Chapter 052 Approach to the Patient with a Skin Disorder (Part 7) ppt
Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... 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 biopsy is then lifted with forceps, and the ... and knowledge of superficial anatomic structures in selected areas of the body. In this procedure, a small area of forms in tinea versicolor. The same sampling technique can be used to obtain...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... 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. Approach to the Patient with a Skin Disorder (Part 1) ... visible is both an advantage and a disadvantage to those who examine it. It is advantageous because no special instrumentation is necessary and because the skin can be biopsied with little morbidity....
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... 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 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... 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 a Wood's lamp, and ... (eds): Fitzpatrick's Dermatology in General Medicine, 7th ed. New York, McGraw-Hill, 2008 Urticaria. Discrete and confluent, edematous, erythematous papules and plaques are characteristic...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... 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 and aged skin. Systemic conditions that can ... delicate, wrinkled lesions (i.e., epidermal atrophy). Scar: A change in the skin secondary to trauma or inflammation. Sites may be erythematous, hypopigmented, or hyperpigmented depending on their...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... 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 way, the entire cutaneous surface is sure to ... the eruption, the types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions. An ideal skin examination includes evaluation of the skin, hair,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... 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., sulfonylamides) or infections ... to drugs (e.g., sulfonylamides) or infections (e.g., HSV). (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... 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 as a fully intact person with just a ... a malfunctioning part, a diseased organ (" ;a bum ticker"). By contrast, the patient with pancreatic cancer has a completely altered self-image and is viewed differently by family and...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... 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 history may alert ... alert the physician to the presence of underlying diseases that may affect the choice of therapy or the side effects of treatment. The social history may reveal occupational exposure to carcinogens...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... 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 Karnofsky performance ... occasional assistance but is able to care for most needs 50 Requires considerable assistance and frequent medical care 40 Disabled; requires special care and assistance 30 Severely disabled;...
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