Final Exam Study Guide.docx - From Dr Augustin MSK and...

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From Dr. AugustinMSK and IntegumentaryBoth symptoms present several challenges. With Dermatology, you must expose the skin of your patients to find pathology. Secondly, you must have an adequate light source.-Inspection to determine color variation of the skin is best conducted oUsing an episcopeoUdder fluorescent lightingoWith illumination provided by daylight ( natural day light) oUsing a wood’s light Do not get in the habit of people you know send you pictures of rashes and skin lesion. First, this makes you liable for the recommendations you make and challenge scope of practice at time. Secondary, it is incredibly difficulty to evaluate a picture a rash. For benign and malignant skin lesion, pay particular attention to the ABCDE.-When you compare pigmentation skin lesion Nevi vs Tumor by ABCDE As you move forward in the programs, you will spend more time developing differential diagnosis lists for skin lesions. Do not forget to assess secondary systems such as lymph, HEENT as examples of underlying pathology. In the integumentary system, skin manifestations may point to pathology in other system. For example, butterfly rash is indicative of SLE and needs a rheumatology consult. So some of the take home pearls is that skin so not always skin deepA: asymptomaticB: Border irregularC : color of variation or change (especially blue or black)D: Diameter larger than 6 mmE: elevation Skin NoteNote that initially you may use sentences to describe your findings; later you will use phrase. The style below contains phrase appropriate for most write – ups. “Color good. Skin warm and moist. Nails without clubbing or cyanosis. No suspicious nevi.No

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