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Health Assessment Exam 4
Skin, Hair, and Nails
65
Health Care
Undergraduate 4
08/10/2011

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Cards

Term
Annular
Definition
cicular, begins in center and spreads to periphery (e.g., tinea corporis or ringworm, tinea versicolor, pityriasis rosea
Term
Confluent
Definition
lesions run together(urticaria [hives])
Term
Discrete
Definition
distinct, individual lesions that remain separate (e.g. acrochordon or skin tags, acne)
Term
Gyrate
Definition
twisted, coiled spiral, snakelike
Term
Grouped
Definition
clusters of lesions (e.g., vesicles of contact dermatitis)
Term
Linear
Definition
a scratch, streak, line, or stripe
Term
Target
Definition
resembles iris of eye, concentric rings of color in the lesions (e.g., erythema multiforme)
Term
Zosteriform
Definition
Linear arrangement along a unilateral nercve route (herpes zoster)
Term
Polycyclic
Definition
Annular lesions grow together
Term
Macule
Definition
Solely a color change, flat and circumscribed, of less than 1 cm. Examples: freckles, flat nevi, hypopigmentation,petechiae, measles, scarlet fever
Term
Papule
Definition
Something you can feel (i.e, solid, elevated, circumscribed, less than 1 cm diameter) caused by superficial thickening in the epidermis. Examples: elevated nevus(mole), lichen planus, molluscum, wart (verruca).
Term
Patch
Definition
Macules that are larger than 1 cm. Examples: monogolian spot, vitiligo, cafe au lait spot, chloasma, measles rash.
Term
Plaque
Definition
Papules coalesce to form surface elevation wider than 1 cm. A plateau-like, disk-shaped lesion. Examples: Psoriasis, lichen planus
Term
Nodule
Definition
Solid, elevated, hard or soft, larger than 1 cm. May extend deeper into dermis than papule. Examples:xanthoma, fibroma, intradermal nevi
Term
Wheal
Definition
Superficial, raised, transient, and erythematous; slightly irregular shape due to edema (fluid held diffusely in the tissues). Examples: mosquito bite, allergic reaction, dermographism.
Term
Tumor
Definition
Larger than a few centimeters in diametr, firm or soft, deeper into dermis; may be benign or malignant, although "tumor" implies "cancer" to most people. Examples: lipoma, hemangioma
Term
Urticaria
Definition
Hives: Wheals coalesce to form extensive reaction, intensely pruritic.
Term
Vesicle
Definition
Elevated cavity containing free fluid, up to 1 cm; a "blister" Clear serum flows if wall is ruptured. Examples: herpes simplex, early varicella, herpes zoster, contact dermatitis
Term
Bulla
Definition
Larger than 1 cm diameter; usually single chambered (unilocular); superficial in epidermis; it is thin walled, so it ruptures easily. Examples: friction blister, pemphigus, burns, contact dermatitis
Term
Cyst
Definition
Encapsulated fluid-filled cavity in dermis or subcutaneous layer, tensely elevating skin. Examples: sebaceous cyst, wen.
Term
Pustule
Definition
Turibd fluid (pus) in the cavity. Circumscribed and elevated. Examples: impetigo, acne
Term
Crust
Definition
the thickened, dried-out exudate left when vesicles/pustules durst or dry up. Color can be red-brown, honey, or yellow, depending on the fluid's ingredients (blood, serum, pus). Examples: impetigo (dry, honey-colored), weeping eczematous dermatitis, scab after abrasion
Term
Scale
Definition
Compact, desiccated flakes of skin, dry or greasy, silver or white, from shedding of dead excess keratin cells. Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, ichthyosis (large, adherent, laminated), dry skin
Term
Fissure
Definition
Linear crack with abrupt edges, extends into dermis, dry or moist. Examples: cheilosis-at corners of mouth due to excess moisture; athlete's foot
Term
Erosion
Definition
Scooped out but shallow depression. Superficial; epidermis lost; moist but no bleeding; heals without scar because erosion does not extend into dermis
Term
Ulcer
Definition
Deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. Examples: stasis ulcer, pressure sore, chancre.
Term
Excoriation
Definition
Self-inflicted abrasion; superficial; sometimes crusted; scratches from intense itching. Examples: insect bites, scabies, dermatitis, varicella
Term
Scar
Definition
After a skin lesion is repaired, normal tissue is lost and replaced with connective tissue (collagen). This isa permanent fibrotic change. Exmaples: healed are of surgery or injury, acne.
Term
Atrophic scar
Definition
The resulting skin level is depressed with loss of tissue; a thinning of the epidermis. Example: straie.
