Skin, Hair, And Nails Assessment

Front 1

annular

Back 1

lesions with a circular shape

Front 2

confluent

Back 2

lesions that run together

Front 3

discrete

Back 3

lesions that are separate and discrete

Front 4

grouped

Back 4

lesions that appear in cluster

Front 5

gyrate

Back 5

lesions that are coiled and twisted

Front 6

target

Back 6

lesions with concentric circles of color

Front 7

linear

Back 7

lesions that appear as a line

Front 8

polycyclic

Back 8

lesions that are circular but united

Front 9

zosteriform

Back 9

lesions aranged in a linear manner along a nerve route

Front 10

macule and patch

Back 10

flat, non palpable changes in skin color
macules are smaller than 1cm and have circumscribed borders
patches are larger than 1 cm and have irregular border

Front 11

examples of macules and patches

Back 11

macule: freckles, measles, and petechiae

patches: monoglian spots, port wine stains, vitiligo, and chloasma

Front 12

papule and plaque

Back 12

elevated, solid palpable masses with a circumscribed border
papules are smaller than 0.5 cm
plaque are a group of papules that form lesions larger than 0.5 cm

Front 13

examples of papule & plaque

Back 13

papules: elevated moles. warts and lichen planus

plaques: psoriasis, actinic kerantosis, and also lichen planus

Front 14

nodules and tumor

Back 14

elevated, solid, hard or soft masses extending deeper into the dermis than a papule.
nodules have circumscribed borderland are 0.5 - 2 cm
tumors may have irregular borders and are larger than 2 cm

Front 15

examples of nodule & tumors

Back 15

nodules: small lipoma, squamous cell carcinoma

tumor: large lipoma, carcinoma and hemangioma

Front 16

vesicle and Bulla

Back 16

elevated fluid filled round or oval shaped palpable masses with thin, translucent walls and circumscribed borders
vesicles are smaller than 0.5 cm and bullae are larger than 0.5 cm

Front 17

examples of vesicles and Bulla

Back 17

vesicles: herpes simplex/zoster, early chickenpox, poision ivy, and small burn blisters

bulla: contact dermatitis, friction blisters and large burn blisters

Front 18

wheal

Back 18

elevated often reddish area with an irregular border caused by diffuse fluid in tissues rather than free fluid in cavity as in vesicles.

Front 19

examples of wheals

Back 19

insect bites and hives

Front 20

pustule

Back 20

elevated, pus filled vesicle or bulla with a circumscribed border

Front 21

examples of pustule

Back 21

acne, impetigo, and carbuncles(large boils)

Front 22

cyst

Back 22

elevated encapsulated fluid filled or semisolid mass originating in the subcutaneous tissue or dermis
usually larger than 1cm

Front 23

examples of cyst

Back 23

sebaceous cyst and epidermoid

Front 24

atrophy

Back 24

translucent dry paperlike, sometimes wrinkled skin surface resulting from thinning or wasting of the skin due to loss of collagen and elastin

Front 25

examples of atrophy

Back 25

straie or aged skin

Front 26

erosion

Back 26

wearing away of the suferifical epidermis causing a moist, shallow depression.

Front 27

examples of erosion

Back 27

scratch marks and ruptured vesicles

Front 28

licenification

Back 28

rough, thickening hardened area of epidermis resulting from chronic irritation

example is contact dermatitis

Front 29

scales

Back 29

shedding, flakes of greasy, keratinzed skin tissue.
color may be white, gray or silver
examples: dry skin, dandruff

Front 30

crust

Back 30

dry blood, drum, or pus left on the skin surface when vesicles or pustules burst.
can be red-brown, orange, yellow
examples: eczema, impetigo, herpes, and scabs

Front 31

ulcers

Back 31

deep, irregularly shaped area of skin loss extending into the dermis or subcutaneous tissue
examples: decubitus ulcers, statis ulcers

Front 32

fissure

Back 32

linear crack with sharp edges extending into the dermis

Front 33

scar

Back 33

flat, irregular area of connective tissue left after a lesion or wound has healed
examples: healed, surgical wound, healed acne