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PxDxskin
PxDxskin
230
Medical
Professional
01/31/2011

Additional Medical Flashcards

 


 

Cards

Term
function of the skin
Definition
Mechanical barrier between the body and outside world
Protects the body from infection & injury and from UV rays
Body temperature regulation
Sensory organ providing sensation for
Term
3 layers of the skin
Definition
EPIDERMIS
DERMIS
SUBCUTANEOUS LAYER
Term
4 strata of epidermis
Definition
Stratum Corneum
Stratum Granulosum
Stratum Spinosum
Term
keratin layer
Definition
Stratum Corneum
Term
Stratum Corneum
Definition
keratin layer
Non-living, horny layer
Stratified layers of Keratincytes
Not found in mucous membranes
The Major Barrier
Term
Stratum Granulosum
Definition
Keratohyalin granules
Term
Stratum Basale
Definition
Contains keratin-forming cells
Melanocytes
Langerhans’ cells – found throughout epidermis
Merkel’s cells
Term
Dermis contains
Definition
Blood vessels
Sebaceous glands
Sweat glands
Hair follicles
Term
Dermis composed of
Definition
Connective Tissue
Term
Collagen fibers
Definition
Reticulin fibers
Elastin fibers
Term
Fibroblasts
Definition
form collagen
Term
Mast cells
Definition
contain histamine
Term
Ground Substance
Definition
Amorphous matrix of proteins
Term
SUBCUTANEOUS
Definition
Fat layer
Term
Subcutaneous contain
Definition
Large blood vessels
Nerves
Lymphatics
Term
purpose of subcutaneous
Definition
Insulation for retaining heat
Shock absorber
Term
2 types of adult hair
Definition

Vellus hair

Terminal hair

Term
Vellus hair
Definition
Thin
Inconspicuous
relatively unpigmented
Term
Terminal hair
Definition
Scalp, brow, extremities, pubic, axillae
coarser thicker
more conspicuous
typically pigmented
Term
Anagen phase
Definition
Growing phase
x 2-5 yrs
85-90% of scalp hair
↓ with age/male pattern baldness
Term
Catagen phase
Definition
Short transitional phase
Term
Telogen phase
Definition
Resting phase
Term
site where so many physical signs of generalized disease can be found
Definition
nails
Term
Anatomy of The NAILS
Definition
Eponychium
Term
Eponychium
Definition
the cuticle = fold of skin at the proximal end of the nail
Term
Perionychium
Definition
the fold of skin on the sides of the nail
Term
Nail Plate
Definition
hard & translucent portion, composed of keratin
Term
Outer
Definition
Formed by proximal nail matrix
Term
Inner nail plate
Definition
Formed by distal nail matrix (lunula)
Term
Nail Bed
Definition
the adherent connective tissue that underlies
the nail
Term
Lunula
Definition
the crescent shaped whitish area of the nail
bed (when visible)
Distal nail matrix
Term
nail fold
Definition
fold of hard skin overlapping the base/sides
Term
related to anxiety levels
Definition
eczema
Term
Skin Medications and allergies
Definition
Skin care routines. types of cosmetics, soaps, oils, and deodorant products used.
Home remedies
Hair and nail care products and routines – new containers opened, new brands
Detergents or changes in them
Term
2 classifications of skin lesions
Definition
primary
secondary
Term
Primary Lesions
Definition
initial lesion, beginning of most skin diseases
Term
Secondary lesions
Definition
subsequent lesions that develop during the evolutionary process of skin disease or are created by scratching or infection
Maybe the only type of lesion present
Term
types of primary skin lesions
Definition

Non-palpable

palpable

fluid filled

vascular (within and outside)

