Musculoskeletal: skin conditions

lentigines

liver spots; brown spots related to age NOT liver.

purpura

purple spots, caused by broken surfaced blood vessels. Occurs when pt is tied up

seborrheic keratoses

hyperactivity of keratinized cells; big blackish bump

acrochordons

skin tags; one blood vessel goes up through the skin

macule

freckles

papule

mole

bulla

blister; serous fluid filled sack

pustule

zits, acne from a hormonal imbalance. Do not pop

verrucae

warts; papules, one strand is hpv, it's viral

wheal

from an allergic reaction, mosquito bite

vesicle

fluid filled, superficial small sack; seen in herpes

urticaria

hives; a type of wheals with itching and/or burning

angioedema

number one concern ALWAYS: closing of the throat

dermatitis

eczema; itchy reddened areas generally seen in kids

psoriasis

shiny, scaly appearance; genetic

acne

caused only by hormones. Prescription for acutane (gives birth defects, not advised), retin-A. Will get worse EVERYWHERE before it gets better, don't go in sunlight

herpes

vesicles: Simplex one- viral, contagious. Simplex two- sexually transmitted & never goes away. Zoster-shingles, "chicken pox"

HSV1

oral herpes

HSV2

genital herpes

seborrheic dermatitis

fine scales or crusting or oily patches. tx: sunlight, low fat diet, exercise, decrease stress, rest

ticks

can carry Lyme disease. Suck blood until they grow, grow, grow, then explode eventually if not removed.

lice

Get rid of the nits! Contagious!

scabies

ex: bed bugs, tunnel into your skin, itchy and contagious

burns rule of 9s

the percent = likelyhood of survival

ABCD rule (for skin neoplasms)

Asymmetric, Border, Color, Diameter

basal cell carcinoma

nodular and shiny, beginning stage of melanoma- remove it before it grows.

squamous cell carcinoma

Part 2- deeper nodular and red

Melanoma

It's over; highly metastic, cancerous- moves to your whole body.