DermaVLM/pmc_derma_VQA_with_metadata_processed

image_id stringlengths 68 68	question stringlengths 23 344	answer stringlengths 4 520
0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg	What type of skin lesions are observed on the flexures of the arms in image (a)?	Image (a) shows reddish/brownish patches on the flexures of the arms, indicating atrophic skin lesions.
0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg	Describe the pattern of skin lesions on the upper chest as shown in image (b).	Image (b) displays skin lesions on the upper chest that are distributed in a reticular or net-like pattern.
0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg	Where are the skin lesions predominantly located on the hands in image (c)?	Image (c) reveals that the skin lesions on the hands are mainly located on the dorsum, particularly on the knuckles and between the fingers.
0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg	What is the predominant color of the skin discoloration observed around the umbilicus in the image?	The skin discoloration observed around the umbilicus is predominantly red.
0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg	Describe the distribution of the rash in relation to the umbilicus as seen in the image.	The rash is distributed around the umbilicus, covering a large portion of the lower abdomen.
0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg	Based on the image, is the rash raised or flat against the skin surface?	Based on the image, the rash appears to be flat against the skin surface.
0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg	What is the visible difference in the size of the lesion on the shoulder between the image taken before antibiotic treatment and the image taken after 8 weeks of antibiotic treatment?	The lesion on the shoulder is visibly smaller in the image taken after 8 weeks of antibiotic treatment compared to the image taken before treatment.
0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg	Describe the change in the appearance of the wound area after antibiotic treatment for 8 weeks as shown in the image.	After antibiotic treatment for 8 weeks, the wound area appears less red and inflamed compared to before treatment, and shows signs of healing with scar tissue formation.
0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg	Can you identify any remaining signs of the lesion on the shoulder after 8 weeks of antibiotic treatment?	Yes, after 8 weeks of antibiotic treatment, there is a visible scar tissue on the shoulder where the lesion was previously located.
000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg	What pattern are the leggings that the person is wearing?	The leggings the person is wearing have a leopard print pattern.
000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg	What color is the sleeveless top worn by the person in the image?	The sleeveless top worn by the person is black.
000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg	Is the person wearing shoes or socks in the image?	No, the person is barefoot in the image.
00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg	Is the abdominal wall defect visibly covered by skin in the image?	Yes, the abdominal wall defect is visibly covered by skin in the image.
00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg	Is there a bulge visible in the area of the previous abdominal wall defect?	No, there is no visible bulge in the area of the previous abdominal wall defect.
00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg	What is the general appearance of the skin covering the previous defect?	The skin covering the previous defect appears to be healthy and fully epithelized.
00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg	What is the pattern of skin discoloration visible on the patient’s arm?	A reticular or net-like pattern of purplish discoloration is visible on the patient’s arm, consistent with livedo reticularis.
00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg	How would you describe the distribution of the purplish discoloration on the arm?	The purplish discoloration is distributed across a large area of the arm in a branching, net-like pattern, resembling a mesh or network.
00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg	What is the predominant color of the skin lesion observed in the image?	The predominant color of the skin lesion is purplish-red, with variations in intensity and some areas appearing more violaceous.
00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg	What are the labels shown in the image?	The image shows three labels: MRD1, BH, and PFH.
00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg	Describe the visible features of the eyes in the image.	The image shows two eyes with brown irises, visible upper and lower eyelids, and eyebrows. The left eye is labeled with MRD1 and BH, and the right eye is labeled with PFH.
00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg	What do the white lines and boxes in the image appear to indicate?	The white lines and boxes appear to indicate measurements related to the eye and eyelid areas, with labels MRD1, BH, and PFH positioned near these lines.
0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg	What anatomical landmark is visible on both feet in the image?	The posterior aspect of the calcaneus bone is visible on both feet in the image.
0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg	What is attached to the posterior aspect of the right foot in the image?	A white sensor with a cable is attached to the posterior aspect of the right foot, secured with white tape.
0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg	What is the texture of the skin visible on the heels in the image?	The skin on the heels appears to be smooth and has visible skin lines and wrinkles.
000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg	What is the noticeable size difference between the two feet in the image?	The right foot appears significantly larger than the left foot.
000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg	Can you describe the appearance of the toes on the right foot in terms of their arrangement?	The toes on the right foot appear to be fused or webbed together, showing syndactyly.
