Internal Diseases · MU Plovdiv

2. Patient General Examination – Examination of the Skin and Visible Mucosae (Colour, Cyanosis, Jaundice, Oedema, Skin Rashes)

Inside: 1 section · 2 labelled pictures · 9 tables · 15 flashcards · 3 min

Topic 2 of 74 in the MU Plovdiv syllabus for Internal Diseases (Dental Medicine, Year 3). The free AceMed note covers it in 1 section, about 122 words (3 min of reading), with 15 flashcards.

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  1. Skin and visible mucosa - physical examining, pathological changes

Skin and visible mucosa - physical examining, pathological changes

  • The skin is the largest organ and a key indicator of general health.
  • Examination mainly by inspection, but palpation is also used for skin lesions. Skin Colour

Examples of hypopigmentation:

  • Vitiligo: White patches; associated with autoimmune diseases like Addison’s or hyperthyroidism.
  • Albinism: Genetic disorder; ↓ or absent melanin → pale skin, hair, eyes.

Skin Moisture

Rashes

Desquamation

  • Definition: Peeling or shedding of skin cells.
  • Pathological: Can be significant and visible in diseases like scarlet fever.

Subcutaneous Haemorrhages

Spider Angioma (Telangiectasia)

  • Red central dot with radiating vessels = looks like a spider web.
  • Associated with liver disease or hormonal changes (e.g. pregnancy).

Oedema

  • Types:
  • Pitting oedema: Indentation remains after pressing.
  • Non-pitting oedema: No indentation; due to lymphedema or myxedema.

Nodules, Scars, and Hair

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