skin exam 2

annular pattern

ring shaped, circular

Discrete pattern

spots, bumps, or blisters

Confluent

large and splotchy, continuous

Gyrate

ring, wavy, tree ring like

grouped

clustered bumps, blisters, or spots

linear

straight line

target

round with three rings of color

zosteriform

single band like pattern across the body

polycyclic

interconnected wave/ring pattern

edema rating

1+ mild pitting, slight indentation

2+ moderate pitting, disappears in 10-15 seconds

3+ deep pitting, lasts less than 1 minutes

4+ very deep pitting, lasts 2-5 minutes

Primary lesion

Previously unaltered skin - first lesion

Secondary lesion

Developed from a primary lesion

Macule patch - flat color change

primary - flat color change

Papule - raised 1cm diameter

primary- raised 1cm diameter

Mole (nevus)

primary - clump of melanocytes

Plaque - raised, flat top, more than 1 cm diameter

primary - raised, flat top, more than 1 cm diameter

Nodule

primary- raised bump more than 5 mm diameter

Wheal urticaria - itchy raised welts

primary - itchy raised welts

Vesicles bulla

primary - fluid filled

cyst

primary - benign sac of fluid, keratin, cell components

Pustule

primary - raised, less than 1 cm, pus filled

crust

secondary - rough, scaly, scab like

Scale

secondary - flaking or peeling

Fissure

secondary - break or crack extending into the dermis

Erosion

secondary - partial loss of epidermis

Ulcer

secondary - open sore where epidermis and dermis have broken down

Excoriation

secondary - superficial abrasion

Atrophic scar

secondary - indented or pitted scar (acne)

Lichenification

secondary - leathery rough skin

pressure injuries scale

Stage 1 - Non-blanchable erythema

Intact skin is red but unbroken

Stage 2 - Partial-thickness skin loss

Dermis exposed, superficial ulcer

Shallow

Stage 3 - full thickness skin loss

Extends into subq tissue, resembles crater

See fat and tissue but not muscle, bone, or tendon

Stage 4 - full thickness skin/tissue loss

Exposes muscle, tendon, or bone

Deep tissue injury

Begins in the muscle

Mole danger signs

A - asymmetry

B - border irregularity

C - color variation

D - diameter > 6 mm

E - elevation and enlargement

F - funny looking