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131 Cards in this Set

  • Front
  • Back
Halo Nevus
Sharp oval or circle, Depigmented halo around mole, usually benign, on back, halo repigments
Intradermal nevus
Dome shaped, raised, cells limited to dermis, flesh to black color, may have hair, soft flabby wrinkled surface, no need to remove
Junction nevus
Flat or slightly elevated, Uniformly dark brown, nevus cells in dermoepidermal junction, should be removed if exposed to repeated trauma
Compound nevus
Slightly elevated brownish papule, indistinct border, nevus cells in dermis or demo epidermal junction, remove if exposed to trauma
Hairy nevus
May be present at birth, may cover large area, hair growth may be later, remove if changes occur
Normal nondysplastic mole
Uniformly tan or brown, clearly defined border, begins flat may become raised, usually small, typical adult has 10-40, usually on sun exposed areas
Dysplastic moles
Mixed color, irregular borders, may have flat portion, may be smooth, rough, or scaly, often large, most commonly on back, also on scalp, breast, and buttocks
Cause of skin darkening brown
Pituitary, liver, adrenal disease; or nevi, neurofibromatosis
Cause of white skin
Albinism, vitiligo
Cause of red skin
Inflammation, fever, viral exanthem, urticaria, polycythemia
Cause of yellow skin
Liver disease/jaundice due to bile, or hypothyroidism/increased vegetable intake due to carotene
Cause of blue skin
Cardiovascular and pulmonary diseases that lead to hypoxia! Found On lips, mouth, nail beds
Purpura
Red or purple nonblanchable, greater than 0.5 cm, caused by intravascular defects or infection
Petechiae
Red purple nonblanchable, less than 0.5 cm, caused by intravascular defects or infection
Ecchymoses
Red or purple nonblanchable, variable size, caused by bv wall destruction, trauma, vasculitis
Spider angioma
Red central body with radiating legs, blanch, caused by liver disease, vitamin B deficiency, idiopathic
Venous star
Bluish spider, does not blanch, caused by increased P in superficial veins
Telangiectasia
Fine irregular red lines, caused by dilated capillaries
Capillary hemangioma aka nevus flammeus
Red irregular macular patches, caused by dilation of dermal capillaries
Skin smells like rotten apples
Clostridium gas gangrene
Skin smells mousy
Proteus infection
Skin smells grape like
Pseudomonas infection, especially burns
Skin smells pungent
Schizophrenia
Skin smells like stale beer
Tuberculosis lymphadenitis (scrofula)
Skin smells putrid
Anaerobic infection, scurvy
Skin smells feculent
Intestinal obstruction, peritonitis
Skin smells mousy or musty
PKU
Macule
Flat circumscribed lesion less than 1cm, ex. Freckle, nevi, petechia, measles, scarlet fever
Papule
Elevated firm circumscribed area less than 1 cm, ex. Wart, mole, lichen planus
Patch
Flat, nonpalpable, irregular shaped
Macule greater than 1 cm, ex. Vitiligo, port wine stains, Mongolian spots, cafe au last patch
Plaque
Elevatrd, firm, rough lesion with flat top surface greater than 1cm, ex. Psoriasis, seborrheic, actinic keratosis
Wheal
Elevated, irregular shaped area of cutaneous edema, solid, transient, variable size; ex. Insect bites, urticaria, allergic reaction
Nodule
Elevated, firm, circumscribed lesion, deeper in dermis than a papule, 1-2cm in diameter, ex. Erythema nodosum, lipoma
Tumor
Elevated and solid lesion, may or may not be clearly demarcated, deep in dermis, greater than 2cm, ex. Neoplasms, benign, lipoma
Vesicle
Elevated, circumscribed, superficial, not into dermis, filled with serous fluid, less than 1cm, ex. Chicken pox, herpes, shingles
Bulla
Vesicle greater than 1cm, ex. Blister, pemphigus vulgaris
Pustule
Elevated superficial lesion, similar to VesicleElevated but filled with pursuant fluid, ex. Impetigo, acne
Cyst
Elevated circumscribed encapsulated lesion, in dermis or subcutaneous layer, filled with liquid or semisolid material ex. Sebaceous cyst, cystic acne
Scale
Heaped up keratinization flaky skin, dry or oily, vary in size, ex. Seborrheic dermatitis, scarlet fever, drug run, dry skin
Lichenification
Rough thickened epidermis secondary to rubbing, itching, or irritation, often on flexor surface, ex. Chronic dermatitis
Keloid
Irregular shape, elevated, enlarging scar, caused by excessive collagen formation after surgery
Scar
Thin to thick fibrous tissue after wound heals
Excoriation
Loss of epidermis, linear hollowed out crusted area, ex. Abrasion or scratch, scabies
Fissure
Linear crack or break from epidermis to dermis, moist or dry, ex. Athletes foot, corner of mouth
Erosion
Loss of part of the epidermis, depressed, moist, glistening, follows rupture of vehicle or bulla, ex. Varicella
Ulcer
Loss of epidermis and dermis, concave, variable size, ex. Decubitus, stasis ulcers
Crust
Dried serum, blood, or pus, slightly elevated, scab or eczema
Atrophy
Thinning of skin, loss of markings, translucent and paper like, ex. Striae and aged skin
Shape of nummular eczema lesions
Round or discoid
Shape of pity raisins roses lesions
Oval
Shape of Tinea corporis, sarcoidosis lesion
Annular (clearing in center)
Color of malignant melanoma
Black
Color of basal cell carcinoma
Pearly white
Where is psoriasis usually found
Extensor aspect of extremities
Alopecia
Hair loss
Hirsutism (in women)
Growth of terminal hair in a male distribution pattern on the face, body, and pubic area; sign of possible endocrine disorder
Yellow nail discoloration indicates...
