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40 Cards in this Set

  • Front
  • Back
What are the 7 attributes of a symptom
Location
Quality
Quantity
Chronology
Setting
Aggravating/alleviating factors
Associated manifestations
2 tactics to use on an anxious patient
Reassurance and interpretation
2 tactics that can be useful on a depressed patient
Confrontation and validation
What tactics (2) should not be used on a patient in denial?
Confrontation and validation
What tactics (2) should not be used on the projection patient?
Reflection and summarization
What tactics do you use (2) and avoid (2) with the regression patient?
Use: interpretation and summarization
Avoid: confrontation and reassurance
Used as a last resort on a silent patient
Confrontation
3 tools that are dangerous with the seductive patient
Empathy and reassurance
Helpful tool for the insatiable patient
Reassurance
What tools are ineffective (2) and what should be used (1) on the ingratiating patient?
ineffective: confrontation and interpretation
Helpful: indirect questioning
What is not helpful (1) and what can sometimes help (1) the help-rejecting patient?
Not helpful: Interpretation
Sometimes helpful: Echoing
A circumscribed, flat discoloration that may be brown, blue, red, or hypo pigmented and measures < 1 cm. They are nonpalpable.
Macule
Flat, circumscribed, discolored, nonpalpable lesion > 1 cm.
Patch
An elevated solid lesion up to 1.0 cm in diameter that is palpable. Color varies. It is confined to the epidermis
Papule
A circumscribed, elevated, superficial, solid lesion more than 1.0 cm in diameter, often formed by the confluence of papules. They involve the epidermis only.
Plaque
A circumscribed, elevated, solid lesion that extends into the dermis.

(Squeeze it)
Nodule
A circumscribed collection of leukocytes (pus) that varies in size.
Pustule
A circumscribed collection of free fluid up to 1.0 cm in diameter. They involve the epidermis only.
Vesicle
A circumscribed, superficial collection of free fluid more than 1.0 cm in diameter
Bulla (blister)
A firm edematous plaque resulting from infiltration of the dermis with fluid; wheals are transient and may last only a few hours. Also known as Urticaria.
Wheal (hive)
Excess dead epidermal cells that are produced by abnormal keratinization and shedding. May be seen in any chronic dermatitis
Scales
A collection of dried serum and cellular debris. Also known as a scab
Crust
Thick, palpable, upraised, irregular, dry, necrotic tissue or ‘slough’
Eschar
A focal loss of epidermis; does not penetrate below the dermoepidermal junction and therefore heal without scarring
Erosion
A focal loss of epidermis and dermis; ulcers heal with scarring
Ulcer
A linear loss of epidermis and dermis with sharply defined, nearly vertical walls
Fissure
A depression in the skin resulting from thinning of the epidermis or dermis
Atrophy
An abnormal formation of connective tissue implying dermal damage; after injury or surgery scars are initially thick and pink but with time become white and atrophic
Scar (cicatrix)
An erosion caused by scratching; excoriations are often linear erosions
Excoriation
A plug of sebaceous and keratinous material lodged in the opening of a hair follicle; the follicular orifice may be dilated (blackhead) or narrowed (whitehead)
Comedone
A small, superficial keratin cyst with no visible opening
Milia
A circumscribed lesion with a wall and a lumen; the lumen may contain fluid or solid matter
Cyst
A narrow, elevated, tortuous channel produced by a parasite
Burrow
An area of thickened epidermis induced by scratching; the skin lines are accentuated so that the surface looks like a washboard
Lichenification
Dilated superficial blood vessels often with skin thinning
Telangiectasia
A circumscribed, upraised deposit of blood less than 0.5 cm in diameter that does not blanch
Petechiae
A circumscribed, upraised deposit of blood greater than 0.5 cm in diameter that does not blanch
Purpura
Bruises, more extensive than purpura, round or irregular and flat.
Ecchymosis
Diffuse redness of the skin caused by inflammation
Erythema
Softening and whitening of skin that is constantly wet due to chronic water or urine exposure, edema, ointments, or barrier dressings
Maceration