Skin Object is for you to learn and identify skin lesions.
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Transcript of Skin Object is for you to learn and identify skin lesions.
![Page 1: Skin Object is for you to learn and identify skin lesions.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649da75503460f94a93edb/html5/thumbnails/1.jpg)
Skin
Object is for you to learn and identify skin lesions
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Describe his skin
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Normal skin
Color: Brown
Normal hair
No lesions
Should feel for texture, turgor, moisture and warmth
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Describe the lesion
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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
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Describe skin over legs
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Chronic ITP
Hyperpigmentation
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Describe the lesion
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Campbell’d morgan spots
Cherry angiomas are• Bright red • Small (usually 1-4 mm)• Papules • Commonly seen on the
trunk of adults.• Medically insignificant
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Describe the skin
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Hodgkin’s disease
• Dry• Scaly
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What do you see
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Senile purpura
• Red• Patch• Does not blanch on
pressure• Thin skin
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Describe the lesions
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Steroid induced purpura
• Red• Patch• Does not blanch on
pressure
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Describe the lesions
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Schonlein-Henoch purpura
• Ankle locaton• Multiple• Red• Not blanching on
pressure• Less than 5 mm• Vasculitis
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What type of skin lesions do you see?
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Henoch Schonlein purpura
• Multiple• Red• Not blanching on
pressure• Less than 5 mm• Vasculitis
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Describe the lesion
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Echymosis
• Red• Large patch• Irregular edge• Changing colors
Coagulation defect
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Describe the skin lesions
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Vasculitis
• Multiple• Red• Not blanching on
pressure• Less than 5 mm• Coalesing
Vasculitis drug induced
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Describe each lesion
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Leukemia cutis
• Ulcerating lesionsBlack base
Sharp edgesSurrounding echymoses
• Blister
1 cm
Fluid filled
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Patient with HIV. Describe the legs
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Kaposi Sarcoma
• Nonblanching red macule
• Surrounding ecchymoses and acquire more of a violet hue
• The lesions may become nodular
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Describe the lesions
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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
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Describe the lesions
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Sarcoidosis
• Patch• O.5-1 cm in size• Different color than
skin• Slightly elevated
Maculo-papular lesions
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Descrbe the skin lesions
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Sarcoidosis
• Multiple• Less than 1 cm• Raised spot• Dome shaped
Papular lesions
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What do you see?
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Sickle cell anemia
• Over ankle• Patch• larger than 1 cm• Thin skin• Loss of substance of
skin
Old scar
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Interpret his Nails
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Normal
Transluscent
Shiny
Appears firm
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Describe the nails
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Doxorubicin
• Transeverse band• White in color
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Describe the Nails
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Iron deficiency anemia
• Spooning • concave
Koilonychia
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Describe the scar
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Ehler’s danlos syndrome
• Patch• larger than 1 cm• Thin skin• Loss of substance of
skin
Old widened scar
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Describe the skin
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Gardner Diamond syndrome
• Multiple• Leniar wide• Thin skin
Striae
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Describe the lesion
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Suqmous cell carcinoma
• Ulcer• Ear lobe• Crusted lesion • Sharp margin• Indurated
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What is the lesion behind Ear?
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Keloid (after piercing)
• Very firm • Rubbery lesions • Reddish or darkly
colored • Occur after trauma
sometimes very minor trauma
• May itch.
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Describe the skin
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Eczema dyshydrotic
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Chest wall. Warm. Diagnosis?
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Empyema
• Posterior chest wall• Red patch• Raised area• Warm• Tender
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Describe his scar in chest
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Empyema
• Posterior chest wall• Wide scar• Loss of rib
Previous open drainage
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Describe her face
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Sezary syndrome
• Red face
Erythroderma
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Diagnosis
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Erythroderma
Differential diagnosis includes: psoriasis,
eczema, drug reaction, pityriasis rubra pilaris (PRP), seborrheic dermatitis, lymphoma, mycosis fungoides, and other dermatoses.
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Painful lesions. Diagnosis?
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Erythema nodosum
• Well-localized, multiple tender, red, deep nodules, 1 to 5 cm in size
• bilaterally over the pre-tibial areas
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Painful. Diagnosis?
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Herpes Zoster
• Rash• Along a dermatome• Blisters not seen• Crosses mid-line
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Describe the lesion
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Strawberry hemangioma
• Red• Patch• 5 cms• Elevated• Blanch with pressure
Capillary angiomas composed of small, superficial vessels
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Diagnosis?
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Plantar Warts
• Sole of foot• Multiple• Raised• Rough• Varying size• Verrucous• Skin-colored papules
.
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Describe the skin lesions
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Psoriasis
Larger than 1 cm
Elevated patches
Plaques
Silvery scale
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Describe the lesion
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Superficial Epidermal cyst
• 5 cm• Fluid filled• Fluctuant• Orifice or "pore" near
the center
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What do you see?
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Stasis ulcer
• Location in leg• Denuded skin• Hyper-pigmentation• Firm skin