Approach To Diagnoses
The physical examination of the skin and its appendages, as well as the mucous membranes, forms the cornerstone of an accurate diagnosis of cutaneous conditions. Most of these conditions present with cutaneous surface changes termed "lesions," which have more or less distinct characteristics. Often proper examination will lead the physician to obtain appropriate historical information and/or laboratory tests that are able to confirm the diagnosis. Upon examination, the important clinical observations are the (1) morphology, (2) configuration, and (3) distribution of the lesion(s). With regard to morphology, the initial lesion that characterizes a condition is known as the "primary lesion," and identification of such a lesions is the most important aspect of the cutaneous examination. Over time, these primary lesions may continue to develop or be modified by regression or trauma, producing "secondary lesions." However, with that being stated, the lack of standardization of basic dermatologic terminology has been one of the principal barriers to successful communication among physicians in describing cutaneous findings. Nevertheless, there are some commonly accepted terms used to describe the macroscopic morphology, configuration, and distribution of skin lesions, which are listed below.
Read more about this topic: Cutaneous Conditions
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“There is no calm philosophy of life here, such as you might put at the end of the Almanac, to hang over the farmer’s hearth,—how men shall live in these winter, in these summer days. No philosophy, properly speaking, of love, or friendship, or religion, or politics, or education, or nature, or spirit; perhaps a nearer approach to a philosophy of kingship, and of the place of the literary man, than of anything else.”
—Henry David Thoreau (1817–1862)
“There is no calm philosophy of life here, such as you might put at the end of the Almanac, to hang over the farmer’s hearth,—how men shall live in these winter, in these summer days. No philosophy, properly speaking, of love, or friendship, or religion, or politics, or education, or nature, or spirit; perhaps a nearer approach to a philosophy of kingship, and of the place of the literary man, than of anything else.”
—Henry David Thoreau (1817–1862)