple, non-blanchable discoloration | petechiae |
| >0.5 cm red-purple, non-blanchable, discoloration | purpura |
| Variable red-purple, non-blanchable discoloration | ecchymosis |
| ELEVATED, ROUGH lesion >1cm | Plaque |
| ELEVATED, irregular shaped area of cutaneous edema | Wheal |
| Keratinized cells that are irregular and are flaky | Scale |
| rough thickened epidermis secondary to persistent rubbing/itching | Lichenification |
| Loss of portions of the epidermis that is moist, glistening, usually following rupture of a vesicle or bulla | Erosion |
| Loss of Epidermis and Dermis which varies in size | Ulcer |
| Dried Serum, blood, or exudate | Crust |
| Define Nevus | Mole! which can be dysplastic, precancerous, or cancerous |
| Halo Nevus | Depigmented halo around a mole which needs biopsy due to the same pathological process as melanoma |
| What factors increase the risk for skin diseases? | Atherosclerosis, DM, HIV, CHF |
| What is solar lentigo? | Skin condition causes by Sun/UV exposure which is benign |
| Define the characteristics of solar lentigo | <5mm well demarcated in sun exposed areas |
| define Lentigo Maligna | Melanoma in situ; consists of maligant cells but does not have invasive growth. |
| What is seborrheic keratosis | waxy, arty papules of plaques with a "stuck on" appearance |
| define Actinic keratosis | rough, scaly flesh colored macules or papules on sun-exposed areas. pre-malignant for squamous cell CA. |
| what is the treatment for actinic keratosis? | cryotherapy, topicals, or excision |
| 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. |
| What are the four types of melanoma? | Superficial, Lentigo, Acral, or Nodular |
| what is seborrheic dermatitis | erythema and scaling which appears in sebaceous glands |
| what organism causes seborrheic dermatitis? | Malassezia furfur |
| What is the treatment for seborrheic dermatitis? | Selenium sulfide and ketoconazole |
Created by:
Bwest8
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