Skin Object is for you to learn and identify skin lesions
Describe his skin
Normal skin Color: Brown Normal hair No lesions Should feel for texture, turgor, moisture and warmth
Describe the lesion
Normal Mole Tan to brown Uniformly pigmented Small (usually less than 6 mm across) Solid regions of relatively flat (macules) to elevated skin (papules) Well-defined, rounded borders
Describe skin over legs
Chronic ITP Hyperpigmentation
Describe the lesion
Campbell’d morgan spots Cherry angiomas are Bright red Small (usually 1-4 mm) Papules Commonly seen on the trunk of adults. Medically insignificant
Describe the skin
Hodgkin’s disease Dry Scaly
What do you see
Senile purpura Red Patch Does not blanch on pressure Thin skin
Describe the lesions
Steroid induced purpura Red Patch Does not blanch on pressure
Describe the lesions
Schonlein-Henoch purpura Ankle locaton Multiple Red Not blanching on pressure Less than 5 mm Vasculitis
What type of skin lesions do you see?
Henoch Schonlein purpura Multiple Red Not blanching on pressure Less than 5 mm Vasculitis
Describe the lesion
Echymosis Red Large patch Irregular edge Changing colors Coagulation defect
Describe the skin lesions
Vasculitis Multiple Red Not blanching on pressure Less than 5 mm Coalesing Vasculitis drug induced
Describe each lesion
Leukemia cutis Ulcerating lesions Black base Sharp edges Surrounding echymoses Blister 1 cm Fluid filled
Patient with HIV. Describe the legs
Kaposi Sarcoma Nonblanching red macule Surrounding ecchymoses and acquire more of a violet hue The lesions may become nodular
Describe the lesions
Malignant Melanoma A: asymmetry- one side or half does not look like the other B: border irregularity C: color-black, or much darker than patient's other moles, often with red, white or blue areas. D: diameter > 6 millimeters
Describe the lesions
Sarcoidosis Patch O.5-1 cm in size Different color than skin Slightly elevated Maculo-papular lesions
Descrbe the skin lesions
Sarcoidosis Multiple Less than 1 cm Raised spot Dome shaped Papular lesions
What do you see?
Sickle cell anemia Over ankle Patch larger than 1 cm Thin skin Loss of substance of skin Old scar
Interpret his Nails
Normal Transluscent Shiny Appears firm
Describe the nails
Doxorubicin Transeverse band White in color
Describe the Nails
Iron deficiency anemia Spooning concave Koilonychia
Describe the scar
Ehler’s danlos syndrome Patch larger than 1 cm Thin skin Loss of substance of skin Old widened scar
Describe the skin
Gardner Diamond syndrome Multiple Leniar wide Thin skin Striae
Describe the lesion
Suqmous cell carcinoma Ulcer Ear lobe Crusted lesion Sharp margin Indurated
What is the lesion behind Ear?
Keloid (after piercing) Very firm Rubbery lesions Reddish or darkly colored Occur after trauma sometimes very minor trauma May itch.
Describe the skin
Eczema dyshydrotic
Chest wall. Warm. Diagnosis?
Empyema Posterior chest wall Red patch Raised area Warm Tender
Describe his scar in chest
Empyema Posterior chest wall Wide scar Loss of rib Previous open drainage
Describe her face
Sezary syndrome Red face Erythroderma
Diagnosis
Erythroderma Differential diagnosis includes: psoriasis, eczema, drug reaction, pityriasis rubra pilaris (PRP), seborrheic dermatitis, lymphoma, mycosis fungoides, and other dermatoses.
Painful lesions. Diagnosis?
Erythema nodosum Well-localized, multiple tender, red, deep nodules, 1 to 5 cm in size bilaterally over the pre-tibial areas
Painful. Diagnosis?
Herpes Zoster Rash Along a dermatome Blisters not seen Crosses mid-line
Describe the lesion
Strawberry hemangioma Red Patch 5 cms Elevated Blanch with pressure Capillary angiomas composed of small, superficial vessels
Diagnosis?
Plantar Warts Sole of foot Multiple Raised Rough Varying size Verrucous Skin-colored papules.
Describe the skin lesions
Psoriasis Larger than 1 cm Elevated patches Plaques Silvery scale
Describe the lesion
Superficial Epidermal cyst 5 cm Fluid filled Fluctuant Orifice or "pore" near the center
What do you see?
Stasis ulcer Location in leg Denuded skin Hyper-pigmentation Firm skin