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138 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
What type of primary lesion is this?
macule


Small (< 1cm), Flat, No Scale, Not palpable
Ex: Freckle
Small (< 1cm), Flat, No Scale, Not palpable
Ex: Freckle
What type of primary lesion is this?
Patch


Large (> 1cm), Flat, No Scale, Not palpable
Ex: Vitiligo
Large (> 1cm), Flat, No Scale, Not palpable
Ex: Vitiligo
What type of primary lesion is this?
Papule

Small (<1cm), Solid lesion, Palpable
Ex: mole, pimple, wart
Small (<1cm), Solid lesion, Palpable
Ex: mole, pimple, wart
What type of primary lesion is this?
Nodule

Large (>1cm), Solid lesion, Palpable
Ex: Large cysts, lymphoma, some melanoma, BCC
Solid lesion, Palpable
What type of primary lesion is this?
Vesicle

Small (< 1 cm), Circumscribed, Elevated, Clear Fluid Filled
Ex: Chicken Pox, herpes simplex
Small (< 1 cm), Circumscribed, Elevated, Clear Fluid Filled
Ex: Chicken Pox, herpes simplex
What type of primary lesion is this? (2nd)
Bulla

Large (> 1cm), Circumscribed, Elevated, Clear Fluid Filled

Ex: severe sun burn, poison ivy, bulla disorders, some drug eruptions (EM, TEN)
Large (> 1cm), Circumscribed, Elevated, Clear Fluid Filled

Ex: severe sun burn, poison ivy, bulla disorders, some drug eruptions (EM, TEN)
What type of primary lesion is this?
Pustule

Circumscribed, Superficial, Contains a purulent exudate that may be white, yellow or green
Ex: folliculitis, acne pimple, rosacea, insect bite reaction
Circumscribed, Superficial, Contains a purulent exudate that may be white, yellow or green
Ex: folliculitis, acne pimple, rosacea, insect bite reaction
What type of primary lesion is this?
Plaque Large (> 1cm), Usually well defined , Often formed by confluence of papules, Plateau like lesion
Ex: Psoriasis, Congenital Nevus (much larger than a centimeter), Ring worm (tinea corporis), Eczema
Large (> 1cm), Usually well defined , Often formed by confluence of papules, Plateau like lesion
Ex: Psoriasis, Congenital Nevus (much larger than a centimeter), Ring worm (tinea corporis), Eczema
What type of primary lesion is this?
Wheal

Round and/or flat-topped, Edematous – resulting from infiltration, Pale red papule or plaque, Disappears within hours (will develop new spots, but individual spots are transient)
Ex: Allergic reaction, hives

Round and/or flat-topped, Edematous – resulting from infiltration, Pale red papule or plaque, Disappears within hours (will develop new spots, but individual spots are transient)
Ex: Allergic reaction, hives
What type of secondary lesion is this?
Keloid

- Firm, nodular scar, Extends beyond area of injury – history of keloid is indication for recurrance, any trauma to skin – removal could cause further keloid
- Firm, nodular scar, Extends beyond area of injury – history of keloid is indication for recurrance, any trauma to skin
What type of secondary lesion is this
Thickened epidermis induced by scratching (itching), Skin lines are accentuated. Ex: Lichen Simplex chronicus, Chronic Eczema
Thickened epidermis induced by scratching (itching), Skin lines are accentuated. Ex: Lichen Simplex chronicus, Chronic Eczema
What type of secondary lesion is this?
Crust

– Dried residue of serum, pus or blood. Ex: impetigo, scab
Dried residue of serum, pus or blood. Ex: impetigo, scab
What type of secondary lesion is this?
Ulcer

Deeper loss of tissue surface (epidermis and dermis), Always heals with scar formation. Ex: bed sore, stasis dermatitis
Deeper loss of tissue surface (epidermis and dermis), Always heals with scar formation. Ex: bed sore, stasis dermatitis
What is this??

Loss of skin surface (epidermis), Surface is moist, but does not bleed, Does not leave scar – skinning your knee
Erosion
What type of secondary lesion is this?
Scale

– Thin flake of exfoliated dermis, Excess dead epidermal cells
Ex: Dandruff, dry skin, tinea (fungal), actinic keratosis
Thin flake of exfoliated dermis, Excess dead epidermal cells
Ex: Dandruff, dry skin, tinea (fungal), actinic keratosis
Identify.
ACNE


 Comedones
– Open – blackheads
– Closed – whiteheads
– Can extract with extractor but will reoccur without treatment
 Papules – pink acne bump
 Papulopustule – bump comes to head
 Cystic – larger, scar and pores are clogged deeper
 Nodular – same as above

