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PHYSICAL
EXAMINATION IN
DERMATOLOGY
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CLIENT ASSESSMENT
EXAMINATION OF THE SKIN, HAIR,
NAIL, AND MUCOUS MEMBRANE
GENERAL PHYSICAL EXAMINATION
RELATED TO SKIN DISEASES
DESCRIPTION OF THE PHYSICAL
EXAMINATION IN DERMATOLOGY
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CLIENT ASSESMENT
1. Notice the initial clinical impression.
2. Give the patient an adequate explanation
about the physical examination.
3. The patient is placed in an adequate
illumination, prefer under natural light or
bright overhead fluorescent lighting.
4. Ask the patient to take off his/her clothes.
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EXAMINATION OF THE
SKIN, HAIR, NAIL ANDMUCOUS MEMBRANE
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EXAMINATION OF THE SKIN
Distribution of lesion
Location of lesion
Characteristic of lesion
Type of lesion :
Primary lesion Secondary lesion
Specific lesion
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DISTRIBUTION OF LESION
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LOCALIZED
Restricted to a limited region or to one spot
Basal cell carcinoma
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REGIONAL
Prurigo nodularis
Affecting a certain region or regions
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GENERALIZED
Varicella
Spread throughout the body
or affecting many parts
of the body
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UNIVERSAL
Involvement of the
entire skin Eritroderma lina
Erythroderma
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Characteristic pattern ofdistribution of lesion
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SIMMETRY
Atopic dermatitis
On each side of plane of the body
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ASIMMETRY
Not symmetry
Cellulitis
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BILATERAL
Having two sides or pertaining to both sides
Psoriasis vulgaris
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UNILATERAL
Affecting one side of the body
Epidermal nevus
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DERMATOMAL
The area of skin
supplied with afferent
nerves fibres by
a single posterior
spindle root
Herpes zoster
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LOCATION OF LESION
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FLEXURAL
Pertaining toor affecting
a flexure
Atopic dermatitis
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EXTENSOR
Eczema
Pertaining to
or affecting
an extensor
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INTERTRIGINOUS
Occuring on apposed skin surface, such as the
axillae, creases of the neck, intergluteal fold,groin, between the toes, and beneath
pendulous breast
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INTERTRIGINOUS
Erythrasma
Candidiasis interdigitalis
Axillae Between the toes
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GLABROUS
Smooth and bare area
Seborrheic dermatitis Tinea corporis
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PALMS
Palm :The flexor surface of
the hand
Pityriasis rubra pilaris
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SOLES
Sole :The bottom of the
foot
Irritant contact dermatitis
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EXPOSED AREA
The area that exposure to sunlight, such as the
dorsa of the hands and arms, the neck, and face.
Polymorphous light eruption
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CHARACTERISTIC OF
LESION
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The number of lesions
Soliter Multiple
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SOLITER
Only one lesion
Epidermal cyst
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MULTIPLE
More than one lesion
Neurofibromatosis
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Discrete or confluence ?
