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Skin - PowerPoint PPT Presentation


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Skin. The object of this presentation is to learn and identify skin lesions. Describe the patient’s skin. Normal Skin. Color: brown Normal hair No lesions Feel for texture, turgor, moisture and warmth. Describe the lesion. Normal Mole. Tan to brown color Uniformly pigmented

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Skin


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    Presentation Transcript
    1. Skin The object of this presentation is to learn and identify skin lesions.

    2. Describe the patient’s skin.

    3. Normal Skin • Color: brown • Normal hair • No lesions • Feel for texture, turgor, moisture and warmth.

    4. Describe the lesion.

    5. Normal Mole • Tan to brown color • 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’s Morgan Spots Cherry angiomas are: • Bright red in color • 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 in color • Patchy • Does not blanch on pressure • Thin skin

    14. Describe the lesions.

    15. Steroid Induced Purpura • Red • Patchy • Does not blanch on pressure

    16. Describe the lesions.

    17. Schonlein-Henoch Purpura • Ankle location • 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 • Coalescing • Drug induced vasculitis

    24. Describe each lesion.

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

    26. Describe the legs in this patient with HIV.

    27. Kaposi Sarcoma • Non-blanching red macule • Surrounding ecchymoses and acquire more of a violet hue • 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 • Patchy • O.5-1 cm in size • Different color than skin • Slightly elevated Maculo-papular lesions

    32. Describe 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 male patient’s nails.

    37. Normal Nails • Transluscent • Shiny • Appears firm

    38. Describe patient’s nails.

    39. Doxorubicin • Transverse band • White in color

    40. Describe patient’s nails.

    41. Iron Deficiency Anemia • Spooning • Concave Koilonychia

    42. Describe the scar.

    43. Ehler’s Danlos Syndrome • Patchy • 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. Squamous Cell Carcinoma • Ulcer • Ear lobe • Crusted lesion • Sharp margin • Indurated

    48. What lesion is behind the ear?

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

    50. Describe the skin.