... common primary skin lesions
(see Table 52-1).
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 2)
Table 52-2 Description of Secondary Skin Lesions
Lichenification: A distinctive ...
predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis,
allergic contact dermatitis); it is also commonly associated with xerosis an...
...
Harrison's Internal Medicine > Chapter 52. Approach to the Patient with
a Skin Disorder
APPROACH TO THE PATIENT WITH A SKIN DISORDER:
INTRODUCTION
The challenge of examining the skin ... interpretation would be that the patient has a
pruritic eczematous dermatitis with erosions caused by scratching.
Figure 52-1
Chapter 052. Approa...
... correlates highly with diagnosis (Fig. 52-6).
For example, a hospitalized patient with a generalized erythematous exanthem is
more likely to have a drug eruption than is a patient with a similar ...
APPROACH TO THE PATIENT: SKIN DISORDER
In examining the skin it is usually advisable to assess the patient before
taking an extensive history. This...
...
Psoriasis. This papulosquamous skin disease is characterized by small and
large erythematous papules and plaques with overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to ... overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 5)
Figure 52-6
...
contact (Fig. 52-10) or primary irritant dermatitis. In contrast, lesions with a
generalized arrangement are common and suggest a systemic etiology.
Figure 52-9
Erythema multiforme. ...
This eruption is characterized by multiple erythematous plaques with a
target or iris morphology. It usually represents a hypersensitivity reaction to drugs
(e.g., sulfonylamid...
...
atopy, psoriasis, or acne)
10. Social, sexual, or travel history as relevant to the patient
DIAGNOSTIC TECHNIQUES
Many skin diseases can be diagnosed on gross clinical appearance, but
sometimes ... technique, a punch is pressed against the surface of the
skin and rotated with downward pressure until it penetrates to the subcutaneous
tissue. The circular biops...
... lesion and
noting the amount of blanching that occurs. Granulomas often have an opaque to
transparent, brown-pink "apple jelly" appearance on diascopy.
Figure 52-11
Chapter 052. Approach ... freckles are
accentuated, while dermal pigment such as postinflammatory hyperpigmentation
fades under a Wood's light. Vitiligo (Fig. 52- 12) appears totally white under...
...
Ovary 3 22,430
Chapter 077. Approach to the
Patient with Cancer
(Part 1)
Harrison's Internal Medicine > Chapter 77. Approach to the Patient with
Cancer
Approach to the Patient ...
symptoms of congestive heart failure (median survival, ~8 months). However, the
patient with heart disease may remain functional and maintain a self-image a...
... Chapter 077. Approach to the
Patient with Cancer
(Part 3)
Cancer Around the World
In 2002, 11 million new cancer cases and 7 million cancer deaths were
estimated worldwide. ...
Important information is obtained from every portion of the routine history
and physical examination. The duration of symptoms may reveal the chronicity of
disease. The past medical hi...
... increases
and curability decreases with increasing stage. Other anatomic staging systems are
used for some tumors, e.g., the Dukes classification for colorectal cancers, the
International Federation ... Instead, surrogate markers for physiologic reserve are
used, such as the patient& apos;s age or Karnofsky performance status (Table 77-4).
Older patients and those with a Kar...