-
8/20/2019 morphology of the skin
1/92
Morphology and Differential
Diagnosis
-
8/20/2019 morphology of the skin
2/92
Welcome to Dermatology!
No matter what area of medicine or surgery
you pursue, you will get skin related
questions from family, friends, and
patients.
The time frame is short, so make the best
use of your time. arry your book with
you at all times and try to make it throughall the photos.
-
8/20/2019 morphology of the skin
3/92
uggestions for a uccessful
"otation
# $e on Time!
# $e attenti%e and helpful.
# Do not ask questions or make commentsduring the patient
encounter. &lease ask
all questions outside the e'am room.
# &lease do not talk loudly in the hallway.
-
8/20/2019 morphology of the skin
4/92
Macule
-
8/20/2019 morphology of the skin
5/92
Macule
-
8/20/2019 morphology of the skin
6/92
Macule
-
8/20/2019 morphology of the skin
7/92
&atch
-
8/20/2019 morphology of the skin
8/92
&apule
-
8/20/2019 morphology of the skin
9/92
&apules
-
8/20/2019 morphology of the skin
10/92
&apules
-
8/20/2019 morphology of the skin
11/92
&apules
-
8/20/2019 morphology of the skin
12/92
&laque
-
8/20/2019 morphology of the skin
13/92
&laque
-
8/20/2019 morphology of the skin
14/92
&laque
-
8/20/2019 morphology of the skin
15/92
Nodule
-
8/20/2019 morphology of the skin
16/92
Nodule
-
8/20/2019 morphology of the skin
17/92
Nodule
-
8/20/2019 morphology of the skin
18/92
Tumor
-
8/20/2019 morphology of the skin
19/92
Tumor
-
8/20/2019 morphology of the skin
20/92
Tumor
-
8/20/2019 morphology of the skin
21/92
&ustule
-
8/20/2019 morphology of the skin
22/92
&ustule
-
8/20/2019 morphology of the skin
23/92
(esicle
-
8/20/2019 morphology of the skin
24/92
(esicle
-
8/20/2019 morphology of the skin
25/92
(esicle
-
8/20/2019 morphology of the skin
26/92
$ulla
-
8/20/2019 morphology of the skin
27/92
$ulla
-
8/20/2019 morphology of the skin
28/92
-
8/20/2019 morphology of the skin
29/92
-
8/20/2019 morphology of the skin
30/92
-
8/20/2019 morphology of the skin
31/92
Wheals
-
8/20/2019 morphology of the skin
32/92
Wheals
-
8/20/2019 morphology of the skin
33/92
pecial kin )esions
# $urrow* Thin linear papule or plaque
# omedone* +ollicular papule filled with
keratinous plug which is open or closed
# yst* &apule or nodule filled with debris
# Telangiectasia* Dilated blood %essel less
than mm wide
-
8/20/2019 morphology of the skin
34/92
$urrow
-
8/20/2019 morphology of the skin
35/92
omedone
-
8/20/2019 morphology of the skin
36/92
Telangiectasia
-
8/20/2019 morphology of the skin
37/92
yst
-
8/20/2019 morphology of the skin
38/92
econdary )esions
# cale
# rust
# -rosions and ulcers
# -'coriations
# +issures
# cars
# )ichenification
# trophy
-
8/20/2019 morphology of the skin
39/92
cales
-
8/20/2019 morphology of the skin
40/92
cales
-
8/20/2019 morphology of the skin
41/92
cales
-
8/20/2019 morphology of the skin
42/92
rust
-
8/20/2019 morphology of the skin
43/92
rust
-
8/20/2019 morphology of the skin
44/92
-'coriations
-
8/20/2019 morphology of the skin
45/92
-rosion
-
8/20/2019 morphology of the skin
46/92
-rosion
-
8/20/2019 morphology of the skin
47/92
/lcer
-
8/20/2019 morphology of the skin
48/92
/lcer
-
8/20/2019 morphology of the skin
49/92
/lcer
-
8/20/2019 morphology of the skin
50/92
+issure
-
8/20/2019 morphology of the skin
51/92
-
8/20/2019 morphology of the skin
52/92
+issure
-
8/20/2019 morphology of the skin
53/92
trophy
-
8/20/2019 morphology of the skin
54/92
trophy
-
8/20/2019 morphology of the skin
55/92
trophy
-
8/20/2019 morphology of the skin
56/92
trophy
-