000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg	What skin condition is visibly present on the legs, particularly on the right leg?	There is a visible skin discoloration, appearing as erythematous-violaceous macules, especially on the right leg and extending upwards.
000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg	What is the general appearance of the facial volume as seen in the profile view?	The face shows a generalized loss of volume, appearing shrunken and gaunt.
000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg	Describe the appearance of the cheek area in terms of fullness or hollowness.	The cheek area appears hollow and sunken, indicating a lack of subcutaneous fat and muscle bulk.
000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg	What is the overall impression of the soft tissues of the face based on the image?	The soft tissues of the face appear atrophied, with a noticeable reduction in the normal fullness and contour.
000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg	In panel A, what geometrical shape are the areas marked as 'Wound', 'CN', 'CN+Col', and 'CN+Col+PRP', and how many such areas are illustrated on the rat?	In panel A, the areas marked as 'Wound', 'CN', 'CN+Col', and 'CN+Col+PRP' are all depicted as circles. There are four circular areas illustrated on the rat.
000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg	In panel B, what is the appearance and number of the tissue pieces laid out on the blue background, and what measuring instrument is present in the image?	In panel B, there are four oval-shaped tissue pieces with a reddish-brown color laid out on a blue background. A ruler with markings is present at the bottom of the image.
000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg	In panels C and D, describe the material covering the circular wounds, and specify the color of the arrows pointing into the wounds in each panel.	In panels C and D, the circular wounds are covered with a material that appears sponge-like. In panel C, green arrows point into the wound, while in panel D, black arrows point into the wound.
0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg	What is the shape of the skin lesion visible in the image?	The skin lesion appears to be oval-shaped.
0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg	Describe the surface texture of the skin lesion as seen in the image.	The surface of the lesion looks scaly and pearly.
0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg	Can you describe the color of the primary skin lesion in the image?	The primary skin lesion exhibits a reddish or pinkish hue with some areas appearing white or pearly.
0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg	What is the visible condition affecting both palms in the image?	Both palms in the image are visibly affected by a skin condition characterized by thickening and a waxy appearance.
0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg	Describe the texture of the skin on the fingers as seen in the image.	The skin on the fingers appears to have a rough and dry texture.
0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg	What is the general color of the skin on the hands in the image?	The skin on the hands in the image appears to be yellowish or pale in color.
0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg	Where is the ulcer located on the foot in this image?	The ulcer is located on the right foot, predominantly around the ankle and heel area.
0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg	What is the appearance of the exposed tissue in the ulcerated area?	The exposed tissue in the ulcerated area appears whitish and pinkish with an irregular surface texture.
0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg	What color changes are visible in the skin surrounding the ulcer?	The skin surrounding the ulcer shows areas of redness and purplish discoloration.
001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg	What is the predominant color of the skin lesion visible in image (a)?	The skin lesion in image (a) is predominantly reddish-brown in color.
001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg	Describe the pattern observed on the skin surrounding the lesion in image (a).	A net-like pattern is observed on the skin surrounding the lesion in image (a).
001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg	What is the visual difference in the appearance of the lesion between image (a) and image (b)?	The lesion in image (b) appears less dark and less prominent compared to the lesion in image (a).
001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg	What is the shape of the burn wound in image (a)?	The burn wound in image (a) is roughly rectangular in shape with irregular borders.
001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg	What is the predominant color of the burn wound tissue in image (a)?	The burn wound tissue in image (a) is predominantly dark red/brown in color.
001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg	What type of staining is used in the histological image (b)?	Image (b) is stained with hematoxylin-eosin.
001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg	What is the most prominent feature observed at the surgical site in the lip?	A visible separation or gap, indicating a dehiscence, is the most prominent feature at the surgical site of the lip.
001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg	Describe the appearance of the tissue edges at the location of the dehiscence.	The tissue edges at the dehiscence appear red and inflamed, suggesting a possible inflammatory process.
001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg	What type of visible material is present within the gap of the dehiscence?	A yellowish material, possibly exudate or crusting, is visible within the gap of the dehiscence.
001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg	What is the color of the nodule shown in image (a)?	The nodule in image (a) is pinkish.
001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg	Identify and describe the vascular patterns marked in image (b).	Image (b) shows arborizing vessels indicated by a pink asterisk and hairpin vessels marked by a black circle.
001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg	What type of linear structures are visible on the surface of the lesion in image (b), as indicated by white arrows?	White, shiny linear structures are visible on the lesion’s surface in image (b), as indicated by white arrows.
