How can we help?

You can also find more resources in our Help Center.

73 terms

Skin assessment (PICS)

STUDY
PLAY
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
WRINKLING
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