physical diagnosis skin
Terms
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- skin: ROS
- rash or other lesion? Changes in color? Itching?
- skin: Spanish
- la piel
- skin: French
- la peau
- skin: Arabic
- بَشَرَة
- malignant melanoma: warning sigs
- Assymetry, Border irregularity, Color variation, Diameter larger than 6 mm (ABCD)
- transverse grooves in fingernail: eponym
- Beau's lines
- transverse grooves in fingernail: associations
- conditions that temporarily arrest nail growth: malnutrition, infection...
- white transverse line in fingernail: eponym
- Mee's bands
- white transverse line in fingernail: associations
- poisoning (arsenic, chemo) or acute systemic illness
- half-and-half nails", nproximal bed is whitish, distal is red or pink: eponym
- Lindsay's nails
- half-and-half nails", nproximal bed is whitish, distal is red or pink: associations
- chronic renal disease and azotemia
- White nail beds to within 1 to 2 mm of distal border of nail bed: eponym
- Terry's nails
- White nail beds to within 1 to 2 mm of distal border of nail bed: associations
- cirrhosis, hypoalbuminemia, CHF, adult diabetes
- Splinter hemorrhages: associations
- common (20% hospital pts), trauma, systemic disease
- spoon nail: medical term
- koilonychia
- spoon nail: associations
- iron deficiency, other thinning of nail plate including local irritant
- Angle between nail bed and finger: eponym
- Lovibond's angle
- clubbing of fingernails: associations
- inherited autosomal dominant, acquired w/ cyanotic disease
- fingernail pitting: associations
- psoriasis, psoriatic arthropathy
- macule: primary or secondary
- primary
- macule: palpable
- no
- macule: size
- <1cm
- patch: primary or secondary
- primary
- patch: palpable
- no
- patch: size
- >1cm
- papule: primary or secondary
- primary
- papule: palpable
- yes
- papule: solid mass or fluid-filled
- solid mass
- papule: size
- <1cm
- nodule: primary or secondary
- primary
- nodule: palpable
- yes
- nodule: solid mass or fluid-filled
- solid mass
- nodule: size
- 1-2cm
- tumor: primary or secondary
- primary
- tumor: palpable
- yes
- tumor: solid mass or fluid-filled
- solid mass
- tumor: size
- >2cm
- plaque: primary or secondary
- primary
- plaque: palpable
- yes
- plaque: solid mass or fluid-filled
- solid mass
- wheal: primary or secondary
- primary
- wheal: palpable
- yes
- wheal: solid mass or fluid-filled
- solid mass
- wheal: contents
- cutaneous edema
- vesicle: primary or secondary
- primary
- vesicle: palpable
- yes
- vesicle: solid mass or fluid-filled
- fluid filled
- vesicle: size
- <1cm
- vesicle: contents
- serous fluid
- bulla: primary or secondary
- primary
- bulla: palpable
- yes
- bulla: solid mass or fluid-filled
- fluid filled
- bulla: size
- >1cm
- bulla: contents
- serous fluid
- pustule: primary or secondary
- primary
- pustule: palpable
- yes
- pustule: solid mass or fluid-filled
- fluid filled
- pustule: size
- <1cm
- pustule: contents
- pus
- comedo: primary or secondary
- primary
- comedo: characteristics
- plugged opening of sebaceous gland
- burrow: primary or secondary
- primary
- burrow: characteristics
- raised tunnel <10mm
- cyst: primary or secondary
- primary
- cyst: characteristics
- palpable lesion filled with fluid w/in dermis
- cyst: Spanish
- el quiste
- cyst: French
- le kyste
- abscess: primary or secondary
- primary
- abscess: characteristics
- localized accumulation of purulent material in dermis or subcutis (pus not visible from surface)
- abscess: Spanish
- el absceso
- abscess: French
- l'abcès
- abscess: Arabic
- Ø®Ùرَّاج
- furuncle: primary or secondary
- primary
- furuncle: characteristics
- necrotizing inflamation of a hair follicle
- carbuncle: primary or secondary
- primary
- carbuncle: characteristics
- coalescence of several furuncles
- milia: primary or secondary
- primary
- milia: characteristics
- accumulation of keratin in distal portion of sweat gland
- erosion: primary or secondary
- secondary
- erosion: above or below skin plane
- below
- erosion: characteristics
- loss of part or all of epidermis, moist
- erosion: texture
- moist
- ulcer: primary or secondary
- secondary
- ulcer: above or below skin plane
- below
- ulcer: characteristics
- loss of epidermis and dermis, may bleed
