Skin assessment (PICS)

73 terms by gregoryt9 

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ACANTHOSIS NIGRICANS

Hyperpigmented brownish VELVETY PLAQUE seen in skin folds of the neck, axilla and knuckles

Associated with insulin resistance in DIABETES

XEROSIS

Excessive dryness - seen in elderly

SEBACEOUS HYPERPLASIA

Enlarged pore - donut appearance

Stevens-Johnson Syndrome

LIfe-treatening allergic SKIN reaction

ALOPECIA

Diffuse patchy or total hair loss

HIRSUTISM

EXCESS terminal hair growth from increased ANDROGEN production

PALLOR

Pale

ERYTHEMA

RED - flushed appearance

CYANOSIS

blue-grey; r/t decreased perfusion

JAUNDICE

yellow, icteric

BILIRUBIN excess

TURGOR

POOR turgor=tenting

CHERRY ANGIOMAS

tiny blood blister - genetic

bright red 1-5mm

TELANGIECTASES

dilated superficial blood vessels

SPIDER ANGIOMA

RED with capillary radiations

associated with LIVER disease, RARELY below waist

VENOUS STAR

bluish spider angioma, NON-BLANCHING

seen in VARICOSE VEINS, commonly on LEGS

PETICHIAE

1-3mm DEEP ROUNDED

superficial capillary bleeding

PURPURA

extensive CONFLUENT patch of petechiae

ECCHYMOSIS

typical bruise

HEMATOMA

RAISED bruise

MACULE

flat, circumscribed, discolored

<1cm

PATCH

flat irregular

>1cm

PAPULE

SOLID, elevated, circumscribed

<1cm (wart)

PLAQUES

coalesced papules

>1cm (psoriasis)

NODULE

solid, elevated

1-2cm (lipoma)

TUMOR

larger than a few centimeters, firm or soft

WHEAL

superficial, raised, erythematous, IRREGULAR

Allergic rx; PPD

URTICARIA

coalesced wheals

VESICLE

elevated with CLEAR FLUID

<1cm (herpes simplex)

BULLA

elevated with FLUID

>1cm (blister)

PUSTULE

contains PUS

CYST

encapsulated fluid cavity in dermis or sub-q

CRUST

thickened dried exudate on top of primary lesion (scab)

SCALE

compact flakes of skin

EROSION

shallow depression, moist no bleeding

(varicella post rupture)

ULCER

deep depression into dermis, leaves SCAR

stasis ulcer

EXCORIATION

superficial abrasion - red, open , sores

ATROPIC SCAR

depressed

HYPERTROPIC SCAR

raised

LICHENIFICATION

thickening of skin

ANNULAR LESION

Ring, clear center

Ringworm

GYRATE LESION

coiled or snake-like

ISIS or TARGET of LESION

solid center

ZOSTERIFORM LESION

linear vesicles along a dermatome

ACTINIC KERATOSIS

pink scaly papules

may be precursor to SCC

ECZEMA

atopic allergic dermatitis

FURUNCLE

BOIL

FOLLICULITIS

infection of HAIR follicle

CELLULITIS

staph/strep infection

HERPES SIMPLEX

cold sore, fever blister, genital herpes

PITYRIASIS ROSEA

Unknown cause; HERALD patch

NOT contagious

RUBELLA

German measles

MILD viral disease

RUBEOLA

MEASLES

ROSACEA

cause unknown, affects nose and face

SOLAR LENTIGINES

flat brown macules

SEBORRHETIC KERATOSIS

Raised, CRUSTY, IRREG

NON CANCEROUS

SKIN TAGS

overgrowth of normal skin

NOT OF CONCERN

SENILE PURPURA

superficial hemorrhages

SHEARING/TEARING INJURY

CUTANEOUS HORN

caution regarding underlying SKIN CA

LEUKONYCHIA STRIATA

white lines from trauma or picking at cuticle

CLUBBING

≥180 DEG

CHRONIC HYPOXIA

BROWN LINEAR STREAKS

MELANOMA

SPLINTER HEMORRHAGES

4-5 reddish brown streaks in nailbed; bacterial endocarditis or trauma

KOILONYCHIA

SPOON NAILS

IRON deficient anemia

PARONYCHIA

Inflammation around nail bed

ONYCHOLYSIS

loosening of nail plate from fungal infection

NAIL PITTING

PSORIASIS

SUBUNGUAL HEMATOMA

bleeding under nail

PAINFUL

INGROWN NAIL

TREAT WITH MARGINECTOMY

HABIT-TIC DEFORMITY

picking nail with index finger

BEAU LINES

Horizontal line from start/stop of nail growth

TERRY NAILS

seen in cirrhosis/hypoalbuminemia

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