Advanced Assessment-Interpreting Findings and Formulating by Mary Jo Goolsby, Laurie Grubbs

By Mary Jo Goolsby, Laurie Grubbs

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The sites include area exposed to wear-and-tear pressures, often against bony prominences, such as on the hands and feet. Unlike warts, these lesions will not reveal pin-point black dots and bleeding if pared or scraped. Diagnostic Studies. None needed. Raised, Skin-Colored Lesions BASAL CELL CARCINOMA (PLATE 8) Basal cell carcinoma is the most common form of human malignancy and involves sunexposed skin. This malignancy is generally very slow growing. However, it can become quite destructive and invasive if not diagnosed and treated in a timely manner.

Typical sites include the face and hands, although any area of chronic sun exposure is at risk. The margins are irregular, as is the surface, which has slight scale and which can be removed to reveal bleeding. The lesions vary in color and may be hypo- or hyperpigmented. Diagnostic Studies. Biopsy will reveal features characteristic of this premalignant lesion. CORNS AND CALLUSES A callus is an area of skin thickening at a site exposed to repetitive force and wear and tear. ” Signs and Symptoms.

The patient may be able to identify a potential trigger based on experience. The complaint may include a recurrence of the pink or red wheals. The lesions are usually very pruritic and, depending on the severity, may cause localized pain and/or burning. The lesions Copyright © 2006 F. A. Davis. 28 Advanced Assessment and Differential Diagnosis by Body Regions and Systems are nonblanching and vary in size. There are often lesions of various stages, as they emerge from pink to red and then gradually fade before disappearing.

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