Chapter 9

Question 1

Ecchymosis

Answer 1

Bruise

Question 2

Petechiae

Answer 2

pinpoint bleeding from capillaries. Does not blanch!

Question 3

IPPA

Answer 3

• Inspect- color, uniformity, symmetry, hygene, lesions, odors
• Percussion
• Palpation- moisture, temp, texture, turgor, mobility
• Auscultation

Question 4

Secondary lesion

Answer 4

• scale
• crust
• atrophy
• scar
• erythema/ petechiae

Question 5

Primary lesions

Answer 5

• Size
• shape
• color
• texture
• config
• distribution

Question 6

Folliculitis

Answer 6

• inflamm of hair follice
• caused by bacteria, can be yeast/fungus
• risk factors: shaving, make up, hot top, immunocompromised
• small (insert size), multiple lesion,

Question 7

Furuncle

Answer 7

• Boil
• involve hair follice
• Pustular, 6 mm-1 cm. Singular lesion
• May be on back

Question 8

Carbuncle

Answer 8

• Clusters of furuncles connected subQ

Question 9

Tinea

Answer 9

• Contagious
• scalp (tinea capitis)
• body (corporis)
• groin (cruris)
• angular/round/pink/central clearing/multiple lesions/ 1-2 cm

Question 10

Cellulitis

Answer 10

• bright red/tense/shiny/lower extremety starting mid calf/ swelling
• systemic infxn/may need admit
• need abx
• mark with pen to recheck next day

Question 11

Tinea Pityriasis

Answer 11

• hypopigmented/ disseminated patches/
• not painful/contagious
• potassium hydroxide (KOH) - spaghetti meatball- FUNGAL indication!

Question 12

Pityriasis Rosea

Answer 12

• common skin patch
• dissapear without tx 6-8 weeks

Question 13

Rosacea

Answer 13

• 30 yr and older
• facial redness/dilated blood vessels/ swelling/burning/stinging/ and occasionally Rhinophema

Question 14

Acanthosis Nigricans

Answer 14

• DM, obese, pregnancy
• Area of dark, discoloration in body folds/creases
• On rare occasion inidcative or organ tumor
• No tx

Question 15

Basal cell carcinoma

Answer 15

• pearly/raised/red/shiny/can bleed
• almost never metastasizes
• most frequent occuring skin cancer

Question 16

Malignant Melanoma

Answer 16

• cancer from melanocytes
• UV exporsure
• ABCDEFG: F= firm to touch, G=growing

Question 17

Squamous cell carcinoma

Answer 17

• uncontrolled growth of abnormal cell arising from squamous cells
• second most common
• UV light case
• Small nodule that becomes necrotic and sloughs(ulcerates)

Question 18

Kaposi Sarcoma

Answer 18

• Abnormal tissue under skin
• mouth,nose, throat
• red/pruple
• Weak immunity-HIV/AIDS
• Older men of Jewish/Mediterranean decent

Question 19

Alopecia

Answer 19

• Immune mediated attack on hair follicles
• clumos if hair fall out resulting smooth hairless patches
• common

Question 20

Nails

Answer 20

• Inspect: pigment, length, symmetry, swelling, pain, tumors, warts, cysts, peeling, pitting, beading, ridging, exudate
• palpate
• measure