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IM Derm Intro
KYCOM Block 13
99
Medical
Graduate
01/09/2014

Additional Medical Flashcards

 


 

Cards

Term
what is the largest organ in the body
Definition
skin
Term
where is the skin the thickest (3)
Definition
dorsal, sacral, and extensor surfaces
Term
which color of skin has the most melanocytes
Definition
trick question! all have the same amount
Term
what are the 8 functions of the skin
Definition
mechanical barrier
regulate body temp
make vit D
BP regulation
repair surface wounds
excrete waste
express emotion
Term
what are the hree processes that cause changes in the skin
Definition
local reaction to external or internal simuli
systemic disease
cutaneous diseasse
Term
what are the histological properities of white skin
Definition
decreased pigmentation due to...
no melanocytes in basal cell layer
melancytes in groups
thin stratum corneum
Term
what does white skin look like when inflammed
Definition
hyperpigmented
Term
what are the follicular abnormalities of white skin (2)
Definition
follicle at verticle angle
follicle round to ovoid
Term
what are the histological properities of black skin
Definition
increased pigmentation due to...
melanoctes produce more pigment and are larger
stratum corneum is pigmented and thicker
melanocytes in basal layer
Term
what does black skin look like when inflammed
Definition
hypopigmentation most often
hyperpigmentation sometimes
Term
what are 3 follicle abnormalities of black skin
Definition
follicle at acute angle
hair is flat
follicle rupture
Term
what is the difference between hispanic, white, and black skin
Definition
hispanic skin has some melanocytes in basal layer
white has none
black has many
Term
what are the histological properities of asian skin
Definition
slight increased pigmentation due to...
slight increased pigment and melanocyte size
stratum corneum pigmented
melanocytes in basal cell layer
Term
what does inflammation in asian skin look like
Definition
hyperpigmentation
Term
what are 2 follicle abnormalities of asian skin
Definition
follicle is verticle
follicle is round
Term
what are the three main layers of skin
Definition
epidermis
dermis
hypodermis
Term
what are the 5 layers of the epidermis
Definition
stratum corneum
s. lucidum
s. granulosum
s. spinosum
s. basale
Term
what is the stratum corneum made of
Definition
close packed dead squamous cells
Term
what is different about the skin of the pams and soles
Definition
only skin with stratum lucidum
Term
what is the dermis made of and the functions of the components
Definition
vascular CT: nourish epidermis

elastin, collagen, fibrin: seperate and support epidermis from SC adipose

sensory nerves: pain, touch, temp, autonomics
Term
what is the hypodermis made of and the functions of the components
Definition
SC layer of loose CT

fat: heat generation, insulation, absorb shock, reserve calories
Term
what are the 5 skin appendages
Definition
eccrine sweat glands
apocrine sweat glands
sebaceous glands
hair
nails
Term
what is hair made of
Definition
epidermal cells that invaginate into dermis
Term
what are nails made of
Definition
epidermal cells converted to hard plates of keratin
Term
what are the 4 steps of the skin exam
Definition
history
physical: distribution, primary lesions
ddx
testing
Term
what are the 11 primary skin lesions
Definition
macule
papule
patch
plaque
wheal
nodule
tumor
vesicle
bulla
pustule
cyst
Term
what are the three main layers of skin
Definition
epidermis
dermis
hypodermis
Term
what are the 5 layers of the epidermis
Definition
stratum corneum
s. lucidum
s. granulosum
s. spinosum
s. basale
Term
what is the stratum corneum made of
Definition
close packed dead squamous cells
Term
what is different about the skin of the pams and soles
Definition
only skin with stratum lucidum
Term
what is the dermis made of and the functions of the components
Definition
vascular CT: nourish epidermis

elastin, collagen, fibrin: seperate and support epidermis from SC adipose

sensory nerves: pain, touch, temp, autonomics
Term
what is the hypodermis made of and the functions of the components
Definition
SC layer of loose CT