special

Term
non palpable primary lesion
Definition
macule
patch
Term
Palpable
Definition
Papule
Plaque
Wheal
Nodule
Tumor
Term
fluid filled primary lesion
Definition
Vesicle
Bulla
Pustule
Cyst
Term
Vascular (within vessel)
Definition
Telangiectasia
Spider angioma
Venous star Capillary hemangioma
Cherry angioma
Term
Vascular (outside of vessel)
Definition
Petechia
Purpura
Ecchymosis
Term
Special primary lesions
Definition
Comedo
Burrow
Abscess
Furuncle
Carbuncle
Term
Secondary Lesions
Definition
Loss of Skin Surface
Material on skin surface
Term
Macule size
Definition
< 1 cm
Term
Patch size
Definition
> 1 cm
Term
PATCH
Definition
different color from surrounding tissue
May have non-palpable, fine scale
Term
Papule
Definition
<1cm
Term
Raised, Palpable, Solid
Definition
papule
nodule
tumor
plaque
wheal
Term
PAPULE
Definition
discrete, solid, elevated, firm
circumscribed
Wart or elevated moles
Term
Nodule
Definition
Circumscribed, elevated, solid
Dermal or subdermal
Term
Tumor
Definition
> 2cm
Term
Plaque
Definition
>1 cm
Term
plaque
Definition
Elevated, firm, rough lesions
with flat top surface
**Surface area > height
Psoriasis, Seborrheic/actinic
keratoses
Term
Wheal
Definition
Elevated, irregular-shaped
area of cutaneous edema
Solid, transient, variable diameter
Hives or whelts
Insect bites
PPD
Term
plaque classified by
Definition
Shape
Size
Color
Surface change
Term
wheals
Definition
Wheals are elevated, blanched lesions which result from increased tissue fluid dispersed in the dermis.
Term
raised palpable, fluid fille
Definition
vesicle
pustule
bullae
cyst
Term
vesicle size
Definition
<1cm
Term
vesicle
Definition
Elevated, circumscribed
Superficial, not into dermis
Filled with serous fluid
Varicella
Herpes Zoster
Term
Pustule
Definition
< 1cm
Term
pustule
Definition
Elevated, superficial
Vesicle filled with
purulent material (pus)
Acne
Impetigo
Term
Bullae
Definition
Vesicle that is > 1 cm
Term
bullae
Definition
Blister
Term
Cyst
Definition
no size
Term
cyst
Definition
Elevated, circumscribed, encapsulated lesion
Filled with liquid (purulent)
or semisolid substance that is surrounded by a membranous sac
Term
pustule
Definition
lesion filled with fluid and leukocytes (pus)
Term
abscesses
Definition
Deeper collections of pus (subdermal)
Term
TELENGECTASIAS:
Definition
Visible, persistent, dilation of small
superficial cutaneous blood vessels
Term
Rosacea Acne
Definition
telengectasias
Term
SPIDER ANGIOMA:
Definition
Bright red
Blanch with pressure to central area
faintly pulsatile
consists of a
central arteriole with slender projections resembling spider legs
Term
reddish purple discoloration
Definition
Petechiae
Term
Petechiae size
Definition
1-2mm
Term
Ecchymosis
Definition
>2mm
Term
will turn white with pressure to central area
Definition
WITHIN the vessels--spider angioma
Term
indication of possible liver problems
Definition
spider angioma
Term
CAPILLARY HEMANGIOMA
Definition
Most commonly found on the
Face
Scalp
Back
chest
Usually gone by age ten
Term
VENOUS SPIDER (Star)
Definition
spider veins
Term
venous spider
Definition
A dilated veins that form a spider like pattern
Larger and darker than spider angiomas (less red and more violaceous and blue)
Term
CHERRY ANGIOMA
Definition
Bright red papule
Term
Cherry angioma
Definition
Sometimes surrounded by a pale halo
Usually found on trunk
Term
largely genetic
Definition
cherry angimoa
Term
Caused by leakage of red blood cells out of vessels (extravasation) into skin or mucous membranes
Definition
vascular primary lesions outside the vessel
Term
will not "blanch" with pressure
Definition
primary lesions outside of the vessel
Term
PALPABLE PURPURA
Definition
Due to vascular inflammation in skin & extravasation of red blood cells
Term
[image]
Definition
teleangiectasis
Term
[image]
Definition
papule
Term
[image]
Definition
PLAQUE 
Term
[image]
Definition
wheals (urticaria)
Term
[image]
Definition
nodule
Term
[image]
Definition
vesicle
Term
[image]
Definition
bulla
Term
[image]
Definition
spider angioma
Term
[image]
Definition
cherry angioma
Term
[image]
Definition
petechiae
Term
[image]
Definition