- ulcer: Spanish
- la úlcera
- ulcer: French
- l'ulcère
- ulcer: Arabic
- Ù‚ÙرْØÙŽØ©
- fissure: primary or secondary
- secondary
- fissure: above or below skin plane
- below
- fissure: characteristics
- linear crack from epidermis into dermis
- excoriation: primary or secondary
- secondary
- excoriation: above or below skin plane
- below
- excoriation: characteristics
- scratch or abrasion, superficial
- atrophy: primary or secondary
- secondary
- atrophy: above or below skin plane
- below
- atrophy: characteristics
- thinning of skin
- sclerosis: primary or secondary
- secondary
- sclerosis: above or below skin plane
- below
- sclerosis: characteristics
- hardening of skin
- sclerosis: texture
- hard
- scaling: primary or secondary
- secondary
- scaling: above or below skin plane
- above
- scaling: characteristics
- heaped up keratinized cells, exfoliated epidermis
- crusting: primary or secondary
- secondary
- crusting: above or below skin plane
- above
- crusting: characteristics
- dried residue of pus, serum, or blood
- erythema: primary or secondary
- secondary
- erythema: blanchable
- yes
- erythema: color
- pink or red
- erythema: cause
- dilated vessels
- petechia: primary or secondary
- secondary
- petechia: size
- <.5cm
- petechia: blanchable
- no
- purpura: primary or secondary
- secondary
- purpura: size
- >.5cm
- purpura: blanchable
- no
- ecchymosis: blanchable
- no
- telangeiectasia: primary or secondary
- secondary
- spider angioma: primary or secondary
- secondary
- spider angioma: blanchable
- yes, when pressure applied to center
- scar: primary or secondary
- secondary
- keloid: primary or secondary
- secondary
- lichenification: primary or secondary
- secondary
- lichenification: characteristics
- roughened and thickened epidermis w/ accentuated skin markings
- freckle: primary skin lesion
- macule
- freckle: Spanish
- la peca
- freckle: French
- la tache de rousseur
- mole: primary skin lesion
- macule
- mole: Spanish
- el lunar
- mole: French
- le grain de beauté
- mole: Arabic
- خال
- vitiligo: primary skin lesion
- patch
- cafe au lait spot: primary skin lesion
- patch
- nevus: primary skin lesion
- papule
- wart: primary skin lesion
- papule
- wart: Spanish
- la verruga
- wart: French
- la verrue
- wart: Arabic
- Ø«ÙؤْلÙول
- erythema nodosum: primary skin lesion
- nodule
- psoriasis: primary skin lesion
- plaque, scaling
- seborrheic keratosis: primary skin lesion
- plaque, scaling
- hives: primary skin lesion
- wheal
- insect bite: primary skin lesion
- wheal
- herpes simplex: primary skin lesion
- vesicle
- pmephigus vulgaris: primary skin lesion
- bulla
- blister: primary skin lesion
- vesicle/bulla
- blister: Spanish
- la ampolla
- blister: French
- l'ampoule
- blister: Arabic
- ØÙوَيْصÙÙ„ÙŽØ©
- acne: primary skin lesion
- pustule
- acne: Spanish
- el acné
- acne: French
- l'acné
- acne: Arabic
- Øَبّ٠الشَّبَاب
- impetigo: primary skin lesion
- pustule, crusting
- blackhead: primary skin lesion
- comedo
- scabies: primary skin lesion
- burrow
- scabies: Spanish
- la sarna
- scabies: French
- la gale
- sebaceos cyst: primary skin lesion
- cyst
- ruture of vesicle: secondary skin lesion
- erosion
- stasis ulcer: secondary skin lesion
- ulcer
- chancre: secondary skin lesion
- ulcer
- chancre: Spanish
- el chancre
- chancre: French
- le chancre
- chancre: Arabic
- قَرْØÙŽØ©
- cheilitis: secondary skin lesion
- fissure
- abrasion: secondary skin lesion
- excoriation
- striae: secondary skin lesion
- atrophy
- dandruff: secondary skin lesion
- scaling
- dandruff: Spanish
- la caspa
- dandruff: French
- les pellicules
- dandruff: Arabic
- Øَزَاز
- scab: secondary skin lesion
- crusting
- scab: Spanish
- la costra
- scab: French
- la croûte
- scab: Arabic
- جÙلْبَة
- atopic dermatitis: secondary skin lesion
- lichenification
- ring shaped: descriptive dermatological term
- annular
- partial rings: descriptive dermatological term
- arcuate
- irregular or geographic pattern not related to underlying anatomy: descriptive dermatological term
- bizzarre
- circular: descriptive dermatological term
- circinate
- lesions run togethor: descriptive dermatological term
- confluent
- disc shaped without central clearing: descriptive dermatological term
- discoid
