HA

• Physical Examination

  SUBJECTIVE DATA AND OBJECTIVE DTA
• VITILIGO


  Complete absence of melanin pigment in patchy areas of white or light skin on the face, neck, hands, feet, body folds, and around orifices.
• The Fitzpatrick Skin Type Scale


  use to determine skin color
• primary lesions 


  Macule, patch, papule, plaque, nodule, tumor, wheal, pustule, vesicle, cyst, bulla
• macule


  Skin color change without elevation.
• patch


  skin color change greater than 1cm
• papule


  elevated and sold
• plaque


  formed from merging papule and nodule
• nodule


  elevated and palpable
• wheal


  reddened and accompanied by itching
• pustule


  pus fluid filled sac
• vesicle


  fluid filler bladder, sac
• cyst


  encapsulated fluid filled, located at the subcutaneous gland
• bulla


  fluid is trapped under a thin layer of skin
• secondary lesions

  scar, erosion, fissure, ulcers
• scar


  skin mark left after wound heal
• erosion 


  loss of superficial epidermis
• fissure


  linear crack in the skin
• ulcers


  skin loss extending dermis
• skin abnormalities

  acne vulgaris, actinic keratosis, eczema
• acne vulgaris


  cause by overactivity of sebaceous gland and on set of puberty
• actinic keratosis 


  causes reddish, irregular, slightly raised lesions that have a rough, gritty surface
• eczema 


  red to red-brown, slightly scaly lesions