 Caring for acne
– Cleansing – no more than 2-3 times a day, use only hands, wash cloths increase oil – soap plays a small role and unless skin is extremely oily a mild soap should always be used to limit irritation
– Sunlight – can help temporarily, will dry up oil glands and bacteria. But exfoliation after tan will clog pores and increase acne
– Cosmetics – doesn’t matter as long as oil free
– Don’t pick!! – leads to scarring and inflammation
Identify.
Rosacea.
Identify
SEBORRHEIC DERMATITIS
Identify
Seborrheic Dermatitis
Identify.
Seborrheic Dermatitis
Identify
Guttate Psoriasis

Guttate: Appears as small red scaly paps or plaques on the skin
Appears as small red scaly paps or plaques on the skin
type of psoriasis
Identify
Guttate Psoriasis

Guttate: Appears as small red scaly paps or plaques on the skin
type of psoriasis
Identify.
Psoriasis
Identify.
atopic dermatitis

– severe itching!!!
 In infants often seen as an oozing, red, crusting condition on face and scalp because they keep scratching
 After infancy, skin tends to be less red. Is dry, pink, with scale or thickening.
 May see bleeding or infection.
– severe itching!!!
 In infants often seen as an oozing, red, crusting condition on face and scalp because they keep scratching
 After infancy, skin tends to be less red. Is dry, pink, with scale or thickening.
 May see bleeding or infection.
Identify.
atopic dermatitis

In teens and adults, most commonly occurs on hands and feet.
 Other common areas; ACF (infants), back of knees (infants), ankles, wrists, face, neck, and upper chest.
 Hypo/hyper pigmentation – even after clears will see hypopigmentation, hyper because of itching and exfoliating

Symptoms of atopic dermatitis
 VERY ITHCY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.

Diagnosis criteria for atopic dermatitis = pruritus, morphology, distrubution and must consider:
(1) a personal or family history of atopic disease (asthma, allergic rhinitis, atopic dermatitis), (2) xerosis-ichthyosis, (3) facial pallor with infraorbital darkening, (4) elevated serum IgE, (5) fissures under the ear lobes, (6) a tendency toward nonspecific hand dermatitis, (7) a tendency toward repeated skin infections, and (8) nipple eczema.
VERY ITHCY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.
Identify.
VERY ITCHY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.

In teens and adults, most commonly occurs on hands and feet.
 Other common areas; ACF (infants), back of knees (infants), ankles, wrists, face, neck, and upper chest.
 Hypo/hyper pigmentation – even after clears will see hypopigmentation, hyper because of itching and exfoliating
VERY ITCHY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.
Identify
VERY ITCHY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.

 In teens and adults, most commonly occurs on hands and feet.
 Other common areas; ACF (infants), back of knees (infants), ankles, wrists, face, neck, and upper chest.
 Hypo/hyper pigmentation – even after clears will see hypopigmentation, hyper because of itching and exfoliating
VERY ITCHY
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.
Identify
lichen simplex chronicus
Very itchy.
 Itch, scratch, rash cycle. “the itch that rashes”
 Burning and stinging from constant itching.
Identify
LICHEN SIMPLEX CHRONICUS (circumscribed neurodermatitis)

 Is a localized form of lichenification usually occurring in circumscribed scaly plaques.
 Seen in people with chronic excema (atopic dermatitis)
 Seen on nape of neck, wrists, external surfaces of forearms, lower legs, scrotum and vulva
 Results from chronic itching, rubbing and scratching
 Is a localized form of lichenification usually occurring in circumscribed scaly plaques.
 Seen in people with chronic excema (atopic dermatitis)
 Seen on nape of neck, wrists, external surfaces of forearms, lower legs, scrotum and vulva
 Results from chronic itching, rubbing and scratching
Identify.
Pityriasis Rosea

 Mild, acute inflammatory disease – Very common condition
 Has a characteristic course.
 First lesion appears, resembles ringworm = fawn colored, scaly oval eruption. Two weeks later, numerous smaller “spots” appear.

Etiology and epidemiology of Pityriasis Rosea
 Cause is unknown. A virus may cause the rash.
 Most common age 10-35 y/o
 Usually occurs in spring and fall
 Rash can last from several weeks to several months.
- will fade away on its own with no treatment
- typically won’t reoccur
 Mild, acute inflammatory disease – Very common condition
 Has a characteristic course.
 First lesion appears, resembles ringworm = fawn colored, scaly oval eruption. Two weeks later, numerous smaller “spots” appear.