- lesions remain seperate: descriptive dermatological term
- discrete
- inflammation with tendency to vesiculate and crust: descriptive dermatological term
- eczematoid
- widespread: descriptive dermatological term
- generalized
- lesions clustered together: descriptive dermatological term
- grouped
- bulls eye lesion: descriptive dermatological term
- iris
- horny thickening: descriptive dermatological term
- keratotic
- in lines: descriptive dermatological term
- linear
- more than one shape: descriptive dermatological term
- multiform
- papules or plauqes associated with scaling: descriptive dermatological term
- papulosquamous
- lacelike network: descriptive dermatological term
- reticulated
- snakelike, creeping: descriptive dermatological term
- serpiginous
- relatively permenent dilation of superficial blood vessels: descriptive dermatological term
- telangiectatic
- entire body involved: descriptive dermatological term
- universal
- linear arrangement along a nerve distribution: descriptive dermatological term
- zosteriform
- ringworm: descriptive dermatological term
- annular
- syphilis: descriptive dermatological term
- arcuate
- syphilis: Spanish
- la sífilis
- syphilis: French
- la syphilis
- syphilis: Arabic
- زÙهْرÙيّ
- factitial dermatitis: descriptive dermatological term
- bizzarre
- childhood exanthems: descriptive dermatological term
- confluent
- lupus erythematosus: descriptive dermatological term
- discoid
- eczema: descriptive dermatological term
- eczematoid
- eczema: Spanish
- el eczema
- eczema: French
- l'eczéma
- eczema: Arabic
- أَكْزÙيمَا
- herpes simplex: descriptive dermatological term
- grouped
- erythema multimurme: descriptive dermatological term
- iris, multiform
- psoriasis: descriptive dermatological term
- keratotic, papulosquamous
- poison ivy dermatitis: descriptive dermatological term
- linear
- oral lichen planus: descriptive dermatological term
- reticulated
- cutaneous larva migrans: descriptive dermatological term
- serpiginous
- osler-weber-rendu disease: descriptive dermatological term
- telangiectatic
- alopecia universalis: descriptive dermatological term
- universal
- herpes zoster: descriptive dermatological term
- zosteriform
- acne vulgaris: distribution
- head and neck
- atopic dermatitis: distribution
- elbows, knees, groin
- photosensitive eruptions: distribution
- exposed skin
- pityriasis rosea: distribution
- trunk (one-piece)
- psoriasis: distribution
- knees, elbows, fingers, intergluteal cleft
- seborrheic dermatitis: distribution
- face, intermammary sulcus
- maculopapular diseases: dull red
- psoriasis
- maculopapular diseases: pinkish yellow
- pityriasis rosea and seborrheic dermatitits
- maculopapular diseases: redish brown
- tinea versicolor
- maculopapular diseases: violaceous
- lichen planus
- maculopapular diseases: commonly with facial lesions
- seborrheic dermatitis
- maculopapular diseases: with oral lesions
- lichen planus
- maculopapular diseases: with nail lesions
- psoriasis
- maculopapular diseases: abundant scale
- psoriasis
- maculopapular diseases: fine, adherent scale
- pityriasis rosea
- maculopapular diseases: fine scale (non adherent)
- tinea versicolor
- maculopapular diseases: greasy scale
- seborrheic dermatitis
- maculopapular diseases: shiny, adherent scale
- lichen planus
- eczematous disease: acute, localized to specific area
- contact dermatitis
- eczematous disease: history in patient or family member of asthma, hay fever, or eczema
- atopic dermatitis
- eczematous disease: chronic, in same areas, associated with anxiety
- neurodermatitis
- eczematous disease: varicosities, past history of thrombophlebitis or cellulitis
- stasis dermatitis
- eczematous disease: eyelids, groin, flexural areas
- atopic dermatitis
- eczematous disease: head, lower legs, arms
- neurodermatitis
- eczematous disease: lower legs
- stasis dermatitis
- vesiculobullous disease: 40-60yrs
- pemphigus vulgaris
- vesiculobullous disease: children and adults
- dermatitis herpetiformis
- vesiculobullous disease: infants and children
- epidermolysis bullosa
- vesiculobullous disease: 60-70 yr
- bullous pemphigoid
- vesiculobullous disease: oral mucosa initial site
- pemphigus vulgaris
- vesiculobullous disease: scalp, trunk initial site
- dermatitis herpetiformis