001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg	What is the color of the dots observed in image A?	Image A shows brown dots scattered on a lighter background.
001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg	In image C, what are the colors and shapes of the distinct features pointed out by the black and white arrows?	Image C shows pinpoint brown crusts indicated by black arrows and red dots indicated by white arrows, both on a pink background.
001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg	Describe the pattern formed by the brown dots and lines in image E.	Image E displays a pattern where brown dots are connected by light brown granular lines, forming what is described as a 'Chinese characters' pattern.
001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg	What is the appearance of the conjunctiva in both eyes in image (a)?	In image (a), the conjunctiva in both eyes appears red and swollen, indicating conjunctival injection and chemosis.
001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg	Describe the periorbital area around both eyes in image (a).	Image (a) shows periorbital edema, which is swelling around both eyes, and periorbital erythema, indicated by redness of the skin surrounding the eyes.
001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg	Compare the redness in the eyes between image (a) and image (b).	Image (b) shows a noticeable reduction in the redness of the conjunctiva in both eyes compared to image (a), indicating improvement after treatment.
0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg	What is the appearance of the primary lesion in the image?	The primary lesion appears as a circular ulcer with a reddish center and a raised, pale border.
0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg	Are there any other notable skin findings visible besides the main ulcer?	Yes, a smaller, less prominent lesion with a pale border is visible to the left of the main ulcer.
0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg	Describe the appearance of the skin surrounding the ulcer.	The skin surrounding the ulcer is darker in color and appears somewhat dry or scaly.
00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg	In image A, what are the notable visual characteristics of the areola?	The areola in image A exhibits erythema, indicating redness, and appears to have a palpable subareolar mass. Additionally, there is a small ulcerous lesion that appears to be secreting, and the surrounding skin shows signs of thickening.
00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg	Referring to image B, what is seen in the ultrasound of the lesion, as indicated by the arrows?	Image B, an ultrasound, reveals skin thickening and a small hypoechogenic collection located below the lesion, as pointed out by the yellow arrows. The hypoechogenicity suggests a fluid-filled or less dense area compared to surrounding tissues.
00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg	What does the color-Doppler ultrasound in image C reveal about the area surrounding the lesion?	Image C, a color-Doppler ultrasound, demonstrates an increased peripheral color signal surrounding the lesion. This indicates heightened blood flow in the tissues around the lesion, as visualized by the red and blue color mapping.
00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg	What surgical intervention is visibly evident on the patient's right palm in the provided images?	Surgical sutures are visibly present on the patient's right palm, indicating a surgical incision and repair.
00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg	Describe the condition of the skin surrounding the surgical site in the upper right image compared to the bottom images.	In the upper right image, the skin around the surgical site appears reddish and inflamed, while in the bottom images, the redness is significantly reduced, and the skin appears to be healing with scar formation.
00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg	After the surgical procedure, as shown in the bottom images, what visible marks are present on the patient's right palm?	Following the surgical procedure, scars are visible on the patient's right palm, indicating the area of the surgical intervention and healing process.
0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg	What is marked with black outlines on the skin of the foot in the images labeled 'a', 'b', and 'c'?	In images 'a', 'b', and 'c', a region on the foot is marked with black outlines, representing the ASENS, or area of sensory loss.
0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg	What do the red circles indicate in the images labeled 'a', 'b', 'c' and 'a', 'b', 'c*'?	The red circles in images 'a', 'b', 'c' and 'a', 'b', 'c*' indicate the location of the HTS, or hypersensitive spot, on the ankle or lower leg.
0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg	In the images labeled 'a', 'b', and 'c**', what do the yellow arrows point to?	In images 'a', 'b', and 'c**', the yellow arrows point to the middle of the scar at the level of the calf.
002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg	What is the prominent feature observed on the shoulder in image (a)?	Image (a) shows a visible bulky mass on the shoulder.
002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg	Describe the appearance of the tumor in the MRI image (b).	Image (b) shows a heterogeneous tumor with varying intensities, indicating different tissue characteristics within the mass.
002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg	What skin marking is visible on the shoulder in image (a) besides the mass?	Image (a) displays a reddish, linear scar-like marking on the skin of the shoulder, in addition to the bulky mass.
002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg	What is the shape of the lesion visible in the image?	The lesion in the image has an irregular, nodular shape with uneven borders.
002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg	Describe the color and surface of the lesion.	The lesion is reddish-pink in color and appears to have an uneven, possibly ulcerated surface in the central area.