Term
Lichenification
Definition
Prolonged, intense scratching eventually thickens the skin and produce3s tightly packed sets of papules; loos like surface of moss (or lichen)
Term
Keloid
Definition
A hypertrophic scar. The resulting skin level is elevated by excess scar tissue, which is invasive beyond the site of original injury. May increase long after healing occurs. Looks smooth, rubbery, adn "clawlike" and has a higher incidence among blacks.
Term
Port-Wine Stain (Nevus Flammeus)
Definition
A large, flat, macular patch covering the scalp or face, frequently along the distribution of cranial nerve V. The color is dark red, bluish, or purplish and intensifies with crying, exertion, or exposure to heat or cold. The marking consists of mature capilaries. It is present at birth aqnd usually does not fade. The use of yellow light lasers now makes phtoablation of the lesion possible, with minimal adverse effects.
Term
Telangiectasia
Definition
Caused by vascular dilation; permanently enlarged and dilated blood vessels that are visible on the skin surface.
Term
Spider or Star Angioma
Definition
A fiery red, star-shapped marking with a solid circular center. Capillary radiations extend from the central arterial body. With pressure, not a sentral pulsating body and blanching of extended legs. Develops on face, neck, or chest; may be associated with pregnany, chronic liver disease, or estrogen therapy, or may be normal
Term
Venous Lake
Definition
A blue-purple dilation of venules adn apillaries in a star-shaped, linear, or flaring pattern. Pressure causes them to empty or disappear. located ont eh legs near varicose veins and also on the face, lips, ears, and chest.
Term
Petechiae
Definition
Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple or brown in color.
Term
Ecchymosis
Definition
A purplish patch resulting from extravasation of blood into the skin, >3mm in diameter
Term
Purpura
Definition
Confluent and extensive patch of petechiae and exxhymoses, >3mm flat, red to purple, macular hemorrhage. Seen in generalized disorders such a sthrombocytopenis and scurvy. Also occurs in old age as blood leaks from capillaries in response to minor truama and diffuses through dermis.
Term
Primary Contact Dermatitis
Definition
Local inflammatory reaction to an irritant in the environment or an allergy. Characteristic location of lesions ofter gives clue. Often erythema shows frist, followed by swelling, wheals( or urticaria), or maculopapular vesicles, scales. Frequently accompanied by intense pruritus.
Term
Allergic Drug Reaction
Definition
Erythematous and symmetric rash, usually generalized. Some drugs produce urticarial rash or vesicles and bullae. History of drug ingestion.
Term
Tinea Corporis (Ringworm of the body)
Definition
Scales-hyperpigmented in whites, depigmented in dark-skinned people-on chest, abdomen, back of arms forming multiple circular lesions with clear centers.
Term
Tinea Pedis (ringworm of the foot)
Definition
"Athletes foot", a fungal infection, first appears as small vesicles between toes, sides of feet, and soles and then grows scaly and hard. Foudn in chronically warm, mosit feet
Term
Labial Herpes Simples (cold sores)
Definition
Herpes simplex virus (HSV) infection has a prodrome of skin tingling and sensitivity. Lesion then erupts with tight vesicles followed by pustules and then rpoduces acute gingivostomatitis with many shallow, painful ulcers. common location is upper lip, also in oral mucosa and tongue.
Term
Tinea Versicolor
Definition
Fine, scaling, round patches of pink, tan, or white that do not tan in sunlight, caused by a superficial fungal infection. Usual distribution is on neck, trunk, and upper arms- a short-sleeved turtleneck sweater area. Most common in otherwise healthy young adults. Responds to oral anti fungal medication.
Term
Erythema Migrans of Lyme disease
Definition
Lyme disease is not fatal but may have serious arthritic, cardiac, or neurologic sequel. It is caused by a spirochete bacterium carried by the black or dark brown deer tick. Deep ticks are common in the Northeast, upper Midwest, and California (with cases occurring in people who spend time outdoors) in May through September. The first stage (early localized LD) has the distinctive bull's eye, red macular or papular rash in 50% of cases. The rash radiates from the site of the tick bite, with some central clearing and is usually located in the axillae, midriff, inguina, or behind knees with regional lymphadenopathy
Term
Psoriasis
Definition
Scaly, erythematous patch, with silvery scales on top. Usually on scalp, outside of elbows and knees, low back, and anogenital areas.
