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
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