002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg	Is there any sign of break in the skin surface within the lesion?	Yes, there is a visible break in the skin surface, suggesting ulceration in the central part of the lesion.
002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg	Comparing the gross hematoma presentation at 2 hours post-injury, what is the main visual difference between the control group (C) and the BPC 157 treated group (B)?	At 2 hours post-injury, the control group (C) shows a larger and darker hematoma, indicated by the white arrow, whereas the BPC 157 treated group (B) exhibits a less prominent and lighter colored hematoma.
002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg	In the microscopy images at day 4 post-injury (b1 and c1), what are the noticeable differences in myocyte appearance between the BPC 157 treated group (b1) and the control group (c1)?	At day 4, the control group (c1) displays severe muscle atrophy with a significant reduction in myocytes, marked by the black arrow, along with pronounced perimyocytic edema. Conversely, the BPC 157 treated group (b1) shows clear signs of regenerative activity and reduced edema.
002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg	By day 14 post-injury, as seen in microscopy images b3 and c3, how does the muscle tissue regeneration and presence of scarring differ between the BPC 157 treated group (b3) and the control group (c3)?	At day 14, the control group (c3) demonstrates pronounced regeneration characterized by a high number of smaller myocytes and some areas of scarring. In contrast, the BPC 157 treated group (b3) shows well-regenerated myocytes that are of a more appropriate size and significantly less scarring.
002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg	What is the shape of the nodules visible on the ankle in the clinical photograph?	The nodules visible on the ankle in the clinical photograph are round in shape.
002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg	How would you describe the borders of the nodules observed in the image?	The borders of the nodules observed in the image appear to be well-demarcated.
002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg	Based on the image, where are the nodules located on the right ankle?	Based on the image, the nodules are located on the lateral peri-malleolar area and posterior aspect of the right ankle.
002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg	What is the prominent skin finding visible on the forearm in the image?	A large, dark bruise or ecchymosis is prominently visible on the forearm.
002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg	Describe the shape and appearance of the discoloration on the forearm.	The discoloration is irregularly shaped and appears dark purplish-brown against the lighter skin tone of the forearm.
002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg	Based on the image, where is the ecchymosis located on the arm?	The ecchymosis is located on the forearm of the arm.
002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg	What is the primary visible difference in eye closure between Degree I and Degree VI?	In Degree I, both eyes appear to be almost fully closed, while in Degree VI, one eye is significantly more open than the other, revealing a large portion of the sclera and iris.
002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg	Describe the progression of sclera visibility as the degree of severity increases from Degree III to Degree V.	From Degree III to Degree V, the visibility of the sclera in one eye progressively increases, indicating a greater inability to close that eye compared to the other eye which remains more closed.
002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg	How does the symmetry of eye closure change across the different degrees shown in the image?	In the lower degrees, such as Degree I and II, the eye closure appears relatively symmetrical between both eyes. However, as the degree increases from Degree III to VI, the symmetry is lost, with one eye becoming increasingly less closed than the other, demonstrating an asymmetry in eyelid position.
0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg	What is the predominant morphology of the skin lesions shown in the image?	The skin lesions appear to be vesiculopapular rashes, characterized by raised bumps and blister-like formations.
0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg	Describe the color of the lesions and the surrounding skin.	The lesions are purplish-red in color, and the surrounding skin appears yellowish and dry.
0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg	What are the characteristics of the margins and surface of the lesions as seen in the close-up view?	The lesions have irregular margins and a planar surface with some areas showing crusting or scales.
0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg	What is the color of the teeth visible in the image?	The teeth visible in the image appear to be reddish brown in color.
0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg	Are there any visible skin findings on the face in the image?	Yes, there are visible skin findings on the face including lesions and color changes like hyperpigmentation and hypopigmentation.
0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg	Is there any visible hair abnormality on the face?	Increased hair growth, potentially hypertrichosis, appears to be present on the face in the image.
0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg	What is the condition of the conjunctiva in the right eye in the image?	The conjunctiva in the right eye appears to be red and inflamed.
0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg	Is there any visible swelling around the eyes in the image?	Yes, there appears to be some swelling visible above the right eye.
0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg	Are there any skin lesions or discolorations visible on the skin surrounding the eyes?	Yes, there are visible skin blemishes and discolorations on the skin surrounding both eyes.
00373470125ec0cae07d53c2e49f069abe68e1c3c7a62861752ba3fdfb03ff04.jpg	What is the primary visible characteristic on the plantar surface of the foot in the image?	The primary visible characteristic is a large, open wound or perforation located on the plantar surface of the foot.

