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Examination of the skin p 945 HTPE p 51 (skin hair and nails) • Inspection • Palpation Skin HTPE p 52 hair • Colour • Lesions • Texture / thickness • Hydration • Turgor / elasticity • Vascularity / erythema • Temperature Examine nails HTPE p 946 p 54 • Inspect • Palpate Examine hair and skull p 946 HTPE p 54 • Inspect • Palpate Examine the head and neck p 54 Common skin lesions p 948 (define and identify) • Acne • Blister • Bulla • Cherry angioma • Crusts • Cyst • Ecchymosis • Keloid • Lichen • Macule • Nodule • Papule • Patch • Plaque • Petichae • Pustule • Scale • Scar • Spider angioma • Tumour • Ulcer • Urticuria • Vesicle • Wheal Rashes PCCM p 246 • Dermatitis table 49.4 o Atopic dermatitis p 961 o Contact dermatitis p 962 / PCCM 246 Clinical features PCCM p 246 Management PCCM p 246 o Essential health information o Topical therapies box 49.1 • Nappy rash p 964 box 49.2 o Causes o Clinical features o Management • Allergic PCCM 248 o Clinical features o Management Infectious skin diseases p 957, table 49,1 PCCM 249 • Folliculitis p 957 o Clinical manifestations o Management • Impetigo p 957 table 49.1 PCCM 249 o Causes o Clinical features p 957 / PCCM 249 o Management • Cellulitis PCCM 250 o Clinical features o Management • Boil /Carbuncle / furuncle p 957 table 49.1 o Clinical features PCCM 250 o Management PCCM 250 Viral infections p 957, table 49.2, PCCM p 251 • Herpes Zoster shingles p 958 PCCM 251 o Causes o Clinical features o Management • Warts p 958, table 49.2, PCCM 252 o Clinical features Management Fungal diseases p 959, PCCM p 254 • Tinea capitis o Clinical features o Management • Tinea corporis o Clinical features o Management • Tinea pedis o Clinical features o Management • Tinea unguium o Clinical features o Management • Tinea cruris o Clinical features o Management Urticaria PCCM 256 • Causes • Clinical features Eczema PCCM p 258 • Definition • Causes • Clinical features Psoriasis p 961 PCCM p 260 • Definition • Causes p 961 /PCCM 260 • Pathophysiology • Risk factors • Types • Clinical manifestations pp 962 / PCCM 260 • Management p 962 / PCCM 260 Acne vulgaris p 965, PCCM p 261 • Causes p 965 / PCCM 261 • Clinical features • Risk / p 965 Influencing factors PCCM 261 • Management • Essential health information p 965 Skin tumours • Malignant melanoma P 961 PCCM p 263 o Clinical features o Management o Essential health information
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What is eczema? Eczema (Dermatitis)- A particular type of inflammatory reaction of the skin in which there is erythema (reddening), edema (swelling), papules (bumps), and crusting of the skin followed, finally, by lichenification (thickening) and scaling of the skin. Eczema characteristically causes itching and burning of the skin. What Causes eczema? Allergy- One of the commonest cause of Eczema. Triggers include Dust, detergents, rubber, nickel plated jewelry etc. Environment- More likely in urban areas due to high pollution levels. Extremely dry or cold weather tends to make skin scratchy, resulting in eczema. Obesity- Obese children are 3 times more likely to get eczema. Obesity results in inflammation of fat tissues that spills into other parts of the body. Excess fat also results in poor circulation and skin ailments. Smoking- One of the leading causes, especially on the fingers that hold the cigarettes, as well as lips. Stress- Physical or emotional stress has been known to cause enhanced sensitivity and inflammatory skin changes. Diaper rash- In babies eczema occurs because of chemical effect of urine/faeces on sensitive skin. Genetic influence- More likely in individuals with a family history of Eczema or other allergic conditions like Asthma, Hay fever, etc.
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It is an immune system condition that causes the rapid buildup of skin cells. It is a long term (chronic) disease. It is most commonly seen the knees, elbows, trunk, and scalp. It is a chronic inflammatory disease of the sebaceous glands. It may be occur on areas of the body that have sebaceous glands such as face, neck, back and shoulders. It is associated with high rail of sebum secretion. It has two types of acne such as inflammatory, in which the hair follicle is blocked by sebum that may be cause by bacteria and eventually rupture the follicle and second non inflammatory, in which the follicle doesn't rupture but remains dilated. Acne is a disease that involves the oil glands of the skin. It is not dangerous. Acne occurs most commonly during adolescence, and often continues into adulthood. In adolescence, acne is usually caused by an increase in testosterone, which people of both genders during puberty. There are various types of pimples Whiteheads - remain under the skin and are very small. Blackheads - clearly visible, they are black and appear on the surface of the skin. Papules - visible on the surface of the skin. They are small bumps, usually pink. Pustules - clearly visible on the surface of the skin. They are red at their base and have pus at the top. Nodules - clearly visible on the surface of the skin. They are large, solid pimples. They are painful and are embedded deep in the skin.
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Eczema: Come from the Greek name for boiling, a reference to the tiny vesicles (bubbles) that are commonly seen in the early acute stage of the disease An immune-mediated inflammation of the skin arising from an interaction between genetic (e.g. epidermal barrier function, immune system) and environmental factors (foods, airborne allergens, Staphylococcus aureus colonization on skin due to deficiencies in endogenous antimicrobial peptides, topical products) The eczemas are a disparate group of diseases, but unified by the presence of itch and, in the acute stages, of oedema (spongiosis) in the epidermis
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basic skin diseases of the human body. it describes the basic lesions not he advanced diseases. It is a disease affecting reticuloendothelial cells of the skin caused by protozoan Leishmania, transmitted by the bite of female sand fly There is an interplay of leishmania protozoa between
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