 Palpable Purpura

Term
Comedo
Definition
Plugged opening of sebaceouc gland with a collection of keratin & sebum
Term
whitehead
Definition
closed comedo
Term
blackhead
Definition
open comedo
Term
Burrow
Definition
linear tunnel in epidermis
Term
Abscess
Definition
circumscribed collection of pus
Infection
Term
Furuncle
Definition
acute, very deep, hot, tender abscess/nodule
Inflamed hair follicle
Term
Carbuncle
Definition
deeper interconnecting infections, coalesced, multiple furuncles that communicate
Term
Thin linear papule or plaque
Definition
burrow
Term
furuncle
Definition
More extensive infection of hair follicle
Term
boil
Definition
furuncle
Term
CARBUNCLE
Definition
Extensive infection of several adjoining hair follicles that drains with multiple openings onto the skin surface
Term
Multiple furuncles
Definition
carbuncles
Term
"rising"
Definition
furuncle
Term
[image]
Definition
burrow
Term
[image]
Definition
furuncle
Term
[image]
Definition
carbuncle
Term
Loss of Skin Surface:
Definition
erosion
ulcer
fissure
Term
erosion
Definition
loss of superficial epidermis
Depressed, moist, glistening
Follows rupture of vesicle or bulla
Heals without scarring
Term
ulcer
Definition
deeper loss of both epidermis and even into dermis
Concave
Varies in size
Term
fissure
Definition
Linear or vertical crack/split in the epidermis to the dermis
Moist or dry
Term
Localized loss of the epidermal
Definition
erosion
Term
[image]
Definition
erosion
Term
[image]
Definition
ulcer
Term
ulcer classified by
Definition
Depth
border/shape
Edge
Tissue at its base
Term
localized loss of epidermis and at least dermis
Definition
ulcer
Term
fissure
Definition
thin linear ulcer
Term
Material on skin surface:
Definition
crust
scale
Term
crust
Definition
Dried serum (yellow/brown), blood (black/red), purulent (yellow, yellow-green) exudates
Various sizes
Brown, red, black, tan, straw-colored
Term
scab or sore
Definition
crust
Term
scale
Definition
Heaped-up keratinized cells
Flacky skin
Irregular
Thick or thin
Varies in size
Term
[image]
Definition
scales
Term
Excoriation
Definition
Linear erosion (hollowing out) of epidermis
Crusted
Term
Abrasion or scratch
Scabies
Definition
excoriation
Term
Scar
Definition
Thin to thick fibrous tissue that replaces normal skin following injury or laceration to the dermis
Collection of new fibrous connective tissue
Term
Keloid
Definition
Irregular-shaped, elevated, progressively enlarging scar
Grows beyond boundaries of the wound
Caused by extensive collagen formation during healing
Term
Lichenification
Definition
Rough, thickened epidermis 2° persistent rubbing, itching, skin irritation
Often involves flexor surfaces of extremities
Term
Hyperkeratosis
Definition
Abnormal skin thickening of the superficial layer of the epidermis
Term
Striae
Definition
Thinning of the skin surface and loss of skin margins
Skin becomes translucent and paper-like
Term
Atrophy
Stretch marks
Definition
striae
Term
are superficial, often linear ulceration caused by scratching
Definition
excoriation
Term
englarged scar, grows beyond the boundary of the initial wound
Definition
keloid
Term
[image]
Definition
keloid
Term
Increased amount of stratum corneum
Definition
hyperkeratosis
Term
[image]
Definition
lichenification
Term
Never put high concentration corisone on
Definition
the Face
Term
Violaceous
Definition
Purplish color
Term
Pallor
Definition
decreased redness due to lack of oxyhemoglobin
Term
best seen where the horny layer of the epidermis is the thinnest
Definition
pallor
Term
associated with Anemia
arterial insufficiciency\
h/o fainting
Definition
pallor
Term
Cyanosis
Definition
blue skin
Term
consistent with decreased oxygenation of blood
Definition
cyanosis
Term
Jaundice/Icterus
Definition
Yellowing:
Term
Carotonemia
Definition
yellowing of Involves palms, soles, face but spares sclera
Term
Skin is darker than normal
Definition
Hyperpigmentation:
Term
Skin is lighter than normal
Definition
Hypopigmentation:
Term
Absence of any pigment
Definition
Depigmentation:
Term
vitiligo, albino
Definition
depigmentation
Term
bullseye lesion
Definition
"iris"
Term
laced pattern
Definition
reticulated
Term
annular
Definition
circle shaped
Term
skin mobility
Definition
ease of moving lesion by lifting or palpating
Term
excessive rubbing/keratinization
Definition
lichenification
Term
Turgor
Definition
Represents the ease of moving back into place after picked up (dehydration)
Term
serpiginous
Definition
snake like
Term
coalescing
Definition
Grouped
Term
Linear description
Definition
occurring in a line
Term
GYRATE
Definition
Convoluted
Winding
Term
ARCUATE
Definition
bow-like
Term
confluent
Definition
Running together & merging; lesions not discrete from one another
Term
COALESCED
Definition
In a cluster or group
Term
NUMMULAR
Definition
circular or coin shaped
Term
appear as rings with central duskiness
Definition
target/iris shape
Term
Dermatomal
Definition
Follows distribution of a nerve
Term
Herpetiform
Zosteriform
Definition
DERMATOMAL
Term
Truncal
Definition
torso/back
Term
Extensor
Definition
knee/elbow
Term
Photodistributed
Definition
sun exposed
Term
Intertriginous
Definition
skin folds
Term
Mucosal
Definition
eyes/mouth
Term
CLUBBING
Definition
Increased angulation, curvature of the nail, and floating nail root
Term
KOILNYCHIA
Definition
spoon nails
Term
koilnychia results from
Definition
Trauma
Recurrent exposure to petroleum-based solvents
Raynaud's Disease or Lupus
Iron Deficiency / Hemochromatosis
Term
ONYCHOLYSIS
Definition
“loosening of the nail”
Term
Separation of nail plate from nail bed
Definition
onycholysis
Term
Begins at free edge and proceeds proximally
Definition
onycholysis
Term
causes on onycholysis
Definition
Trauma
Onychomycosis
Psoriasis
Thyrotoxicosis
Term
NAIL PITTING
Definition
Nails are pocked by multiple tiny depressions
May eventually cause the nail to crumble
Term
ANONYCHIA
Definition
Absence of nail or nails
Term
cause of multiple anonychia
Definition
genetics
Term
REDDY NAILS
Definition
Longitudinal ridging
Term
Psoriasis
Definition
reddy nails
Term
BEAU’S LINES
Definition
Transverse grooves on the fingernails of patient recovering from a serious illness
Term
Due to arrested growth of matrix
Definition
Beau's lines
Term
Characterized by whitening of proximal 80% of nail
Definition
TERRY’S NAILS
Term
indications of terry's nails
Definition
Heart failure
Cirrhosis
DM
Term
MEE’S LINES
Definition
Transverse white lines distal to the cuticle
Term
poisoniongs indicatior
Definition
Mee's lines
Term
LINDSAY’S NAILS
Definition
Half-and-half nails
Proximal half = White
Distal half = Pink
Term
SPLINTER HEMORRHAGES
Definition
Tiny and linear red hemorrhage
Term
indicator of chronic renal failure
Definition
Linday's nails
Term
Endocarditis
Definition
splinter hemorrhages
Term
ONYCHOMYCOSIS
Definition
Tinea unguium(fungal nail infection)
Term
Hypertropy of the nail plate
Onycholysis
Dystrophic changes: yellowing of the nails
Definition
onychomycosis
Term
PARONYCHIA
Definition
Inflammation of perionychium
Term
KOH Prep
Definition
Used for microscopic eval of scrapings
Used to detect fungal hyphae
Term
Used to detect fungal hyphae
Definition
KOH Prep
Term
KOH prep
Definition
dissolves stratum corneum
Term
DIASCOPY
Definition
A test for assessing blanchability of cutaneous lesion
Term
Performed by simply applying pressure with a finger or glass slide and observing color changes to determine if redness is due to:
Erythema (capillary dilation)