0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg

What type of skin lesions are observed on the flexures of the arms in image (a)?

Image (a) shows reddish/brownish patches on the flexures of the arms, indicating atrophic skin lesions.

0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg

Describe the pattern of skin lesions on the upper chest as shown in image (b).

Image (b) displays skin lesions on the upper chest that are distributed in a reticular or net-like pattern.

0001902d4808e908b6942989789169fa893b4354ea6357c084a15c20898c826e.jpg

Where are the skin lesions predominantly located on the hands in image (c)?

Image (c) reveals that the skin lesions on the hands are mainly located on the dorsum, particularly on the knuckles and between the fingers.

0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg

What is the predominant color of the skin discoloration observed around the umbilicus in the image?

The skin discoloration observed around the umbilicus is predominantly red.

0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg

Describe the distribution of the rash in relation to the umbilicus as seen in the image.

The rash is distributed around the umbilicus, covering a large portion of the lower abdomen.

0001f2433891698dd1a4905bcde73ddcbb34765d63f3aa3b90d83cef9d24018f.jpg

Based on the image, is the rash raised or flat against the skin surface?

Based on the image, the rash appears to be flat against the skin surface.

0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg

What is the visible difference in the size of the lesion on the shoulder between the image taken before antibiotic treatment and the image taken after 8 weeks of antibiotic treatment?

The lesion on the shoulder is visibly smaller in the image taken after 8 weeks of antibiotic treatment compared to the image taken before treatment.

0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg

Describe the change in the appearance of the wound area after antibiotic treatment for 8 weeks as shown in the image.

After antibiotic treatment for 8 weeks, the wound area appears less red and inflamed compared to before treatment, and shows signs of healing with scar tissue formation.

0002a1dcfa2774b25166928e15cb5a184bba16e6bca1c7ce22f2cb9cda5d8482.jpg

Can you identify any remaining signs of the lesion on the shoulder after 8 weeks of antibiotic treatment?

Yes, after 8 weeks of antibiotic treatment, there is a visible scar tissue on the shoulder where the lesion was previously located.

000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg

What pattern are the leggings that the person is wearing?

The leggings the person is wearing have a leopard print pattern.

000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg

What color is the sleeveless top worn by the person in the image?

The sleeveless top worn by the person is black.

000608b52ac6066da0857de2a0d941ca5711363352cbff5d9d28dcfcd0f70b22.jpg

Is the person wearing shoes or socks in the image?

No, the person is barefoot in the image.

00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg

Is the abdominal wall defect visibly covered by skin in the image?

Yes, the abdominal wall defect is visibly covered by skin in the image.

00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg

Is there a bulge visible in the area of the previous abdominal wall defect?

No, there is no visible bulge in the area of the previous abdominal wall defect.

00069c6dd94d0c06689087265308715426806c8beeb8e4b63aef9eba93a3a66e.jpg

What is the general appearance of the skin covering the previous defect?

The skin covering the previous defect appears to be healthy and fully epithelized.

00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg

What is the pattern of skin discoloration visible on the patient’s arm?

A reticular or net-like pattern of purplish discoloration is visible on the patient’s arm, consistent with livedo reticularis.

00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg

How would you describe the distribution of the purplish discoloration on the arm?

The purplish discoloration is distributed across a large area of the arm in a branching, net-like pattern, resembling a mesh or network.

00072633a3cf99c919eec29428950ce164ab43ef5ce99b3de2c4ebd48f78a189.jpg

What is the predominant color of the skin lesion observed in the image?

The predominant color of the skin lesion is purplish-red, with variations in intensity and some areas appearing more violaceous.

00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg

What are the labels shown in the image?

The image shows three labels: MRD1, BH, and PFH.

00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg

Describe the visible features of the eyes in the image.

The image shows two eyes with brown irises, visible upper and lower eyelids, and eyebrows. The left eye is labeled with MRD1 and BH, and the right eye is labeled with PFH.

00078f45f56872605fa62be19e0deb73dd16f92a6ac566fbb2e34a896bf6d9ce.jpg

What do the white lines and boxes in the image appear to indicate?

The white lines and boxes appear to indicate measurements related to the eye and eyelid areas, with labels MRD1, BH, and PFH positioned near these lines.

0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg

What anatomical landmark is visible on both feet in the image?

The posterior aspect of the calcaneus bone is visible on both feet in the image.

0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg

What is attached to the posterior aspect of the right foot in the image?

A white sensor with a cable is attached to the posterior aspect of the right foot, secured with white tape.

0007bf04cf88ec92b1ad6137ba8b354d3ede343057b56c8a6c08dee918d52f1d.jpg

What is the texture of the skin visible on the heels in the image?

The skin on the heels appears to be smooth and has visible skin lines and wrinkles.

000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg

What is the noticeable size difference between the two feet in the image?

The right foot appears significantly larger than the left foot.

000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg

Can you describe the appearance of the toes on the right foot in terms of their arrangement?

The toes on the right foot appear to be fused or webbed together, showing syndactyly.

000e239325f8a3ff8a112698ebab8775d9226b3b30407ae965953bc82dff7140.jpg

What skin condition is visibly present on the legs, particularly on the right leg?

There is a visible skin discoloration, appearing as erythematous-violaceous macules, especially on the right leg and extending upwards.

000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg

What is the general appearance of the facial volume as seen in the profile view?

The face shows a generalized loss of volume, appearing shrunken and gaunt.

000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg

Describe the appearance of the cheek area in terms of fullness or hollowness.

The cheek area appears hollow and sunken, indicating a lack of subcutaneous fat and muscle bulk.

000e84f6ca057d10a90132a5165228477f1aa4447c6a63c60f86e03400116bbc.jpg

What is the overall impression of the soft tissues of the face based on the image?

The soft tissues of the face appear atrophied, with a noticeable reduction in the normal fullness and contour.

