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Lesions

Integument Assessment (2/29/08)

WordDescription
annular circular; begins in center and spreads to periphery
confluent lesions run together
discrete distinct, individual lesions that remain separate
grouped clusters of lesions
gyrate twisted, coiled spiral, snakelike
target iris; concentric rings of color in the lesions
linear scratch, streak, line, or stripe
polycyclic annular lesions grow together
zosteriform linear arrangement along a nerve route
macule solely a color change; flat and circumscribed; less than 1 cm
patch macules that are larger than 1 cm
nodule solid, elevated, hard or soft, larger than 1 cm
tumor larger than a few centimeters; firm or soft; deeper into dermis
papule something felt caused by superficial thickening in the epidermis
plaque papules coalesce to form surface elevation wider than 1 cm; plateaulike, disk-shaped lesion
wheal superficial, raised, transient, and erythematous
urticaria (hives); wheals coalesce to form extensive reaction
cyst encapsulated fluid-filled cavity in dermis or subcutaneous layer, tensely elevating skin
vesicle elevated cavity containing free fluid; up to 1 cm; (blister)
bulla larger than 1 cm diameter; usually single chambered; superficial in epidermis; thin-walled (ruptures easily)
pustule turbid fluid (pus) in cavity; circumscribed and elevated
crust thickened, dried-out exudate left when vesicles/pustules burst or dry out; color varies
scale compact, desiccated flakes of skin
fissure linear crack with abrupt edges; extends into dermis
erosion scooped out but shallow depression; superficial; moist but no bleeding
ulcer depression extending into dermis; irregular shape; may bleed
scar normal tissue is lost and replaced with connective tissue
lichenification prolonged intense scratching eventually thickens the skin and produces tightly packed sets of papules
excoriation self-inflicted abrasion; superficial; scratches from intense itching
atrophic scar resulting skin level depression with loss of tissue; thinning of epidermis
keloid hypertrophic scar; skin level is elevated by scar tissue
pattern injury wound whose shape suggests the instrument that caused it
hematoma bruise that elevates skin and seen as swelling
contusion (bruise); large patch of capillary bleeding into tissues
Created by: lrpitts
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