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Flashcards in Intro Deck (13)
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1
Q

What is Mohs surgery?

A
  • focuses on excision of skin cancers using a tissue-sparing technique that allows introperative assessment of 100% of peripheral and deep tumor margins
2
Q

Why is your skin important?

A
  • largest organ of the body
  • good indicator of our general health and wellbeing
  • exhibits impt clues to diseases of the various systems
  • can be an impt source of disability and discomfort
3
Q

4 main changes of skin that are good indicators of general health?

A
  • pallor
  • cyanosis
  • jaundice
  • changes in pigment
4
Q

Skin assessment - impt hx questions?

A
  • medical hx: previous skin conditions, any medical problems
  • family hx: hereditary component, other family members recent onset of similar sxs
  • meds: oral, topical, OTC, herbal
  • social: occupation, hobbies, travel, living conditions/home background, exposure to new foods, cleaning products, grooming products
5
Q

How should you describe skin lesions?

A

by:

  • site: face, trunk, limbs
  • number of lesions
  • extent: localized, regionalized, widespread, disseminated, generalized
  • distribution: symmetrical, asymmetrical, sun-exposed, flexures, extensors
  • arrangement: discrete, coalescing, annular, grouped, linear, serpiginous
  • type of lesion
  • texture
  • color
  • border
6
Q

What are primary skin lesions?

A
  • macule
  • patch
  • papule
  • nodule
  • plaque
  • wheal
  • cyst
  • vesicle
  • bullae
  • pustule
7
Q

What are secondary skin lesions?

A
  • telangiectasia
  • crust
  • scale
  • induration
  • erosion
  • ulceration
  • atrophy
8
Q

Diff ways of feeling the skin lesion?

A
  • feel surface with fingertips
  • feel the thickness b/t your finge and thumb
  • press firmly on areas of redness (blanche test)
  • scratch scale or pick off crust
9
Q

4 groups of lesions?

A
  • flat: (not palpable) macules and patches
  • raised: papules, nodules, plaques
  • fluid filled: vesicles, bullae, pustules
  • broken surface (epidermis and dermis is lost): erosion, ulcers, fissures
10
Q

What are surface feature changes of the skin lesion?

A
  • normal: smooth like surrounding skin
  • abnormal: surface shows change from normal -
    go on to be divided into:
    abnormal stratum corneum - scale, keratin, and maceration
    or
    broken epidermal surface:
    exudate, crust, slough
  • change in thickness: warty, lichenification, atrophy
11
Q

Diff colors of lesions and main causes?

A
  • pink/red/purple: due to blood
  • yellow: lipids or bilirubin
  • white: due to loss of pigment
  • brown/black, blue/grey: due to pigment
12
Q

Assessment of border and center of lesion?

A
  • border: look at edge of lesion or rash

- center: uniformity of involvement throughout lesion or rash

13
Q

What should be noted about the shape of the lesion?

A
  • surface: annular, round, oval, irregular
  • profile: spherical, dome, pedunculated
  • distribution of lesions: grouped, linear, dermatomal