000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg

In panel A, what geometrical shape are the areas marked as 'Wound', 'CN', 'CN+Col', and 'CN+Col+PRP', and how many such areas are illustrated on the rat?

In panel A, the areas marked as 'Wound', 'CN', 'CN+Col', and 'CN+Col+PRP' are all depicted as circles. There are four circular areas illustrated on the rat.

000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg

In panel B, what is the appearance and number of the tissue pieces laid out on the blue background, and what measuring instrument is present in the image?

In panel B, there are four oval-shaped tissue pieces with a reddish-brown color laid out on a blue background. A ruler with markings is present at the bottom of the image.

000fa6c781ca637e610dc139f38e62843200893e45916591493fd8e81ee604db.jpg

In panels C and D, describe the material covering the circular wounds, and specify the color of the arrows pointing into the wounds in each panel.

In panels C and D, the circular wounds are covered with a material that appears sponge-like. In panel C, green arrows point into the wound, while in panel D, black arrows point into the wound.

0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg

What is the shape of the skin lesion visible in the image?

The skin lesion appears to be oval-shaped.

0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg

Describe the surface texture of the skin lesion as seen in the image.

The surface of the lesion looks scaly and pearly.

0018b1d4908f0d6689ad1113db1b6792cf142cf31aa9ef3d3ec3a13db1e2cc43.jpg

Can you describe the color of the primary skin lesion in the image?

The primary skin lesion exhibits a reddish or pinkish hue with some areas appearing white or pearly.

0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg

What is the visible condition affecting both palms in the image?

Both palms in the image are visibly affected by a skin condition characterized by thickening and a waxy appearance.

0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg

Describe the texture of the skin on the fingers as seen in the image.

The skin on the fingers appears to have a rough and dry texture.

0018f3d35e532b1249d1c3cd5b1a6613cdb63eb4963f89e2b6654d5f22e67c15.jpg

What is the general color of the skin on the hands in the image?

The skin on the hands in the image appears to be yellowish or pale in color.

0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg

Where is the ulcer located on the foot in this image?

The ulcer is located on the right foot, predominantly around the ankle and heel area.

0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg

What is the appearance of the exposed tissue in the ulcerated area?

The exposed tissue in the ulcerated area appears whitish and pinkish with an irregular surface texture.

0019a4fa4fc005d48d4a29e5c06710e535d44293b5b1c759161c2034dfcbd6e5.jpg

What color changes are visible in the skin surrounding the ulcer?

The skin surrounding the ulcer shows areas of redness and purplish discoloration.

001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg

What is the predominant color of the skin lesion visible in image (a)?

The skin lesion in image (a) is predominantly reddish-brown in color.

001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg

Describe the pattern observed on the skin surrounding the lesion in image (a).

A net-like pattern is observed on the skin surrounding the lesion in image (a).

001b36f14880f5106e0d1f96c03f94c701a14332d860896c616e40c39af79644.jpg

What is the visual difference in the appearance of the lesion between image (a) and image (b)?

The lesion in image (b) appears less dark and less prominent compared to the lesion in image (a).

001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg

What is the shape of the burn wound in image (a)?

The burn wound in image (a) is roughly rectangular in shape with irregular borders.

001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg

What is the predominant color of the burn wound tissue in image (a)?

The burn wound tissue in image (a) is predominantly dark red/brown in color.

001bf74d67f70424bc98cd0dd64069c74707b7e2cf89c8dd9e3715e35a7b3cb5.jpg

What type of staining is used in the histological image (b)?

Image (b) is stained with hematoxylin-eosin.

001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg

What is the most prominent feature observed at the surgical site in the lip?

A visible separation or gap, indicating a dehiscence, is the most prominent feature at the surgical site of the lip.

001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg

Describe the appearance of the tissue edges at the location of the dehiscence.

The tissue edges at the dehiscence appear red and inflamed, suggesting a possible inflammatory process.

001c50c53e4259c65a4d5acc0f79e29aa3692f8d03b95bcd95a93c5e1dc0c5a4.jpg

What type of visible material is present within the gap of the dehiscence?

A yellowish material, possibly exudate or crusting, is visible within the gap of the dehiscence.

001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg

What is the color of the nodule shown in image (a)?

The nodule in image (a) is pinkish.

001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg

Identify and describe the vascular patterns marked in image (b).

Image (b) shows arborizing vessels indicated by a pink asterisk and hairpin vessels marked by a black circle.

001ce05a4312aab1092cedd568855a0b2ff209b701d0f8b884e69313e54b2eb3.jpg

What type of linear structures are visible on the surface of the lesion in image (b), as indicated by white arrows?

White, shiny linear structures are visible on the lesion’s surface in image (b), as indicated by white arrows.

001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg

What is the color of the dots observed in image A?

Image A shows brown dots scattered on a lighter background.