Vasculitis (extravasation of blood)
Definition
Diasopy
Term
will not blanch
Definition
areas of blood extravasation
Term
Tzanck Smear
Definition
Standard used to detect Herpes Simplex and Herpes Zoster
Term
Tzanck smear
Definition
Stained with Wright’s stain or Methylene blue
Term
Diagnostic: the presence of multinucleated giant cells
Definition
Tzanck smear
Term
Wood’s Lamp Exam
Definition
Ultraviolet black light
Used to detect fungal infections
Term
wood's lamp exam
Definition
reveals fungal infections as sharply marginated patches of bright blue-green
Term
Punch Biopsy
Definition
rapid technique
Some are disposable
Circular
size specific
neat scar
Term
Incisional Biopsy
Definition
does not remove entire lesion; provide entry to an area
Term
Excisional Biopsy
Definition
removes entire lesion
Term
CLUBBING
Definition
Increased angulation, curvature of the nail, and floating nail root
Term
indicative of possible lung disease
Definition
clubbing
Term
[image]
Definition
reticular pattern
Term
[image]
Definition
nummular pattern
Term
[image]
Definition
clubbing
Term
[image]
Definition
KOILNYCHIA
Term
[image]
Definition
beau's lines
Term
[image]
Definition
terry's nails
Term
[image]
Definition
Mee's lines
Term
[image]
Definition
splinter hemorrhage
Term
[image]
Definition
paronychia
Term
fissure
erosion
ulcer
Definition
secondary lesion
Term
scale
crust
Definition
secondary lesion
Term
Lichenification
Scar
Keloid
Excoriation
Hyperkeratosis
Striae
Definition
secondary lesion
Term
Intertriginous
Definition
skin folds
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