Derm exam

I am in the derm part of the exam:

DERM: The patient with some darkened discoloration with some evidence of s/l Likif_____cation on the lateral aspect of the right leg. (the patient says that he has had experienced pruritus and has scratched that area vigorously.

Thanks

• Derm exam - ML
  • lichenification. nm - blue
    • LICHENIFICATION - ML

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

It is an assessment - eczema s/l craculae or crackle-a.  TIA!!

Under Review of Systems, it sounds like the doctors says "Derm no complaints, Hem no complaints." I've never heard this dictated in the Review of Systems before.

Need help with words in bold.  Thank you.

SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 

I have 2 dermatology - I am usually not a derm girl, so any help is MUCH appreciated.

Assessment:  Nevus s/l: roo-let-ee s/l: tip-e-er midabdomen.  (Nevus ruletti tipiar midabdomen)?? AND:

s/l: Dermatified (or dromatified) broma right shin.  She uses this phrase in a previous sentence:

On his right shin he has superficial change that appears like a dermatified broma; however, it is not as nodular beneath the shin, but it is definitely excoriated or irritated on the surface. 

I just cannot find any info on these two - sorry this is so long.  I am covering for someone and would prefer not to send to the editor!!  TIA

nevus, rule out atypia, midabdomen

dermatofibroma

http://dermatlas.med.jhmi.edu/derm/search.cfm

http://www.dermsmart.com/encyclopedia/skin_encyclopedia.htm

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://mtdesk.com/word-lists/dermatology-terms.php

The patient has been doing well in rehab except for some s/l mild derm and hypotension.

TIA!

Is alphabetized etc.

http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm

These derm guys and their adjectives are putting me right over the top!!!  Comma or no comma???

Physical examination reveals relatively severe diffuse facial dermatoheliosis

relatively severe, diffuse or relatively severe diffuse

since telantiectasia is one of the symptoms/signs of rosacea I believe these sites are okay and reliable. See below. Sort of like saying papulo-pustular, which in the old days when I typed derm was always hyphenated etc. Just new derm-speak I believe

Pt has diffuse pruritic rash treated by a dermatologist with Aveeno baths and "Lentek" ointment. In the med listing, he only says "and the Aveeno bath and Lentek ointment."  No dosage given.

When I google Lentek, I come up with pest control agents. Any ideas?

First typed it back in 1970s. Then again in the 90s and the doctor used all abbreviations. Almost lost it that time!!!  They all have their little "docisms". keratinaceous is used by a lot of them. For real!!!

Because of words like the one you were looking for, and because it seems like she needed a minimum of 10 adjectives to describe every single speck on the skin - "Pt has a small, reddish-brown, raised, oval-shaped, 0.5 cm x 0.5 cm (etc., etc.) spot on the upper left arm..."    (Don't mean to be insensitive to the patients.  Just don't miss it is all I'm saying!)

small sl-PAFs were noted near the interior chamber haptic positions temporally in the left eye.