Psoriasis, fungal infection, HIV, chronic respiratory disease
Diffuse darkening of the nails may arise from...
Anti malarial drug therapy, Candida's infection, hyperbilirubinemia, chronic trauma
Green or black nail discoloration caused by...
Pseudomonas infection (painless)
Blue nails caused by...
Cyanosis, asthma, anemia, cardiac disorders, silver poisoning, medication side effects, Wilson disease of copper metabolism
Splinter nail hemorrhages caused by...
Endocarditis, vasculitisSpider, severe psoriasis, habit tic deformity
White spots (not bands) on nails result from...
Mild trauma, cuticle manipulation
White bands or streaks on nails indicate....
Systemic disorder
Anonychia
Complete absence of the nail
Clubbng is associated with...
Respiratory and cardiovascular diseases, cirrhosis, colitis, thyroid disease
Separationo of the nail plate from the nail bed is caused by...
Psoriasis, trauma, Candida's or pseudomonas infections, some medications
Acrocyanosis
Cyanosis of the hands and feet, common in newborns
Cutis marmorata
Transient mottling when infant is exposed to decreased temperature
Erythema toxicum
Pink popular rash with vesicles superimposed on thorax, back, buttocks, and abdomen
Mongolian spots
Irregular areas of dark blue pigmentation, usually in sacral and gluteal regions of newborns from African, Asian, Latin descent
What color is psoriasis
Orange pink or salmon
What color is neurofibroma
Flesh
What color is malignant melanoma
Black or blue black
What color is basal cell carcinoma
Parly white
What color is erysipelas
Violaceus, light violet
What color is lipoma
Yellow and waxy
Wat color is lichen planus
White
What color is eczema and pityriasis rosea
Pink, light red undertones
What color are most nevi and pityriasis versicolor
Tan, brown
What color are purpura and kaposi sarcoma
Purple, dark red blue violet
Separation of the nail plate from the bed results from...
Psoriasis, trauma, pseudomonas infections, and some medications
Boggy nail base indicates...
Clubbing
Jaundice is most easily observed where?
Sclera of the eyes and the oral mucosa
Faun tail Nevus
Tuft of hair overlying the spinal column at birth, usually in the lumbo sacral area, may be associated with spina bifida
Epidermal verrucous nevi
Warty lesions in a linear or whirled pattern that may be pigmented or skin colored, present at birth or early childhood, associated with skeletal, central nervous system, and ocular abnormalities
Cafe au lait patches
Flat, evenly pigmented spots varying in color, larger than 5mm, present at birth, associated with neurofibromatosis, pulmonary stenosis, temporal lobe dysrythmia, and tubular sclerosis
Freckling in e auxiliary or inguinal area
Neurofibromatosis
Ash leaf macule
White maculeWhite at birth assoc. with tuberous sclerosis, usually on trunk, face, or limbs
Separation of the nail plate from the bed results from...
Psoriasis, trauma, pseudomonas infections, and some medications
Facial port wine stain
Involves ophthalmic division of trigeminal nerve--> glaucoma
Or involves angiomatous malformation of the meninges, resulting in atrophy and calcification of cerebral cortex
Boggy nail base indicates...
Clubbing
Port wine stain of limb or trunk
Accompanied by varicosities and hypertrophy of underlying soft tissue and bones, orthopedic problems
Jaundice is most easily observed where?