Term
Basal Cell Carcinoma
Definition
Usually starts as a skin-colored papule (may be deeply pigmented) with a pearly translucent top and overlying telangioectasia (broken blood vessel). Then develops rounded, pearly borders with central red ulcer, or looks like large open pore with central yellowing. Most common form of skin cancer; slow but inexorable growth. Basal cell cancers occur on unexposed areas
Term
Squamous Cell Carcinoma
Definition
Squamous cell cancers arise from actinic keratoses or de novo. Erythematous scaly patch with sharp margins, 1 cm or more. Develops central ulcer and surrounding erythema. Usually on hands or head, areas exposed to UV radiation; above, on habitually sun-exposed bald scalp. Less common than basal cell carcinoma but grows rapidly.
Term
Malignant Melanoma
Definition
Half of these lessons arise from preexisting nevi. Usually brown; can be tan, black, pink-red, purple, or mixed pigmentation. Often irregular or notched borders. May have scaling, flaking, oozing texture. Common locations are on the trunk and back in men an women, on the legs in women, and on the palms, soles of feet, and nails in Blacks.
Term
Kaposi Sarcome: Patch Stage
Definition
Kaposi carcome is a vascular tumor and is the most common tumor in HIV-infected persons. Considered an AIDS-defining illness, KS can occur at any stage of HIV infection. Here, multiple patch-stage early lesions are faint pink on the temple and beard area. They easily could be mistaken for bruises or nevi and be ignored.
Term
Toxic Alopecia
Definition
Patchy, asymmetric balding that accompanies severe illness or use of chemotherapy where growing hairs are lost and resting hairs are spared. Regrowth occurs after illness or discontinuation of toxin.
Term
Tinea Capitis (Scalp Ringworm)
Definition
Rounded, patchy hair loss on scalp, leaving broken-off hairs, pustules, and scales on skin. Caused by fungal infection; lesions may fluoresce blue-green under Wood's light. Usually seen in children and farmers; highly contagious, may be transmitted by another person, by domestic animals, or from soil.
Term
Alopecia Areata
Definition
Sudden appearance of a sharply circumscribed, round or oval balding patch, usually with smooth, soft, hairless skin underneath. Unknown cause; when limited to a few patches, person usually has complete regrowth.
Term
Traumatic Alopecia: traction Alopecia
Definition
Linear or oval patch of hair loss along hair line, a part, or scattered distribution; caused by trauma from hair rollers, tight braiding, tight ponytail, barrettes.
Term
Folliculitis
Definition
Superficial infection of hair follicles. Multiple pustules, "whiteheads," with hair visible at center and erythematous base. usually on arms, legs, face, and buttocks.
Term
Pediculosis Capitis
Definition
Head Lice
Term
Trichotillomania
Definition
Traumatic self-induced hair loss usually the result of compulsive twisting or plucking. Forms irregularly shaped patch, with broken-off, stub like hairs of varying lengths; person is never completely bald.
Term
Furuncle and Abscess
Definition
Red, swollen, hard, tender, pus-flled lesion caused by acute, localized bacterial (usually staphylococcal) infection; usually on back of neck, buttocks, occasionally on wrists or ankles. Furuncles are due to infected hair follicles, whereas abscesses are due to traumatic introduction of bacteria into the skin. Abscess are usually larger and deeper than furuncles.
Term
Scabies
Definition
An intensely pruritic contagion caused by the scabies mite. Mites form a linear or curved elevated burrow on fingers, web spaces of hands, and wrists. Other family members are usually infected. The patient cannot stop scratching.
Term
Paronychia
Definition
Red, swollen, tender inflammation of the nail folds. Acute paronychia is usually a bacterial infection; chronic paronychia is most often a fungal infection from a break in the cuticle in these who perform "wet" work
Term
Beau's Line
Definition
Transverse furrow or groove. A depression across the nail that extends down to the nail bed. Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction, or local trauma. Dent appears first at the cuticle and moves forward as nail grows.
Term
Splinter Hemorrhages
Definition
Red-brown linear street, embolic lesions, occur with subacute bacterial endocarditis; also may occur with minor trauma (on nails)
Term
Onycholysis
Definition
This is a slow, persistent fungal infection of fingernails and, more often, toenails, common in older adults. Fungus causes change in color (green where nail plate separated from bed), texture, thickness, with nail crumbling or breaking, and loosing of the nail plate, usually beginning at the distal edge and progressing proximally.
Term
Pitting
Definition
Sharply defined pitting and crumbling of nails with distal detachment often occurs with psoriasis.
Term
Habit-Tic Dystrophy
Definition
Depression down middle of nail or multiple horizontal ridges, caused by continuous picking of cuticle by another finger of same hand, which causes injury to nail base and nail matrix.
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