001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg

In image C, what are the colors and shapes of the distinct features pointed out by the black and white arrows?

Image C shows pinpoint brown crusts indicated by black arrows and red dots indicated by white arrows, both on a pink background.

001ceed8808708c77d9c6def690361e3bf8495da4624f45fff9ed5910cb68b63.jpg

Describe the pattern formed by the brown dots and lines in image E.

Image E displays a pattern where brown dots are connected by light brown granular lines, forming what is described as a 'Chinese characters' pattern.

001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg

What is the appearance of the conjunctiva in both eyes in image (a)?

In image (a), the conjunctiva in both eyes appears red and swollen, indicating conjunctival injection and chemosis.

001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg

Describe the periorbital area around both eyes in image (a).

Image (a) shows periorbital edema, which is swelling around both eyes, and periorbital erythema, indicated by redness of the skin surrounding the eyes.

001d90cea38544dbcd537344c8f3969bf29c727c6e42c1ba24acdfe6d9536d02.jpg

Compare the redness in the eyes between image (a) and image (b).

Image (b) shows a noticeable reduction in the redness of the conjunctiva in both eyes compared to image (a), indicating improvement after treatment.

0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg

What is the appearance of the primary lesion in the image?

The primary lesion appears as a circular ulcer with a reddish center and a raised, pale border.

0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg

Are there any other notable skin findings visible besides the main ulcer?

Yes, a smaller, less prominent lesion with a pale border is visible to the left of the main ulcer.

0025af3d924135a8a5c2176da66ed4a57b2cbf61a7450c562a646a3c28cda863.jpg

Describe the appearance of the skin surrounding the ulcer.

The skin surrounding the ulcer is darker in color and appears somewhat dry or scaly.

00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg

In image A, what are the notable visual characteristics of the areola?

The areola in image A exhibits erythema, indicating redness, and appears to have a palpable subareolar mass. Additionally, there is a small ulcerous lesion that appears to be secreting, and the surrounding skin shows signs of thickening.

00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg

Referring to image B, what is seen in the ultrasound of the lesion, as indicated by the arrows?

Image B, an ultrasound, reveals skin thickening and a small hypoechogenic collection located below the lesion, as pointed out by the yellow arrows. The hypoechogenicity suggests a fluid-filled or less dense area compared to surrounding tissues.

00268a416ab4cb540e3840ce431a9de6510d97041dd1e362c252f4869aa3990a.jpg

What does the color-Doppler ultrasound in image C reveal about the area surrounding the lesion?

Image C, a color-Doppler ultrasound, demonstrates an increased peripheral color signal surrounding the lesion. This indicates heightened blood flow in the tissues around the lesion, as visualized by the red and blue color mapping.

00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg

What surgical intervention is visibly evident on the patient's right palm in the provided images?

Surgical sutures are visibly present on the patient's right palm, indicating a surgical incision and repair.

00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg

Describe the condition of the skin surrounding the surgical site in the upper right image compared to the bottom images.

In the upper right image, the skin around the surgical site appears reddish and inflamed, while in the bottom images, the redness is significantly reduced, and the skin appears to be healing with scar formation.

00271037c227abf589bd1d4bc07b8fb83cd636fb977960214a7a6a1c1959dc7e.jpg

After the surgical procedure, as shown in the bottom images, what visible marks are present on the patient's right palm?

Following the surgical procedure, scars are visible on the patient's right palm, indicating the area of the surgical intervention and healing process.

0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg

What is marked with black outlines on the skin of the foot in the images labeled 'a', 'b', and 'c'?

In images 'a', 'b', and 'c', a region on the foot is marked with black outlines, representing the ASENS, or area of sensory loss.

0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg

What do the red circles indicate in the images labeled 'a*', 'b*', 'c*' and 'a**', 'b**', 'c**'?

The red circles in images 'a*', 'b*', 'c*' and 'a**', 'b**', 'c**' indicate the location of the HTS, or hypersensitive spot, on the ankle or lower leg.

0027ad5175ca1e1b3e2afd0e0ee4edfd06be673886c62299c554fca225d743b7.jpg

In the images labeled 'a**', 'b**', and 'c**', what do the yellow arrows point to?

In images 'a**', 'b**', and 'c**', the yellow arrows point to the middle of the scar at the level of the calf.

002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg

What is the prominent feature observed on the shoulder in image (a)?

Image (a) shows a visible bulky mass on the shoulder.

002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg

Describe the appearance of the tumor in the MRI image (b).

Image (b) shows a heterogeneous tumor with varying intensities, indicating different tissue characteristics within the mass.

002915bc11d55742245c48b9db9ab3cda854b74b45972a4f258ff6bcde50af8a.jpg

What skin marking is visible on the shoulder in image (a) besides the mass?

