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Skin

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

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Skin

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  1. Skin Object is for you to learn and identify skin lesions

  2. Describe his skin

  3. Normal skin Color: Brown Normal hair No lesions Should feel for texture, turgor, moisture and warmth

  4. Describe the lesion

  5. 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

  6. Describe skin over legs

  7. Chronic ITP Hyperpigmentation

  8. Describe the lesion

  9. Campbell’d morgan spots Cherry angiomas are • Bright red • Small (usually 1-4 mm) • Papules • Commonly seen on the trunk of adults. • Medically insignificant

  10. Describe the skin

  11. Hodgkin’s disease • Dry • Scaly

  12. What do you see

  13. Senile purpura • Red • Patch • Does not blanch on pressure • Thin skin

  14. Describe the lesions

  15. Steroid induced purpura • Red • Patch • Does not blanch on pressure

  16. Describe the lesions

  17. Schonlein-Henoch purpura • Ankle locaton • Multiple • Red • Not blanching on pressure • Less than 5 mm • Vasculitis

  18. What type of skin lesions do you see?

  19. Henoch Schonlein purpura • Multiple • Red • Not blanching on pressure • Less than 5 mm • Vasculitis

  20. Describe the lesion

  21. Echymosis • Red • Large patch • Irregular edge • Changing colors Coagulation defect

  22. Describe the skin lesions

  23. Vasculitis • Multiple • Red • Not blanching on pressure • Less than 5 mm • Coalesing Vasculitis drug induced

  24. Describe each lesion

  25. Leukemia cutis • Ulcerating lesions Black base Sharp edges Surrounding echymoses • Blister 1 cm Fluid filled

  26. Patient with HIV. Describe the legs

  27. Kaposi Sarcoma • Nonblanching red macule • Surrounding ecchymoses and acquire more of a violet hue • The lesions may become nodular

  28. Describe the lesions

  29. 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

  30. Describe the lesions

  31. Sarcoidosis • Patch • O.5-1 cm in size • Different color than skin • Slightly elevated Maculo-papular lesions

  32. Descrbe the skin lesions

  33. Sarcoidosis • Multiple • Less than 1 cm • Raised spot • Dome shaped Papular lesions

  34. What do you see?

  35. Sickle cell anemia • Over ankle • Patch • larger than 1 cm • Thin skin • Loss of substance of skin Old scar

  36. Interpret his Nails

  37. Normal Transluscent Shiny Appears firm

  38. Describe the nails

  39. Doxorubicin • Transeverse band • White in color

  40. Describe the Nails

  41. Iron deficiency anemia • Spooning • concave Koilonychia

  42. Describe the scar

  43. Ehler’s danlos syndrome • Patch • larger than 1 cm • Thin skin • Loss of substance of skin Old widened scar

  44. Describe the skin

  45. Gardner Diamond syndrome • Multiple • Leniar wide • Thin skin Striae

  46. Describe the lesion

  47. Suqmous cell carcinoma • Ulcer • Ear lobe • Crusted lesion • Sharp margin • Indurated

  48. What is the lesion behind Ear?

  49. Keloid (after piercing) • Very firm • Rubbery lesions • Reddish or darkly colored • Occur after trauma sometimes very minor trauma • May itch.

  50. Describe the skin

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