Discrete- individual lesions are separated and distinct.
Grouped- lesions are clustered together.
Confluent- lesions merge so that discrete lesions are not visible or palpable.
Dermatomal- lesions form a line or an arch and follow a dermatome.
Types of Skin lesion:
Pustule- pus filled
Cyst- something enclosed in a sack/under a slant
Nodule- something that is raised -detectable by touch; 1 or more diameter -raised, reddish area that is commonly itchy and lasts 24hrs. or less
Fissure- irregular line; painful crackle tension
Bulla- large, fluid-filled blisters that usually 1cm or more in diameter
Papule- solid, raised lesion that’s usually less than 1cm in diameter
Macule- flat, small, discolored spot or patch on the skin
Ulcer- craterlike lesions of the skin that usually extends at least into the dermis
Vesicle- small, fluid blister that’s usually 1cm
ABCDE’s of Malignant Melanoma
A- Asymmetrical lesion
B- Border Irregular
C- color of lesions varies with shades of tan, brown or black and possibly red, blue or white
D- diameter greater than 6mm
E- elevated or enlarging lesion
Benign Vs. Dangerous
Benign- not cancerous, symmetrical
Hyperthermia-BP
Hypothermia- BP
Xerosis- excessive dryness; anhydrosis
Diaphoresis- profuse sweating; hyperdrosis
Edema- palpate in the intracellular spaces
Types of Edema:
Pitting- present when indentation remains on skin after applying pressure
Non-pitting- firm with discoloration or thickening of skin
Angioedema- recurring episodes of non- inflammatory swelling of skin, brain, viscera and mucus membrane
Dependent- localized increase of extracellular fluid volume in a dependent limb or area
Anasarca- generelized edema
Lymphedema- due to the obstruction of a lymphatic vessel
NAILS
Stoma- artificial surgical opening
Wry neck/ torticollis- head tilted sideward -muscles pull the head towards the side
Ismuths- bridge of thyroid gland
Bruits- sound like a purring of a cat