fat: heat generation, insulation, absorb shock, reserve calories
Term
what are the 5 skin appendages
Definition
eccrine sweat glands
apocrine sweat glands
sebaceous glands
hair
nails
Term
what is hair made of
Definition
epidermal cells that invaginate into dermis
Term
what are nails made of
Definition
epidermal cells converted to hard plates of keratin
Term
what are the 4 steps of the skin exam
Definition
history
physical: distribution, primary lesions
ddx
testing
Term
describe a macule: size, feel, appearance
Definition
flat, non-palpable, corcumscribed
less than 1 cm
Term
colors of macules (5)
Definition
brown, red, purple, white, tan
Term
3 examples of macules
Definition
freckles, rubeola, rubella
Term
describe a papule: feel, size, appearance
Definition
elevated
palpable, firm
circumscribed
less than 1 cm
Term
colors of papule (5)
Definition
brown, red, pink, purple, ran
Term
example of macule
Definition
pigmented nevi
Term
desceibe a papule: feel, appearance, size
Definition
flat, non-palpable, irregular shape
greater than 1 cm
Term
examples of patch (3)
Definition
vitilgo, port wine marks, birth marks
Term
describe a plque: feel, appearance, size, depth
Definition
elevated, flat topped, firm, rough
superificial
greater than 1 cm
Term
3 examples of plaques
Definition
psoriasis
seborrhetic heratosis
actinic keratosis
Term
describe a wheal: feel, shape, look
Definition
elevated, irregular, cutaneous edema, solid, transient, changing, variable diameter
Term
color of a wheal
Definition
pale pink with white center
Term
2 examples of wheals
Definition
uticaria, insect bite
Term
describe a nodule: feel, appearance, depth
Definition
elevated, firm, circumscribed, palpable
deeper in dermis than papule
1-2 cm diameter
Term
2 examples of nodules
Definition
lipoma, erythma nodosum
Term
describe a tumor: feel, appearance, size, color
Definition
elevated, solid, demarcation varies, greater than 2 cm, color could be same or vary from skin
Term
example of a tumor
Definition
neiplasm
Term
describe a vesicle: feel, depth, appearance, size
Definition
elevated, circumscribed, superificial, serous fluid fill, less than 1 cm
Term
2 examples of vesicles
Definition
blister, varicella
Term
describe a bulla: appearance, size
Definition
vesicle
greater than 1 cm
Term
2 examples of bulla
Definition
blister, bullous phemigoid
Term
describe a pustule: feel, depth, appearance
Definition
elevated, superificial, purulent fluid
Term
2 examples of pustules
Definition
impetigo, acne
Term
describe a cyst: feel, look,
Definition
elevated, circumscribed, palpable, encapsulated
liquid or semisolid fill
Term
3 examples of cysts
Definition
wpidermial inclusion, follicular, infundibular
Term
15 secondary skin lesions
Definition
nevi/mole
striaw
lentigines/ephilides, seborrheiic keratosis
melisma/cholasma
vitiligo
scale
lihenification
scar
keloid
excoriation
fissure
erosion
ulcer
crust
atrophy
Term
what is the most common skin irregularity
Definition
nevi/mole
Term
where do nevi occur
Definition
less prominent on black skin
occurs all over people on all people
Term
nevi: feel, look
Definition
raised, flat, dome, smooth, rough, hairy
Term
color of nevi (4)
Definition
tan, gray, brown, blac
Term
prognosis of nevi (4)
Definition
dysplastic
pre-cancerous
cancerous
harmless
Term
what is a striae and the cause
Definition
stretch marks
weight gain, pregnancy
Term
lentigines, ephilides, seborrheiic keratosis: location, 2 examples
Definition
sun exposed areas
freckles, liver spots
Term
melisma.cholasma: look, location, cause
Definition
hyperpigmentation on face, neck, UE, sometimes trunk
associated with pregnancy and hormone use
variable look on ethnic skin types
Term
define vitiligo
Definition
absence of pigmentation
Term
what is a scale made of
Definition
eaped up keratinized cells
Term
scale: feel, look, size
Definition
flaky exfoliation, irregular, varies in size
thick or thin
dry or oily
Term
colors of scales 3
Definition
silver, tan, white
Term
2 examples of scales
Definition
psoriasis
exfoliative dermatitis
Term
lichenification: look, feel, location, cause
Definition
rubbing or irritation
rouch, thick epidermis
often on flexor surfaces
Term
example of lichenification
Definition
contact dermatitis
Term
scause of scar
Definition
thick to thin fibrous tissue replacing injured dermis
Term
scar: look, color
Definition
atrophic or hypertrophic
irregular or regular
pink, white, red
Term
define keloid
Definition
elevated progressivly growing scar beyone boundries of wound due to excessive collagen formation in healing
Term
define excoriation
Definition
loss of epidermis causes linear or hollowed out area of dermis exposure
Term
2 examples of excoriation
Definition
abrasion, scratch
Term
define fissure, color
Definition
small, deep, linear crack or break from epidermis to dermis
red
Term
example of fissure
Definition
athletes foot
Term
define erosion, size, look, feel
Definition
loss of all or part of epidermis following rupture of vesicle or bulla
depressed, moist
larger than fissure
Term
example of erosion
Definition
varicella
Term
define ulcer
Definition
loss of epidermis and dermis
Term
ulcer: look, feel, color
Definition
concave
variable size and shape
red or red/blue exudate
Term
2 examples of ulcers
Definition
decubitis ulcer
stasis ulcer
Term
what is a crust made of
Definition
dried serum
blood
purulent exudate
Term
color of crust (5)
Definition
brown, red, black, tan, straw
Term
3 examples of crust
Definition
scab, eschar, eczema
Term
define arophy
Definition
thinning of skin and loss of skin markings
Term
what does atrophy look like
Definition
translucent and paper like
Term
2 examples of atrophy
Definition
striae
aged skin
Term
what are the 4 patterns of skin lesion arrangement and a short explination of each
Definition
annular: one lesion
grouped: multiple lesions near eachother
linear: multiple lesions in line
diffuse: multiple lesions randomly
Term
what are the three ways we describe localization and distribution of lesions
Definition
generalized or local
region of body
pattern
Term
what are the 5 ways to describe patterns of lesions
Definition
dermatomal
flexor/extensor
random
relation to... clothes, jewelry, etc
discrete/confluent
Term
what are 7 pieces of equipment dermatologests use
Definition
centimeter ruler that is clear and flexible
woods lamp to view flourescent lesions
magnifying glass
comedone extractor
boipsy tools
observation
cryo-therapy
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