Skin Lesions

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Author:
kreed
ID:
70750
Filename:
Skin Lesions
Updated:
2011-03-04 22:42:13
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Fundaments Health Assessment
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Description:
Chapter 10 Lesions Health Assessment
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  1. Shapes of Lesions:
    Solid appearance-no cental clearing
    Round/oval
  2. Shapes of Lesions:
    Round w/central clearing (tinea corporis)
    Annular
  3. Shapes of lesions:
    Pink macule with purple concentric ring (erythema multiforme)
    Iris
  4. Shapes of lesions:
    Snakelike appearance
    Gyrate
  5. Patterns of lesions:
    Single lesion-demarcated lesions that remain separate (insect bite)
    Singular/discrete
  6. Patterns of lesions:
    Lesions that bunch together in little groups (herpes simplex, impetigo)
    Grouped/clustered
  7. Patterns of lesions:
    Annular (round w/central clearing) lesions that come in contact w/one another as they spread (tinea corporis)
    Polycyclic
  8. Patterns of lesions:
    Lesions that merge and run together over large areas (pityriasis rosea)
    Confluent
  9. Patterns of lesions:
    Lesions that form a line (poison ivy)
    Linear
  10. Patterns of Lesions:
    Lesions following a nerve (herpes zoster)
    Zosteriform
  11. Patterns of lesions:
    Lesions that are scattered all over the body (herpes varicella)
    Generalized
  12. Describe a Macule:
    Give an example:
    • A flat, circumscribed area that is a change in color of the skin <1cm
    • Freckles
    • flat moles (nevi)
    • petechiae
    • measles
    • scarlet fever
  13. Describe a Papule/give examples:
    • An elevated, firm, circumscribed area <1 cm
    • wart
    • elevated moles
    • skin tag
    • cherry angioma
  14. Describe a patch/give examples:
    • A flat, nonpalpable irregular-shaed macule >1cm
    • Vitiligo
    • port wine stains
    • cafe-au-lait spots
  15. This primary skin lesion is elevated, firm and rough w/a flat top surface >1cm
    • Plaque
    • psoriasis
    • eczema
    • actinic keratoses
  16. Elevated irregular-shaped area of cutaneous edema, variable diameter
    • Wheel
    • insect bites
    • allergic reaction
    • uticaria
  17. This primary skin lesion is elevated, firm, circumscribed, deeper in dermis than a papule; 1 to-2 cm
    • Nodule
    • dermatofibroma
    • melanoma
    • hemangioma
    • neurofibroma
  18. Primary skin leasion elevated and solid. May or may not be clearly demarcated; deeper in dermis; >2cm
    • TUMOR
    • neoplasms
    • lipoma
    • hemangioma
  19. Primary skin lesion: elevated, circumscribed, superficial, not into dermis; filled w/serous fluid; >1cm
    • vesicle
    • Varicella (chickenpox)
    • herpes zoster (shingles)
    • impetigo
    • acute eczema
  20. Primary skin lesion: Vesicle >1cm
    • BULLA
    • blister
    • pemphigus vulgaris
    • lupus
    • impetigo
    • drug reaction
  21. Primary skin lesion: Elevated, superficial; similar to vesicle but filled w/purulent fluid
    • PUSTULE
    • Impetigo
    • acne
    • folliculitis
    • herpes simplex
  22. Primary skin lesion: Elevated, circumscribed,
    encapsulated lesion; in dermis or subcutaneous layer; filled w/liquid or semisolid material
    • CYST
    • sebaceous cyst
    • systic acne
  23. Secondary lesions:
    Heaped-up keratinized cells, flaky skin
    • SCALE
    • seborrheic dermatitis following scarlet fe
    • eczema
    • xerosis
  24. Secondary lesion:
    Rough, thickened epidermis secondary to peristent rubbing, itching or skin irritation: often involves flexor surface of extremity
    • LICHENIFICATION
    • chronic dermatits
  25. Secondary lesion:
    Irregular shaped elevated, progressively enlarging scar; grown beyond boundaries of the wound
    • KELOID
    • following surgery
  26. Secondary lesion:
    Thin to thick fibrous tissue that replaces normal skin following an injury or laceration to the dermis
    SCAR
  27. Secondary lesion:
    Loss of the epidermis; linear hollowed-out crusted area
    • EXCORIATION
    • abrasion or scratch, scabies
  28. Secondary lesion:
    linear crack or break from the epidermis to the dermis
    • FISSURE
    • athlete's foot
    • corner of mouth
  29. Secondary lesion:
    Dried drainage or blood; slightly elevated
    • CRUST
    • scab on abrasion
    • eczema
  30. Secondary lesion:
    Loss of part of the epidermis, depresser, moist, glistening, follows rupture of a vesicle or bulla
    EROSION
  31. Secondary lesion:
    loss of dermis and epidermis; concave
    pressure ulcer, syphlis chancre
  32. Secondary lesion:
    Thinning of the skin surface and loss of skin makings; skin appears translucent & paperlike
    • ATROPHY
    • aged skin, striae
  33. Pressure ulcer stages:
    observable pressure-related alteration of intact skin: indicators may include changes in skin temp, tissue consistency, sensation. Persistent redness
    Stage I
  34. Pressure Ulcer stages:
    Partial-thickness skin loss involving epidermis, dermis or both. The ulcer is superficial and appears clinically as an abrasion, blister, or whallow crater.
    Stage II
  35. Pressure Ulcer stages:
    Full-thickness skin loss involving damage to or necrosis of subut tissue that may extend down to, but not through, underlying fascia. Manifests clinically as a deep crater w/or w/out undermining of adjacent tissue
    Stage III
  36. Pressure Ulcer Stages:
    Full-Thickness skin loss w/extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures. Undermining and sinus tracts may also be associated.
    Stage IV

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