Vascular skin lesions which are benign tumor consisting of blood and lymph vessels are called

ESIC Nursing Officer-7July 2024

Medical Surgical Nursing

Easy

Appeared in: ESIC Nursing Officer-7July 2024

Explanation

Angioma is the correct medical term for a benign tumor composed of an overgrowth of blood vessels (hemangioma) or lymph vessels (lymphangioma).
The term is derived from Greek roots: 'angio-' meaning vessel and '-oma' meaning tumor.
Common examples include cherry angiomas (small, bright red spots common in adults) and spider angiomas.
These lesions are typically vascular, meaning they are composed of blood vessels, and will blanch (turn white) when pressure is applied.

Option A: Purpura refers to bleeding under the skin from small blood vessels, not a tumor. It is a hemorrhagic lesion, not a proliferative one.
Option B: Osler's nodes are not vascular tumors. They are painful, inflammatory nodules on the fingers and toes caused by the deposition of immune complexes, and are a classic sign of infective endocarditis.
Option C: Ecchymosis is the medical term for a bruise, which is a large area of bleeding under the skin. Like purpura, it is a hemorrhagic lesion, not a tumor.

Visual 1: Image - A close-up of a cherry angioma on the skin, showing a small, bright red, circular papule to illustrate the correct answer.
Visual 2: Image - A picture of purpuric spots on a patient's leg to differentiate from an angioma.
Visual 3: Image - A photograph of an ecchymosis (bruise) on an arm, highlighting its larger size and color.
Visual 4: Image - A clinical photo of an Osler's node on a patient's fingertip, emphasizing its location and nodular appearance.

Clinical Relevance

Nursing practice connection: Knowing Classification of Vascular Skin Lesions helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
A key nursing skill is performing a blanching test (diascopy) to differentiate between a vascular lesion (like an angioma) and a hemorrhagic lesion (like purpura). This helps in initial assessment and determining urgency.
While most angiomas are benign, nurses should educate patients to monitor for any changes in size, shape, color, or for any bleeding, as this could indicate a need for medical evaluation.
What if? If a patient presents with multiple new, non-blanching purple spots (purpura) and a fever, the nurse's priority shifts from simple observation to suspecting a serious underlying condition like vasculitis or meningococcemia, requiring immediate medical escalation.

How to Approach the Question

First, break down the question stem to identify the key defining features: 'vascular skin lesions', 'benign tumor', and 'consisting of blood and lymph vessels'.
Analyze the root words of the options. 'Angio-' refers to vessels and '-oma' refers to a tumor, making 'angioma' a strong candidate.
Evaluate the other options based on your medical terminology knowledge. Recall that purpura and ecchymosis relate to bleeding/hemorrhage, not tumors.
Remember that Osler's nodes are a specific clinical sign associated with infective endocarditis, not a general term for a vascular tumor.
By matching the keywords from the stem to the definition of the options, you can confidently select 'Angioma' as the correct answer.

Concept Tested & Keywords

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