Dermatology Terminology ppt – Flashcards
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            morphology (in regard to dermatology)
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        term used to describe the form and structure of skin lesions
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            name 6 ways you can describe a lesion
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        -shape -color -size -borders -configured -distributed
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            when are primary skin lesions present?
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        present at the onset of a disease
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            when are secondary skin lesions present?
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        result from changes over time caused by disease progression manipulation (Scratching, picking or rubbing) treatment
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            primary skin lesions
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        -macule -papule -patch -nodule -tumor -pustule -vesicle -bulla -plaque -wheal -telangiectasia -petechia
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            macule (definition)
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        circumscribed flat area (<1cm) of discoloration without elevation or depression of surface relative to surrounding skin ("spot")
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            patch (definition)
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        circumscribed area of discoloration (>1 cm) which is neither elevated or depressed relative to surrounding skin ("large spot")
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            papule (definition)
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        well-circumscribed, elevated, solid lesion (<1cm). usually dome shaped, ("small bump")
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            nodule (definition)
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        -a palpable, solid lesion (>1cm), found in the dermal or subcutaneous tissue, and the lesion may be above, level with, or below the skin surface  -a nodule extends deeper than a papule ("large bump")
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            tumor (definition)
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        solid, firm lesions typically >2cm that can be above, level, or beneath the skin surface -unlike plaques, they are solid lesions extending deeper and into the dermis  ("largest bump")
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            pustule (definition)
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        a small (<1cm) circumscribed superficial elevation of the skin that is filled with purulent material ("white head"/pimple)
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            vesicle (Definition)
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        a small, superficial circumscribed elevation of the skin (<1cm) which contains serous fluid ("little blister")
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            bulla (definition)
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        a raised circumscribed lesion (>1cm) containing serous fluid above the dermis ("blister")
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            plaque (Definition)
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        well-circumscribed, elevated, superficial, solid lesion (>1cm) -usually "plateau-like" with a flat top
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            wheal (definition)
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        transient, circumscribed, elevated papules or plaques, often with erythematous borders and pale centers  -these lesions are due to dermal edema and usually resolve or move within 24 hours
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            telangiectasia (definition)
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        the permanent dilation of small blood vessels, creating small, red markings on the skin and mucous membranes ("capillaries")
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            petechia (Definition)
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        pinpoint, flat, round spots that appear on the skin as a result of bleeding  -bleeding causes petechia to appear red, brown or purple
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            secondary lesions
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        -lichenification -erosion -ulcers -excoriation -fissures -scaling -crust -atrophy -scar
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            lichenification (definition)
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        diffuse thickening of the epidermis due to chronic rubbing, resulting accentuation of skin lines
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            erosion (definition)
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        loss of superficial layers of upper epidermis by wearing away as from friction or pressure  -erosions usually do not heal with scars
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            ulcers
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        complete loss of the epidermis in addition to part of the dermis  -they often her with scarring
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            excoriation
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        skin abrasions, usually superficial, due to scratching of the skin
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            fissure
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        sharply-defined, linear or wedge-shaped tears in the epidermis with abrupt walls ("linear ulceration")
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            scaling
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        visible fragments of the stratum corner (light or white flaking) as it shed from the skin
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            crusting
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        varying colors of liquid debris (serum, pus, or blood) that has dried on the surface of the skin
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            atrophy
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        thinning or depression of skin due to reduction of underlying tissue (Think: stretch marks)
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            scar (cicatrix)
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        areas of fibrous or granulation tissue that replace normal tissue after injury
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            terms for shapes/configuration of lesions
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        -linear -annular -nummular -herpetiform -follicular -morbilliform
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            linear (definition)
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        in the shape of a line
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            annular (definition)
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        ring-shaped or semi-annular
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            nummular (definition)
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        coin shaped
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            herpetiform (definition)
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        grouped together
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            follicular (definition)
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        lesions involving the hair follicles
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            morbilliform (definition)
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        -an eruption resembling measles  -macular lesions that are red and are usually 2-10mm in diameter but may be confluent in places
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            terms for distribution of lesions
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        -localized -generalized -flexural -dermatomal  -symmetric -asymmetric
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            localized
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        limited to certain area(s) of the body
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            generalized
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        widespread distribution of lesions (no major regions of skin are exempt)
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            flexural
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        involving skin flexures
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            dermatomal
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        following lines of skin innervation by cutaneous branches of a single spinal nerve
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            cutaneous horn (definition)
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        projection that resembles a miniature horn made of keratin  -biopsy is often necessary to rule out SCC
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            lichens/lichenoid (definition)
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        refers to clinical lesions that may resemble the flat-topped polygonal lesions
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            alopecia (definition)
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        general term to denote hair loss
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            milia (definition)
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        small white to yellow cysts (1-2mm) with no visual central punch
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            cyst (definition)
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        elevated, circumscribed area of the skin filled with liquid or semisolid fluid
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            poikiloderma of civatte (definition)
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        chronic reddish-brown discoloration on the lateral cheeks and neck -lesions are asymptomatic, but occasionally, patient reports mild burning itching, hyperesthesia
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            another term for pimple
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        pustule
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            another term for hives
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        urticaria
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            another term for canker sore
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        aphthous ulcers
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            another term for blisters
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        bulla
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            another term for broken capillary
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        telangiectasia
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            another term for scratches
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        excoriation
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            another term for hickey
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        purpura
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            another term for stretch marks
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        striae
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            another term for itchy
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        pruritus
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            another term for bruise
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        ecchymosis
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            another term for wart
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        verruca
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            another term for dry skin
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        xerosis
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            which skin lesions are raised?
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        -papule (1cm) -tumor (>2cm) -wheal -scar -plaque
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            which skin lesions are flat?
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        -macule (1cm)
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            which skin lesions are depressed?
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        -erosion superficial -ulcer deep -atrophy -striae
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            which skin lesions are fluid filled?
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        -vesicle (1cm) -pustule -abscess
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            which skin lesions are vascular?
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        -telangiectasia -petechiae -purpura -ecchymosis
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            another term for freckles
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        lentigo
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            freckles (lentigo)
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        sharply defined brown macule uniform in color
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            warts
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        flesh colored hyperkeratotic papules with several black punctum
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            molluscum
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        flesh or pink colored papules with central umbillication
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            eczema
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        erythema, edema, vesiculation and weeping plaques
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            cherry angioma
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        red dome shaped papule
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            diaper rash
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        -candidiasis -bright red plaques
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            skin tag
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        flesh colored papule on a pedunculate stalk
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            melasma
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        well defined macule or patch with uniform brown color
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            dermatofibroma
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        firm indurated pink or brown papules that puckers with palpitation
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            seborrheic keratosis
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        stuck on hyperkeratotic papules and plaques
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            actinic keratosis (pre cancer)
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        erythemic papules or patches with keratotic yellow or white scale on sun exposed areas
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            hyperkeratosis
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        abnormal thickening of the outer layer of the skin
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            lentiginous
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        related to lentigo
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            parakeratosis
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        benign skin condition -characterized by dry, scaly skin -horn cells that have retained their nuclei and are not keratinized completely -can lead to cracks or issues due to drying of the skin
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            spongiosis
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        accumulation of fluid between the keratinocytes in the epidermis causing the desmosomes to stretch
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            papillomatosis
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        a disorder that is characterized by growth of numerous papillomas (warts)
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            accentuated skin lines
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        lichenification
