Morphology Skin
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Transcript of Morphology Skin
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Morphology:How to describe what you see
Last updated July 16th, 2013
Basic Dermatology Curriculum
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Module Instructions
The followig module cotais a um!er
of !lue, uderlied terms which are
hyperli"ed to the dermatology glossary,
a illustrated iteracti#e guide to cliical
dermatology ad dermatopathology$
%e ecourage the learer to read all thehyperli"ed iformatio$
http://missinglink.ucsf.edu/lm/DermatologyGlossary/index.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/index.html -
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Goals and Objectives
The purpose of this module is lear how to
!est descri!e s"i lesios
&fter completig this module, the learer
will !e a!le to'( De#elop a systematic approach to descri!ig
s"i eruptios
( )tili*e the appropriate terms to descri!emorphology
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Morphology
The word morphologyis used !y dermatologists to
descri!e the form ad structure of s"i lesios
The morphologic characteristics of s"i lesios are
key elements in establishing the diagnosis adcommuicatig s"i fidigs
There are two steps i esta!lishig the morphology of
ay gi#e s"i coditio'
1$ Careful #isual ad tactile ispectio
2$ &pplicatio of correct descriptors
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Visual and Tactile Inspection
&ccumulate detailed iformatio a!out the#isual ad tactile aspects of the s"i fidigs
Be a!le to commuicate a accurate
descriptio so someoe o the other ed ofa phoe ca get a metal picture of whatyou see$
Question 1( -ow would you fill i the descriptio of the item
depicted o the e.t slide/
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Question 1
( -ow would youdescri!e the o!ect to
the right/
(Be as detailed as youca !e
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Question 1
This is a red, circular,
shinyo!ect with a
small invagination on
top. t measures 8
cm. t is i a white
backgroundad casts
a shadow$The shadow tells us it is
raised 4palpa!le5$
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Question 1
(This is a red, circular, shinyo!ect with a small
invagination on top. t measures 8 cm. t is i a white
backgroundad casts a shadow$
The a!o#e descriptio idetifies'1$7alpa!ility 4idicated !y shadow5
2$Color
3$8hape
+$Te.ture
$8i*e
6$Locatio
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( %e ha#e ust re#iewed careful #isual ispectio
( %e will ow defie the terms dermatologists use to descri!es"i lesios
( %e will the ha#e a series of cases for you to practicedescri!ig so you ca use the correct descriptors$
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Application o the correct
descriptors
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!rimary lesion" Macule
4L$ macula, :spot;5
& macule is flat< if you
ca feel it, the it is ota macule$
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#$amples o Macules
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!rimary lesion" !atch
7atches are flat !ut
larger tha macules
f it=s flat ad largertha 1 cm, it is a
patch
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http://missinglink.ucsf.edu/lm/DermatologyGlossary/patch.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/patch.html -
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#$amples o !atches
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!rimary lesion" !apule
4L$ papula, :pimple;5
7apules are raised
lesios less tha 1 cm t is caused !y a
proliferatio of cells i
epidermis or superficial
dermis
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#$amples o !apules
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http://dermimages.med.jhmi.edu/images/warts_1_020710.jpg -
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!rimary lesions" !la%ue
7la>ues ? 1 cm
( @ou ca feel them
( They cast a shadow withside lightig
t is also caused !y aproliferatio of cells i
epidermis or superficialdermis
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#$amples o !la%ues
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&odule
4L$ odulus, :small
"ot;5
t is caused !y aproliferatio of cells
ito the midAdeep
dermis
1
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#$amples o &odules
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#$amples o Vesicles
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!ustule
7us is made up
of leu"ocytes ad
a thi fluid calledliquorpuris4L$
:pus li>uid;5
8ee also furucle
ada!scess
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http://missinglink.ucsf.edu/lm/DermatologyGlossary/carbuncle_furuncle.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/abscess.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/abscess.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/carbuncle_furuncle.html -
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#rosion
rosiosare loss of part
or all of the epidermis
They may occur after a
#esicle forms ad the toppeels off
They weep ad !ecome
crusted
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http://missinglink.ucsf.edu/lm/DermatologyGlossary/erosion.htmlhttp://missinglink.ucsf.edu/lm/DermatologyGlossary/erosion.html -
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'lcer
4L$ ulcus, :sore;5
)lcersare complete loss of the
epidermis i additio to part of the
dermis They ofte heal with scarrig