1. Skin Object is for you to learn and identify skin lesions

2. Describe his skin

3. Normal skin Color: Brown Normal hair No lesions Should feel for texture, turgor, moisture and warmth

4. Describe the lesion

5. Normal Mole • Tan to brown • 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’d morgan spots Cherry angiomas are • Bright red • 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 • Patch • Does not blanch on pressure • Thin skin

14. Describe the lesions

15. Steroid induced purpura • Red • Patch • Does not blanch on pressure

16. Describe the lesions

17. Schonlein-Henoch purpura • Ankle locaton • 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 • Coalesing Vasculitis drug induced

24. Describe each lesion

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

26. Patient with HIV. Describe the legs

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

32. Descrbe 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 his Nails

37. Normal Transluscent Shiny Appears firm

38. Describe the nails

39. Doxorubicin • Transeverse band • White in color

40. Describe the Nails

41. Iron deficiency anemia • Spooning • concave Koilonychia

42. Describe the scar

43. Ehler’s danlos syndrome • Patch • 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. Suqmous cell carcinoma • Ulcer • Ear lobe • Crusted lesion • Sharp margin • Indurated

48. What is the lesion behind Ear?

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

50. Describe the skin