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Chapter 4 - Skin Lesions

front 1

What is a lesion? What are the two kinds?

back 1

Lesions are any visible, localized abnormality of skin tissue.
- Primary
- Secondary

front 2

What is a cyst?

back 2

A cyst is a primary lesion. It is a nodule filled with a semisolid material, such as a keratinous or sebaceous cyst.

front 3

What is an Echymosis (pl. ecchymoses)?

back 3

Is a primary lesion. It is a hemorrhage or extravasation (leaking) of blood into the subcutaneous tissue. The resultant is commonly known as a bruise.

front 4

What is a hematoma?

back 4

Is a primary lesion. A collection of extravasated blood trapped in the tissues and palpable to the examiner, such as on the ear.

front 5

What is a macule?

back 5

Is a primary lesion. Is a flat blemish or discolouration less than 1 cm, such as a freckle, port-wine stain, or tattoo.

front 6

What is a nodule?

back 6

Is a primary lesion. Palpable, solid lesion less than 2 cm, such as a very small lipoma.

front 7

What is a papule?

back 7

Is a primary lesion. Is raised, solid skin lesion raised less than 1 cm, such as a pimple.

front 8

What is a patch?

back 8

Is a primary lesion. Large, flat, non palpable macule, larger than 1 cm.

front 9

What is a Petechia (pl. petechiae)?

back 9

Is a primary lesion. Is a tiny ecchymosis within the dermal layer.

front 10

What is a plaque?

back 10

Is a primary lesion. Is a raised, plateau like papule greater than 1 cm, such as a psoriatic lesion or seborrheic lesion.

front 11

What is a purport?

back 11

Is a primary lesion. Is a massive hemorrhage into the tissues under the skin.

front 12

What is a Pustule

back 12

Is a primary lesion. Is a superficial, elevated lesion containing pus that may be the result of an infection, such as acne.

front 13

What is a Telangiectasia

back 13

Is a primary lesion. Is a permanent dilation of groups of superficial capillaries and venules.

front 14

What is a tumor?

back 14

Is a primary lesion. Is a nodule more than 2 cm; any mass or swelling, including neoplasms.

front 15

What is a vesicle?

back 15

Is a primary lesion. Is a circumscribed, elevated lesion containing fluid and smaller than 1/2 cm, such as an insect bite. If larger than 1/2 cm, it is termed a bulla. Commonly known as blister.

front 16

What is a wheal?

back 16

Is a primary lesion. Is circumscribed, elevated papule caused by localized edema, which can result from a bug bite.

front 17

What is an atrophy?

back 17

Is a secondary lesion. Is a paper thin, wasted skin often occurring in the aged or as stretch marks from rapid weight gain.

front 18

What is a cicatrix (pl. cicatrices)?

back 18

Is a secondary lesion. Is a scar - an area of fibrous tissue that replaces normal skin after destruction of some of the dermis.

front 19

What is an eschar?

back 19

Is a secondary lesion? Dried serum, blood, and/or pus. May occur in inflammatory and infectious diseases, such as impetigo, or as the result of a burn. Also called a scab.

front 20

What is a fissure?

back 20

Is a secondary lesion. Is a cracklike lesion of the skin, such as an anal fissure.

front 21

What is a keloid?

back 21

Is a secondary lesion. A scar that is overgrowth of tissue at the site of injury in excess of the amount of tissue necessary to repair the wound.

front 22

What is an ulcer?

back 22

Circumscribed, craterlike lesion of the skin or mucous membrane resulting from necrosis, or tissue death, that can accompany an inflammatory, infectious, or malignant process. Example is pressure ulcer seen in bedridden patients.