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DISCRETE
Made up of separated parts or characterized bylesions which do not become blended
Molluscum contagiosum
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CONFLUENCE
Becoming merged; not discrete
Tinea corporis Pustular psoriasis
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Shape and arrangement
of lesions
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- Irregular - herpetiform- Annular - zosteriform
- Linear - serpiginous
- Round - corymbiform
- Oval - polycyclic
- Iris
- Umbilicated
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Irregular
Haemangioma
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ANNULAR
A ring-shaped
arrangement of a numberof lesions form a
complete circle
Tinea corporis
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Tinea corporis
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LINEAR
A linear shape ofa single lesion
Koebner phenomenon in psoriasis
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ROUND
Ball-shaped
Tinea corporis
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OVAL
Egg-shaped
“Herald patch” in Pityriasis rosea
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IRIS
An erythematous annular macule or papule with a purplish or dusky, papular or vesicular center
Erythema multiforme
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UMBILICATED
Marked with depressed
areas resembling
the umbilicus
Molluscum contagiosum
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HERPETIFORM
Cluster or groups of vesicles
Herpes simplex virus infection
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ZOSTERIFORM
Vesicles or bullae that occur ina bandlike pattern following a dermatome
Herpes zoster
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SERPIGINOUS
A snake-like arrangement of lesions
Cutaneous larva migrans
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Scrophuloderma
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CORYMBIFORMA group of arrangement that consist of a central
cluster of lesions beyond which are scattered
individual lesions
Intertriginous candidiasis
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Intertriginous candidosis
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POLYCYCLIC
Lesions composed of
several intersecting portion of circles
Tinea corporis
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The size of lesions
Milier
Guttate
Nummular
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MILIER
Minute lesions resembling millet seeds
Miliaria crystallina
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GUTTATE
A small round lesions,
like drops
Guttate psoriasis
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NUMMULAR
A large round lesions, like a coin
Nummular eczema
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The border of lesions
- Well-defined
- Ill-defined
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WELL-DEFINED
With marked border
Tinea fascialis
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ILL-DEFINED
With unmarked border
Pityriasis alba
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TYPES OF SKIN LESIONS
1. primary skin lesion
2. secondary skin lesion
3. specific skin lesion
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PRIMARY SKIN LESIONS
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MACULE
A circumscribed, flat (without elevation or
depression) lesion differs from the
surrounding skin because of its color
1. Hyperpigmentation2. Hypopigmentation
3. Depigmentation
4. Erythematous5. Petechiae
6. Purpura
7. Ecchymoses
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Hyperpigmentation macule
Melasma Solar lentigo
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Hypopigmentation macule
Pityriasis versicolor
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Depigmentation macule
Vitiligo
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Erythematous macule
Vascular abnormalities, capillary dilatation
Erythema multiforme
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Purpura
Extravasated
red blood cells.
Vasculitis
Petechiae
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Small, pinpoint purpuric spots often seen in thrombocytopenic states
Petechiae
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Ecchimoses
Larger, bruise-like
purpuric lesions.
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PAPULE
A solid, elevated and circumscribed lesion, varyingin size (pinhead to 1 cm) projects above the
plane of the surrounding skin.
Lichen planus
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PLAQUE
A broad papule or
confluence of papules,
1 cm or more
in diameter flat, but
may be centrally
depressed.
The center of a plaquemay be normal skin.
Plaque type psoriasis
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TUMOR
A soft or firm and freelymovable or fixed massesof various sizes andshapes.
The term is used to implyenlargement of the tissues
by normal or pathologicalmaterial or cells that form
a mass inflammatory ornon-inflammatory, benignor malignant process.
Keratoacanthoma
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WHEAL
A rounded or flat-topped
papule or plaque
evanescent, edematous,disappearing within
hours, usually pink to
red, and surrounded by pink areola
Urticaria and Angioedema of the eyes
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VESICLE
A circumscribed,
fluid-containing,epidermal
elevation, 1-10 mm
in size
Varicella
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BULLAE
A rounded or irregularly
shaped blisterscontaining serous or
seropurulent fluid
differ from vesicles onlyin size, being larger than
1 cm.Bullous pemphigoid
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PUSTULE
A circumscribed,
raised lesion
contains a purulent
exudates.
Pus, composed of
leukocytes with or
without cellulardebris, may contain
bacteria or sterile.Folliculitis
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CYST
A sac that contains liquidor semisolid material
(fluid, cells, and cell
products)
Steatocystoma multiplex
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ABSCESS
A localized collection of pus in a cavity formed bydisintegration or necrosis of tissue
Furuncle
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SINUS
A tract leading from a
suppurative cavity to the
skin surface, or between
cystic or abscess cavities
Scrofuloderma
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SECONDARY SKIN
LESIONS
SCALE
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SCALE
A dry or greasy
laminated masses ofkeratin that caused by
abnormal shedding or
accumulation of stratumcorneum in perceptible
flakes. Psoriasis vulgaris
Psoriasiform scale
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CRUST
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CRUST
Dried serum, pus, or blood,
usually mixed with epithelial
and sometimes bacterial
debris.
Crust
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Crust
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Crust
EROSION
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EROSION
Loss of all or portions
of the epidermis alone.
It may or may not
become crusted, but it
heals without a scar.