Etiology
 Cause is unknown. A virus may cause the rash.
 Most common age 10-35 y/o
 Usually occurs in spring and fall
 Rash can last from several weeks to several months.
- will fade away on its own with no treatment
- typically won’t reoccur
Identify
Pityriasis Rosea
CHRISTMAS TREE PATTERN
what are all of these examples of....
psoriasis

Signs and symptoms
 Usually starts as little red bumps, gradually grows larger and thick white scale forms (scales shed)
 Can have mild itching
 Can be very disfiguring – knees and elbows most common
 Arthritis
 Psychosocial impact can be major factor
types:
Plaque: Most common form of the disease

Guttate: Appears as small red scaly paps or plaques on the skin

Inverse: Occurs in armpits, groin and skin folds – need to make
sure not yeast infection because will get worse with steroid
treatment
Pustular: White blisters surrounded by red skin – tobacco use
indicated as risk (hand)
Erythrodermic: Intense redness over large areas (back), emergency because
whole skin is inflamed, can be adverse drug infection and
Identify
Impetigo

 Superficial infection (involving the epidermis) caused by Staphylococcus Aureus or Group A Strep.
 Infection may arise as primary infections in minor superficial breaks in the skin or secondary infections of preexisting dermatoses
 Superficial infection (involving the epidermis) caused by Staphylococcus Aureus or Group A Strep.
 Infection may arise as primary infections in minor superficial breaks in the skin or secondary infections of preexisting dermatoses
Identify.
Impetigo

 Superficial infection (involving the epidermis) caused by Staphylococcus Aureus or Group A Strep.
 Infection may arise as primary infections in minor superficial breaks in the skin or secondary infections of preexisting dermatoses
 Superficial infection (involving the epidermis) caused by Staphylococcus Aureus or Group A Strep.
 Infection may arise as primary infections in minor superficial breaks in the skin or secondary infections of preexisting dermatoses
Identify
Folliculitis

 Usually non-tender
 May be pruritic
 Red Papule or pustule confined to the hair follicle. May find erythema around hair follicle
 Sycosis = deep seated, chronic and recalcitrant on head and neck
 Usually non-tender
 May be pruritic
 Red Papule or pustule confined to the hair follicle. May find erythema around hair follicle
 Sycosis = deep seated, chronic and recalcitrant on head and neck
Identify.
Folliculitis
Identify.
pityrosporum folliculitis
What are all of these examples of..?
Folliculitis
what are these examples of?
cellulitis
the top and the bottom are different things theres 2 answers on this card
Erysipelas on bottom
mrsa on top
Identify.
Tinea Capitus
Candidiasis
common warts
flat warts
genital warts
herpes simplex
herpes zoster
Molluscum Contagiosum
plantar warts
Tinea Corporis
Tinea Cruris
Tinea Pedis
Tinea Versicolor
Tinea Cruris
basal cell carcinoma
basal cell carcinoma
blue nevi
common nevi
congenital nevi
dermatofibroma
dysplastic nevi
epidermal inclusion cysts
halo nevi
lipoma
malignant melanoma
malignant melanoma
malignant melanoma
squamous cell carcinoma
squamous cell carcinoma
Seborrheic Keratosis
these are...
skin tags
squamous cell carcinoma
look at acanthosis nigricans, its not in here but i dont feel like finding the picture :)
damn thing says i need an answer to save this card.. here it is:

ALLIE

(im the answer to everything)
arterial leg ulcers
bed bugs
who did this?
black widow spider
what was crawling in this persons bed that night?
brown recluse spider
creeping eruptions?? yeh im giving you the answer because its not in the ppt,or that i could find, just in last years lecture notes
ALLIE
Dermatomyositis
Dermatomyositis
diabetic ulcer
drug induced acute urticaria
erythema migrans rash of lyme
erythema multiforme major and minor

dont know which one is which lol
exanthematous drug eruption
who did this?
fire ants
fleas.
gonococcemia
gonococcemia
kaposi sarcoma
kaposi sarcoma
kaposi sarcoma
scleroderma
lyme
Meningococcemia
Meningococcemia
lice found on the body
urticaria
urticaria
tertiary syph
systemic lupus
SJS TEN .. listed under both
TEN when >30% BSA covered
SJS when <10% BSA covered
stasis ulcers
SJS TEN .. listed under both
TEN when >330% BSA covered
SJS when <10% BSA covered
secondary syph
scleroderma
scabies
scabies
scabies
rocky mtn spotted fever
primary syph
physical urticaria
pediculosis pubis

pubic lice
head lice- pediculosis capitis
pediculosis capitis

head lice
bacterial endocarditis
bacterial endocarditis
dermatomyositis
localized scleroderma
diaper dermatitis
erysipelas
folliculitis
herpes simplex
herpes zoster
what type of lesion is this
wheal
vitiligo
tinea corporis
sebhorrheic dermatitis
s aureus cellulitis
periorbital dermatitis
perioral dermatitis
s aureus cellulitis
nummular dermatitis
mrsa
lichen simplex chronicus
impetigo
Hidradenitis suppurativa
Onychomycosis (tinea unguium)