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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

    1+

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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