Sclera of the eyes and the oral mucosa
Faun tail Nevus
Tuft of hair overlying the spinal column at birth, usually in the lumbo sacral area, may be associated with spina bifida
Epidermal verrucous nevi
Warty lesions in a linear or whirled pattern that may be pigmented or skin colored, present at birth or early childhood, associated with skeletal, central nervous system, and ocular abnormalities
Cafe au lait patches
Flat, evenly pigmented spots varying in color, larger than 5mm, present at birth, associated with neurofibromatosis, pulmonary stenosis, temporal lobe dysrythmia, and tubular sclerosis
Freckling in e auxiliary or inguinal area
Neurofibromatosis
Ash leaf macule
White maculeWhite at birth assoc. with tuberous sclerosis, usually on trunk, face, or limbs
Facial port wine stain
Involves ophthalmic division of trigeminal nerve--> glaucoma
Or involves angiomatous malformation of the meninges, resulting in atrophy and calcification of cerebral cortex
Port wine stain of limb or trunk
Accompanied by varicosities and hypertrophy of underlying soft tissue and bones, orthopedic problems
Congenital lymph edema with or without transient hemangiomas
May be associated with gonadal dysgenesis caused by absence of an X chromosome (turner syndrome)
Supernumerary nipples
Congenital accessory nipples with or without glandular tissue, located along mammary ridge, assoc. with renal abnormalities, ESP. In whites
Hair collar sign
Ring of long dark coarse hair surrounding a midline scalp nodule in infants, neural tube disclosure defects of the scalp
Dermatoglyphics
Study of crease patterns on the palms and fingers. Ex. Simian crease with down syndrome
Why are infants more susceptible to hypothermia?
Poorly developed subcutaneous fat and large body surface area, inability to shiver
Diagnosis of fibromatosis
6 or more cafe au lait maculeWhite more than 5mm in diameter in prepubertal individuals or more than 15mm in diameter after puberty
Milia
Small, whitish discrete papules on the face, first 2-3mo of life, sebaceous glands plugged with sebum
Sebaceous hyperplasia
Numerous tiny yellow maculeWhite and papules in newborn, due to androgen stimulation from mother, occurs on forehead cheeks nose chin
Tenting of skin
During turgor test, indicates dehydration of more than 10% of body weight or poorly nourished skin
Dennie-Morgan fold
Extra crease below eye due to chronic rubbing and inflammation
Characteristics of adolescent skin
Increased oil, perspiration, and hair greasiness,increased sebum leads to acne,increased apocrine secretion, hair darkens and becomes coarse
Molluscm fibrosum gravidarum
In pregnant women, pedunculated or sessile skin tags on neck and upper chest form from epithelial hyperplasia, not inflammatory, resolve spontaneously
Striae gravidarum
Stretch marks on abdomen, thighs, and breasts during pregnancy, fade but do not disappear
Skin of pregnant women
More telangiectasis, pigmentation, nevi darken and grow, linea nigra, chloasma, palmar erythema! Hair grows
Chloasma
Blotchiness of face in pregnant women, usually symmetric
Skin of old people
Transparent, paler, thinner, drier, flaking or scaling may occur, parchment like, increased freckling and hypo pigmented patches, skin hangs loosely due to loss of elasticity and adipose tissue, skin wrinkles
Old people at risk of developing
Decubitus ulcers, purpura from aspirin therapy
Cherry angiomas
Tiny, bright red round papules, may become brown with time, in everyone over 30 almost
Seborrheic keratosis
Pigmented, raised, warty lesions on face or trunk, benign
Actinic keratosis
Look like seborrheic keratosis except they have malignant potential
Sebaceous hyperplasia
Yellow flattened papules with central depressions
Acrochordon
Small, soft skin tags on neck and upper chest, pedunculated, may or may not be pigmented
Cutaneous horns
Small hard projections of epidermis, on forehead and face
Solar lentigines/ lentigo
Irregular, round, gray-brown maculeWhite with a rough surface that occur in sun exposed areas, aka age spots aka liver spots
Hair of old people
Turns gray due to melanocytes ceasing function, head, body, pubic hair thins and becomes sparse and dry
In men, ear, nose, and eyebrow hair grows coarse.
Balding symmetrically
Nails of old people
Thicker, brittle, deformed, misshapen, striated, distorted, peeling, yellow, opaque
Bald spots in children indicates...
Ringworm usually
Sometimes trichotillomania
Stage 1 decubitus ulcer
Nonblanchable erythema of intact skin, superficial or deep
Stage 2 decubitus ulcer
Partial thickness skin loss involving epidermis or dermis, no subcutaneous tissue visible, lesions look like abrasion or shallow depression
Stagw 3 decubitus ulcer
Full thickness skin loss, subcutaneous tissue damaged or necrotic and invisible in the wound, fascia is intact
Stage 4 decubitus ulcer
Extend into bone or muscle, extensive damage and necrosis, prosthetic joints may be visible, sinus tract infection often present