8/20/2019 morphology of the skin
57/92
car
-
8/20/2019 morphology of the skin
58/92
-
8/20/2019 morphology of the skin
59/92
-
8/20/2019 morphology of the skin
60/92
)ichenification
-
8/20/2019 morphology of the skin
61/92
onfiguration
# nnular
# rcuate
# 0eographic
# Discrete
# onfluent
# erpiginous
# )inear
# "eticulated
-
8/20/2019 morphology of the skin
62/92
nnular and arcuate
-
8/20/2019 morphology of the skin
63/92
)inear
-
8/20/2019 morphology of the skin
64/92
-rythema ubitum
-
8/20/2019 morphology of the skin
65/92
Descriptors
# &unctate
# )ichenoid
# /mbilicated
# carletiniform, morbiliform
# )eonine
-
8/20/2019 morphology of the skin
66/92
-
8/20/2019 morphology of the skin
67/92
olor
# &ink
# (iolet
# 1range
# $lue
# 0reen
# 2ellow
# $lack
# $rown
-
8/20/2019 morphology of the skin
68/92
olor
# &ink3&ityriasis rosea
# (iolet3)ichen planus
# 1range34u%enile 'anthogranuloma
# $lue3mioderone skin pigmentation
# 0reen3&seudomonas
# 2ellow35anthomas
# $lack3eschar
# $rown3af6 au lait spots
-
8/20/2019 morphology of the skin
69/92
olor
-
8/20/2019 morphology of the skin
70/92
Distribution
-
8/20/2019 morphology of the skin
71/92
Morphologic categories
# Macular7&atch
# &apular
# &apulosquamous
8scaly papules9# Nodular
# &ustular
# (esicular7bullous
# /rticarial
# &etechial
# Telangiectatis
# $urrow
# &oikiloderma
# :yperkeratotic;scale
# trophic
-
8/20/2019 morphology of the skin
72/92
“More is missed by not looking
than by not knowing” M. Mc
-
8/20/2019 morphology of the skin
73/92
&rocedures
# )iquid Nitrogen
# -lectrodessication and curettage
# $iopsy
= &unch
= ha%e
= -'cision
-
8/20/2019 morphology of the skin
74/92
-
8/20/2019 morphology of the skin
75/92
-
8/20/2019 morphology of the skin
76/92
-
8/20/2019 morphology of the skin
77/92
-
8/20/2019 morphology of the skin
78/92
eborrheic ncrease incidence with
age
# -asily treated with
curettage or
cryodestruction
-
8/20/2019 morphology of the skin
79/92
Dermatosis &apulosa Nigra
# Most likely a subtypeof seborrheic
keratosis
# Malar areas, mostcommonly on frican7
merican women
d 8ki T 9
-
8/20/2019 morphology of the skin
80/92
crocordons 8kin Tags9
# ommon, occurring inabout ?@A of adults
# More common in obeseindi%iduals and oftende%elop in
pregnancy
# +rictional areas such asneck, a'illae,inframammary and
groinlocations
# an become irritated or
infarcted because oftorsion
D t fib
-
8/20/2019 morphology of the skin
81/92
Dermatofibroma
# +irm papule often withbrown pigmentation, mostfrequently seen
on theanterior legs
# BDimpleC sign# May be a reacti%e
process to an insect bitereaction rather than atumor
# >f multiple, sometimesassociated with systemiclupus
erythematosis
D t fib
-
8/20/2019 morphology of the skin
82/92
Dermatofibroma
< l id
-
8/20/2019 morphology of the skin
83/92
-
8/20/2019 morphology of the skin
84/92
- id id t
-
8/20/2019 morphology of the skin
85/92
-pidermoid yst
T i hil l 8&il 9 t
-
8/20/2019 morphology of the skin
86/92
Trichilemmal 8&ilar9 yst
ti i < t i
-
8/20/2019 morphology of the skin
87/92
ctinic
-
8/20/2019 morphology of the skin
88/92
-
8/20/2019 morphology of the skin
89/92
-
8/20/2019 morphology of the skin
90/92
-
8/20/2019 morphology of the skin
91/92
herry ngiomas
# $enign %ascular proliferation
# Bsenile hemangiomaC = donFt use this term
with patients
# /sually appear on trunk, start at age GE,
increase with age
# Dilated capillaries
# T' for cosmetic reasons only
http://162.129.70.33/images/cherryangioma_1_020330.jpg
-
8/20/2019 morphology of the skin
92/92
http://162.129.70.33/images/cherryangioma_1_020330.jpg
