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

51. Eczema dyshydrotic

52. Chest wall. Warm. Diagnosis?

53. Empyema Posterior chest wall Red patch Raised area Warm Tender

54. Describe his scar in chest

55. Empyema Posterior chest wall Wide scar Loss of rib Previous open drainage

56. Describe her face

57. Sezary syndrome Red face Erythroderma

58. Diagnosis

59. Erythroderma Differential diagnosis includes: psoriasis, eczema, drug reaction, pityriasis rubra pilaris (PRP), seborrheic dermatitis, lymphoma, mycosis fungoides, and other dermatoses.

60. Painful lesions. Diagnosis?

61. Erythema nodosum Well-localized, multiple tender, red, deep nodules, 1 to 5 cm in size bilaterally over the pre-tibial areas

62. Painful. Diagnosis?

63. Herpes Zoster Rash Along a dermatome Blisters not seen Crosses mid-line

64. Describe the lesion

65. Strawberry hemangioma Red Patch 5 cms Elevated Blanch with pressure Capillary angiomas composed of small, superficial vessels

66. Diagnosis?

67. Plantar Warts Sole of foot Multiple Raised Rough Varying size Verrucous Skin-colored papules.

68. Describe the skin lesions

69. Psoriasis Larger than 1 cm Elevated patches Plaques Silvery scale

70. Describe the lesion

71. Superficial Epidermal cyst 5 cm Fluid filled Fluctuant Orifice or "pore" near the center

72. What do you see?

73. Stasis ulcer Location in leg Denuded skin Hyper-pigmentation Firm skin