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Basics with skin conditions - 🧠 ANSWER ✔✔•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
,Skin lesion—New vs. Change
HPI questions for skin problems - 🧠 ANSWER ✔✔Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
,Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - 🧠 ANSWER ✔✔Nevi-
brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - 🧠 ANSWER ✔✔Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
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, Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused
by burns, bites, irritant or allergic contact dermatitis, and drug reactions.
primary versus secondary skin lesions - 🧠 ANSWER ✔✔Primary skin
lesions are those which develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop
as a consequence of the patient's activities.
Parasitic Skin Infections - 🧠 ANSWER ✔✔scabies and lice