clinical appearance of soft tissue lesions
clinical appearance part 2
Color/surface texture
surface
diagnosis
100

larger vesicle

>1 cm 

fluid in epidermis-dermis junction

fluid in split in epidermis 

What is a bulla

100

solid, slow growing, extends into the dermis, palpable, can be asymptomatic or painful

what is a nodule

100

red patch 

what is erythroplakia
100

deeper than erosion - goes beyond the basal layer

can cause possible scaring 


what is an ulcer 

100

what you see 

what is clinical diagnosis 

200

circumscribed , blue, brown or black 

can be found alone or in groups

flat 

<1cm 

What is a macule? 

200

circumscribed, elevated, small (less than 1 cm) leave it alone it can spread!

what is a vesicle 

200

small projections surface texture 

what is papillary 
200

seen in allergic reaction, short duration

edematous, slightly raised, pale red

What is a wheal 

200

information you gather from the patients health history and records 

what is historical diagnosis 

300

Circumscribed,  not elevated or raised 

differs from surrounding epidermis in color and texture

larger than a macule 

What is a patch 

300

Epithelial lined, found in the dermis, SQ, tissue or bone 

Can be fluid filled or have more keratinized material

What is a cyst

300

paleness

what is pallor 

300

AKA cicatrix 

permanent mark of any size or shape

lighter than mucosa and more dense than epithelium

what is a scar 

300

did the medication work to clear the problem 

what is a therapeutic diagnosis 

400

denuded epithelium above the basal layer

slightly depressed, rarely scars

results of vesicle epithelium breakdown or trauma 

what is erosion 

400
raised above the skin with slopped edges leaving the top of it flat but above the skin

May extend into the dermis

Greater than 1 cm

What is a plaque 

400

wrinkled

what is corrugated 
400

abnormal dilated tract/fistula

from suppurative cavity, cyst, abscess 

what is a sinus 

400

what do cells look like 

what is microscopic diagnosis 
500

superficial, elevated, solid, benign with a stalk or firm base less than 1 cm 

what is a papule 

500
Larger than a vesicle (greater than 1 cm)

May be preceded by a vesicle or a papule

Has purulent discharge 

what is a pustule 

500

white patch

what is erythroplakia 

500

linear cleft in epidermis, tongue, lips, and perioral tissues 

can be normal or abnormal

what is a fissure 

500

list of diseases that share signs and symptoms that are investigated to rule out/narrow the list down to one final diagnosis 

what is a differential diagnosis 

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