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Skin PowerPoint Presentation

Skin

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Skin

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  1. Skin The object of this presentation is to learn and identify skin lesions.

  2. Describe the patient’s skin.

  3. Normal Skin • Color: brown • Normal hair • No lesions • Feel for texture, turgor, moisture and warmth.

  4. Describe the lesion.

  5. Normal Mole • Tan to brown color • 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’s Morgan Spots Cherry angiomas are: • Bright red in color • 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 in color • Patchy • Does not blanch on pressure • Thin skin

  14. Describe the lesions.

  15. Steroid Induced Purpura • Red • Patchy • Does not blanch on pressure

  16. Describe the lesions.

  17. Schonlein-Henoch Purpura • Ankle location • 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 • Coalescing • Drug induced vasculitis

  24. Describe each lesion.

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

  26. Describe the legs in this patient with HIV.

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

  32. Describe 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 male patient’s nails.

  37. Normal Nails • Transluscent • Shiny • Appears firm

  38. Describe patient’s nails.

  39. Doxorubicin • Transverse band • White in color

  40. Describe patient’s nails.

  41. Iron Deficiency Anemia • Spooning • Concave Koilonychia

  42. Describe the scar.

  43. Ehler’s Danlos Syndrome • Patchy • 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. Squamous Cell Carcinoma • Ulcer • Ear lobe • Crusted lesion • Sharp margin • Indurated

  48. What lesion is behind the ear?

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

  50. Describe the skin.