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52 Cards in this Set

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Macule
a flat, circumscribes nonpalpable spot < 1cm in diameter w/ a change in skin color
examples of a macule
hemorrhage, pigmentation (lentigo, vitiligo)
patch
a macule > 1cm
examples of a patch
hyperpigmmentation in endocrine disorders, depigmentation, erythema, or local hemorrhage
papule
a small elevation of the skin up to 1cm in diameter that can be palpated
examples of a papule
calcinosis cutis, reactive histiocytosis, eosinophilic plaque
nodule
a circumscribed, firm, solid elevation that usually extends into deeper layers, > 1cm
examples of a nodule
bacterial or fungal infection, infectious or sterile granuloma, cutaneous lymphoma, cutaneous histiocytoma, cutaneous MCT
a nodule is usually due to?
infiltrations of inflammatory cells or neoplastic cells
tumor
a large mass (neoplasia implied) that may involve any structure of the skin or subcutis
cyst
cavity lined by epithelium & filled w/liquid or semisolid material & located in dermis or subcutis

a smooth, well-circumscribes, fluctuant to solid mass
vesicle
elevated, well-circumscribed, fluid-filled lesion < 1cm in diameter
vesicles are rarely seen in what spp and why?
dogs & cats bc they are transient & fragile
examples of a vesicle
burn, viral infection, immune-mediated dz
bulle
a large vesicle/blister > 1cm
pustule
a small circumscribes pus-filled elevation of the epidermis
a pustule contained primarily what cells?
neutrophils if infectious

eosinophils if parasitic or allergic

sterile is pemphigoid foliaceus
a pustule can be located in what skin level?
intraepidermal, subepidermal, or follicular
abscess
a well demarcated fluctuant lesion resulting from dermal or SQ accumulation of pus
abscess compared to pustule
larger & deeper than pustules
wheal
a sharply circumscribed, elevated, irregular-shaped area of cutaneous edems
traits of wheals
blanches w/perssure & usually disappears w/i minutes or hours
examples of a wheals
insect bites, utricaria, allergic rxn
name all primary skin lesions
macule, patch, papule, plaque, nodule, tumor, cyst, vesicle, bulla, pustule, abscess, wheal
name all secondaryskin lesions
epidermal collarette, erosion, ulcer, excoriation, scar, fissure, lichenification, callus
name all skin lesions that can be primary or secondary
scale, crust, comedo
epidermal collarette
a circular rim of keratin flakes following loss of the "roof" or a vesicle, bulla, pustule, or papule, or the hyperkeratosis caused by focal inflammation as seen w/papules & pustules
erosion
loss of part of the epidermis
what does an erosion look like?
depressed, moist, glistening, shallow, does not penetrate the basal laminar zone
how does an erosion heal?
without scarring
erosions can be secondary to what?
vesicle or pustule rupture or surface trauma
ulcer
loss of epidermis AND basement membrane w/exposure of the dermis, concave
how does an ulcer usually heal?
scarring
excoriation
erosions or ulcers caused by scratching, biting, or rubbing, usually due to pruritis
describe excoriations
self-produces, inviting secondary bacterial infection, & asre often recognized by their linear pattern (linear loss of epidermis)
scar
thin to thick fibrous tissue that replaces normal skin following injury or laceration to dermis
most scars in dogs & cats are ?
alopecia, atrophic, & depigmented
fissure
linear crack or break from the epidermis to the dermis - may be single or multiple tiny cracks or large clefts several cm long
fissures occur when?
when skin is thick & inelastic & then subjected to sudden swelling from inflammation or traume
lichenification
thickened epidermis secondary to persistent rubbing, scratching, or irritation (chronic injury)
examples of a lichenification
chronic dermatitis, acanthosis nigricans
callus
thick, card, hairless plaque with increased skin creases
callus are often seen where?
over bony prominences, such as elbow or sternum
scale
fragmented, keratinized cells, flaky skin, irregular, thick or thin, dry or oily
examples of a primary scale
idiopathic seborrhea
examples of a secondary scale
chronic inflammation
crust
an accumulation of dried exudated, serum, pus, blood, scaled, or medications adherent to the surface
examples of a primary crust
primary seborrhea, zinc responsive dermatosis
examples of a secondary crust
self-trauma, pyoderma
comedo
a dilated hair follicle filled w/cornified cells & sebacoue material
examples of a primary coemdo
feline acne, Cushing's
examples of a secondary comedo
seborrhea, iatrogenic steroids