Pemphigus vulgaris
EXCORIATION
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EXCORIATION
A punctate or linear
abrasion produced by
mechanical means,usually involving only
the epidermis but not
uncommonly reachingthe papillary layer of the
dermis.
FISSURE
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FISSURE
A linear cleft or crack through the epidermis,or into the dermis
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ULCER
Rounded or irregularly
shaped excavations thatresult from complete loss
of the epidermis plus
some portion of thedermis.
Plantar ulcer
SCAR
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SCAR
Composed of new
connective tissue that
replaced lost substancesin the dermis or deeper
parts as a results of
injury or disease, as part
of the normal preparative
process. Keloid
At h
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Atrophy
LICHENIFICATION
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LICHENIFICATION
An area of skin to appear
as thickened plaqueswith accentuated skin
markings. The lesions
may resemble tree bark.
Lichen simplex chronicus
SCLEROSIS
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SCLEROSIS
A circumscribed or
diffuse hardening or
induration in the skin
It is detected more
easily by palpation
than by inspection.
Systemic sclerosis
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SPECIFIC SKIN LESIONS
COMEDO
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COMEDO
A plug of keratin and sebum in a dilated pilosebaceous orifice
Acne Vulgaris
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White head
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Black head
TELEANGIECTASES
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TELEANGIECTASES
Permanent dilatations of
capillaries that may or
may not dissapear with
application of pressure.
They form nonpulsatile,
fine, bright red lines or
netlike patterns on theskin.
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CANALICULI (BURROW)
A small tunnel in theskin that houses a
metazoal parasite, such
as the scabies acarus.
Larva migrans
MILIA
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MILIA
A tiny white cyst containing lamellated keratin.
Milia
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EXAMINATION OF THE NAILS
ONICHODISTROPHY
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ONICHODISTROPHY
Irritant contact dermatitis
SPLINTER HAEMORRHAGE
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SPLINTER HAEMORRHAGE
Psoriasis vulgaris
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PITTING NAIL
Psoriasis vulgaris
SUBUNGUAL DEBRIS
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SUBUNGUAL DEBRIS
Tinea unguium
ONICHOLYSIS
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ONICHOLYSIS
Psoriasis vulgaris
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EXAMINATION OF THE HAIR
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ALOPECIA AREATA
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ALOPECIA TOTALIS
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TELOGEN EFFLUVIUM
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EXAMINATION OF THE
MUCOUS MEMBRANES
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ORAL CANDIDIASIS
STOMATITIS
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STOMATITIS
GEOGRAPHIC TONGUE
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Psoriasis
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GENERAL
PHYSICAL EXAMINATION
RELATED TO
PRESENT SKIN ILLNESS
LYMPHADENOPATHY
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A. Tuberculous chancre on the thigh
B. Regional lymphadenopathyC. A positive tuberculin test
Tuberculosis
cutisA
BC
JOINT
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JOINT
Psoriatic arthritis
on metacarpophalangeal joint
DESCRIPTION OF
PHYSICAL EXAMINATION IN
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PHYSICAL EXAMINATION IN
DERMATOLOGY Dermatological status :
Distribution : ……………………
Location :……………………….
Characteristic : ………………….
Type of lesion : …………………
General status : Hair, nail, mucous membrane and
other organ : …………………….
Distribution : RegionalDermatological status :
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Distribution : Regional
Location :
Both of elbows, extensorsurface of arms, lower
back, buttock, and both
of thighs
Characteristic :
Multiple, confluents,
irregular, 2 x 1 cm to
30 x 20 cm, well-defined,
elevated from surrounding
skin, dry. Type of lesion :
Erythematous plaque with
thick white scales
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General status : Nails : Oily spot
Splinter haemorrhage
Pitting nail
Diagnosis : Psoriasis vulgaris
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Dermatological status : Distribution : regionalLocation : cheeksCharacteristic : Multiple, mostly confluents, round and oval, 0,5 x
0,5 cm to 3 x 2 cm, well-defined, elevated fromsurrounding skin, dry.
Type of lesions :Erythematous macules and papules, pustules, crusts and comedones
Diagnosis : Acne vulgaris
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