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27 Cards in this Set

  • Front
  • Back
Macule
Primary lesion

Flat discoloration < .5cm

Inflamm due to vasodil of superficial vessels.
Intrinsic - e.g. freckle
Extrinsic - e.g. tattoo
Patch
Primary lesion

Flat discoloration larger than 0.5cm
Papule
Primary lesion

Elevated, solid up to 0.5cm
Plaque
Primary lesion

Elevated solid larger than 0.5cm
Maculopapule
Primary lesion

Avoid using this term. It means you are confused.
Nodule
Primary lesion

Circumscribed, round or ellipsoidal. Palpable.

A growth that is elevated but has a deeper component as well.

Larger than 0.5cm
Tumor
Primary lesion

Large nodules usually.
Wheal
Primary lesion

Response of skin to histamine. Transient.

Characterized with these 3 features: edema, erythema and flare.

Edema fluid is BOUND (contrast to vesicle and bulla)
Vesicle
Primary lesion

Free clear fluid up to 0.5cm
Bulla
Primary lesion

Free clear fluid more than 0.5cm
Pustule
Leukocytes and free fluid (pus) which is variable in szie.
Scale
Secondary lesion (from lesion evolution)

Excess dead epidermal cells. i.e. keratin.
Crust
Secondary lesion (from lesion evolution)

Scab. Collection of dried serum and cellular debris.
Erosion
Secondary lesion (from lesion evolution)

Focal loss of epidermis. Usually a small amt of dermal tissue is lost as well.

Heals without scarring.
Ulcer
Secondary lesion (from lesion evolution)

Loss of epidermis and dermis.

Heals with scarring.
Fissure
Secondary lesion (from lesion evolution)

Linear losses of epidermis and dermis that has sharply defined and abrupt walls.

A slit, basically.
Scar
Secondary lesion (from lesion evolution)

Abnormal CT replacing tissue lost of altered. Implies dermal damage.

Synonym is cicatrix.

Types are atrophic (thinned), hypertrophic (keloid), or striae (stretch marks)
Atrophy
Secondary lesion (from lesion evolution)

Depression in skin resulting from thinning of epidermis, dermis or subcut fat.
Excoriation
Special lesion

Caused by scratching
Comedone
Special lesion

Plugs of sebaceous and keratinous material lodged in openings of pilosebaceous follicles. The primary lesions of acne vulgaris.

Open - blackhead
Closed - skin covers the orifice. A white head follic dilatation that is not as marked.
Milia
Special lesion

Small, superficial keratin cysts.
Burrow
Special lesion

Linear or curvilinear papule that houses parasites such as the scabetic mice.
Lichenification
Special lesion

Thickened epidermis.

Major sign is increased prominence of the skin lines.
Telangiectasia
Special lesion

Dilation of superficial vessels. Often linear or branch-like.
Petechiae
Special lesion

Blood or blood pigments less than 0.5cm and diascopy is present (does not blanch with pressure)
Purpura
Special lesion

Deposits of blood or blood pigments greater than 0.5cm. Does not blanch with pressure (diascopy).
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