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Shapes of Lesions:
Solid appearance-no cental clearing
Round/oval
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Shapes of Lesions:
Round w/central clearing (tinea corporis)
Annular
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Shapes of lesions:
Pink macule with purple concentric ring (erythema multiforme)
Iris
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Shapes of lesions:
Snakelike appearance
Gyrate
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Patterns of lesions:
Single lesion-demarcated lesions that remain separate (insect bite)
Singular/discrete
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Patterns of lesions:
Lesions that bunch together in little groups (herpes simplex, impetigo)
Grouped/clustered
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Patterns of lesions:
Annular (round w/central clearing) lesions that come in contact w/one another as they spread (tinea corporis)
Polycyclic
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Patterns of lesions:
Lesions that merge and run together over large areas (pityriasis rosea)
Confluent
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Patterns of lesions:
Lesions that form a line (poison ivy)
Linear
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Patterns of Lesions:
Lesions following a nerve (herpes zoster)
Zosteriform
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Patterns of lesions:
Lesions that are scattered all over the body (herpes varicella)
Generalized
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Describe a Macule:
Give an example:
- A flat, circumscribed area that is a change in color of the skin <1cm
- Freckles
- flat moles (nevi)
- petechiae
- measles
- scarlet fever
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Describe a Papule/give examples:
- An elevated, firm, circumscribed area <1 cm
- wart
- elevated moles
- skin tag
- cherry angioma
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Describe a patch/give examples:
- A flat, nonpalpable irregular-shaed macule >1cm
- Vitiligo
- port wine stains
- cafe-au-lait spots
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This primary skin lesion is elevated, firm and rough w/a flat top surface >1cm
- Plaque
- psoriasis
- eczema
- actinic keratoses
-
Elevated irregular-shaped area of cutaneous edema, variable diameter
- Wheel
- insect bites
- allergic reaction
- uticaria
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This primary skin lesion is elevated, firm, circumscribed, deeper in dermis than a papule; 1 to-2 cm
- Nodule
- dermatofibroma
- melanoma
- hemangioma
- neurofibroma
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Primary skin leasion elevated and solid. May or may not be clearly demarcated; deeper in dermis; >2cm
- TUMOR
- neoplasms
- lipoma
- hemangioma
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Primary skin lesion: elevated, circumscribed, superficial, not into dermis; filled w/serous fluid; >1cm
- vesicle
- Varicella (chickenpox)
- herpes zoster (shingles)
- impetigo
- acute eczema
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Primary skin lesion: Vesicle >1cm
- BULLA
- blister
- pemphigus vulgaris
- lupus
- impetigo
- drug reaction
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Primary skin lesion: Elevated, superficial; similar to vesicle but filled w/purulent fluid
- PUSTULE
- Impetigo
- acne
- folliculitis
- herpes simplex
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Primary skin lesion: Elevated, circumscribed,
encapsulated lesion; in dermis or subcutaneous layer; filled w/liquid or semisolid material
- CYST
- sebaceous cyst
- systic acne
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Secondary lesions:
Heaped-up keratinized cells, flaky skin
- SCALE
- seborrheic dermatitis following scarlet fe
- eczema
- xerosis
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Secondary lesion:
Rough, thickened epidermis secondary to peristent rubbing, itching or skin irritation: often involves flexor surface of extremity
- LICHENIFICATION
- chronic dermatits
-
Secondary lesion:
Irregular shaped elevated, progressively enlarging scar; grown beyond boundaries of the wound
-
Secondary lesion:
Thin to thick fibrous tissue that replaces normal skin following an injury or laceration to the dermis
SCAR
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Secondary lesion:
Loss of the epidermis; linear hollowed-out crusted area
- EXCORIATION
- abrasion or scratch, scabies
-
Secondary lesion:
linear crack or break from the epidermis to the dermis
- FISSURE
- athlete's foot
- corner of mouth
-
Secondary lesion:
Dried drainage or blood; slightly elevated
- CRUST
- scab on abrasion
- eczema
-
Secondary lesion:
Loss of part of the epidermis, depresser, moist, glistening, follows rupture of a vesicle or bulla
EROSION
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Secondary lesion:
loss of dermis and epidermis; concave
pressure ulcer, syphlis chancre
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Secondary lesion:
Thinning of the skin surface and loss of skin makings; skin appears translucent & paperlike
-
Pressure ulcer stages:
observable pressure-related alteration of intact skin: indicators may include changes in skin temp, tissue consistency, sensation. Persistent redness
Stage I
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Pressure Ulcer stages:
Partial-thickness skin loss involving epidermis, dermis or both. The ulcer is superficial and appears clinically as an abrasion, blister, or whallow crater.
Stage II
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Pressure Ulcer stages:
Full-thickness skin loss involving damage to or necrosis of subut tissue that may extend down to, but not through, underlying fascia. Manifests clinically as a deep crater w/or w/out undermining of adjacent tissue
Stage III
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Pressure Ulcer Stages:
Full-Thickness skin loss w/extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures. Undermining and sinus tracts may also be associated.
Stage IV
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