Image (a) displays a reddish, linear scar-like marking on the skin of the shoulder, in addition to the bulky mass.

002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg

What is the shape of the lesion visible in the image?

The lesion in the image has an irregular, nodular shape with uneven borders.

002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg

Describe the color and surface of the lesion.

The lesion is reddish-pink in color and appears to have an uneven, possibly ulcerated surface in the central area.

002a8d6847d5cd62c5d5d213f478b94eb1779366cc1082b758679712aa4053b0.jpg

Is there any sign of break in the skin surface within the lesion?

Yes, there is a visible break in the skin surface, suggesting ulceration in the central part of the lesion.

002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg

Comparing the gross hematoma presentation at 2 hours post-injury, what is the main visual difference between the control group (C) and the BPC 157 treated group (B)?

At 2 hours post-injury, the control group (C) shows a larger and darker hematoma, indicated by the white arrow, whereas the BPC 157 treated group (B) exhibits a less prominent and lighter colored hematoma.

002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg

In the microscopy images at day 4 post-injury (b1 and c1), what are the noticeable differences in myocyte appearance between the BPC 157 treated group (b1) and the control group (c1)?

At day 4, the control group (c1) displays severe muscle atrophy with a significant reduction in myocytes, marked by the black arrow, along with pronounced perimyocytic edema. Conversely, the BPC 157 treated group (b1) shows clear signs of regenerative activity and reduced edema.

002ac3ab4b2a5dabe891472ee225eae4bf11ec405aaf6f45ccb73e06b54aec35.jpg

By day 14 post-injury, as seen in microscopy images b3 and c3, how does the muscle tissue regeneration and presence of scarring differ between the BPC 157 treated group (b3) and the control group (c3)?

At day 14, the control group (c3) demonstrates pronounced regeneration characterized by a high number of smaller myocytes and some areas of scarring. In contrast, the BPC 157 treated group (b3) shows well-regenerated myocytes that are of a more appropriate size and significantly less scarring.

002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg

What is the shape of the nodules visible on the ankle in the clinical photograph?

The nodules visible on the ankle in the clinical photograph are round in shape.

002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg

How would you describe the borders of the nodules observed in the image?

The borders of the nodules observed in the image appear to be well-demarcated.

002ae914e93fc357988c0ee718118aafc601011b831510152c42e8c51c52b182.jpg

Based on the image, where are the nodules located on the right ankle?

Based on the image, the nodules are located on the lateral peri-malleolar area and posterior aspect of the right ankle.

002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg

What is the prominent skin finding visible on the forearm in the image?

A large, dark bruise or ecchymosis is prominently visible on the forearm.

002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg

Describe the shape and appearance of the discoloration on the forearm.

The discoloration is irregularly shaped and appears dark purplish-brown against the lighter skin tone of the forearm.

002bf2d04fd446b6c0182d55e8ce907a705a00de3e9495047efc3065055b1d4f.jpg

Based on the image, where is the ecchymosis located on the arm?

The ecchymosis is located on the forearm of the arm.

002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg

What is the primary visible difference in eye closure between Degree I and Degree VI?

In Degree I, both eyes appear to be almost fully closed, while in Degree VI, one eye is significantly more open than the other, revealing a large portion of the sclera and iris.

002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg

Describe the progression of sclera visibility as the degree of severity increases from Degree III to Degree V.

From Degree III to Degree V, the visibility of the sclera in one eye progressively increases, indicating a greater inability to close that eye compared to the other eye which remains more closed.

002e44b07cfc60d0a6e4f9d57b2fbfaefa7d84f329052091ddfcbabce41ca577.jpg

How does the symmetry of eye closure change across the different degrees shown in the image?

In the lower degrees, such as Degree I and II, the eye closure appears relatively symmetrical between both eyes. However, as the degree increases from Degree III to VI, the symmetry is lost, with one eye becoming increasingly less closed than the other, demonstrating an asymmetry in eyelid position.

0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg

What is the predominant morphology of the skin lesions shown in the image?

The skin lesions appear to be vesiculopapular rashes, characterized by raised bumps and blister-like formations.

0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg

Describe the color of the lesions and the surrounding skin.

The lesions are purplish-red in color, and the surrounding skin appears yellowish and dry.

0031130911fffef310c3807195659aa8e93bc5b93b33a9409175d54ca084b93b.jpg

What are the characteristics of the margins and surface of the lesions as seen in the close-up view?

The lesions have irregular margins and a planar surface with some areas showing crusting or scales.

0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg

What is the color of the teeth visible in the image?

The teeth visible in the image appear to be reddish brown in color.

0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg

Are there any visible skin findings on the face in the image?

Yes, there are visible skin findings on the face including lesions and color changes like hyperpigmentation and hypopigmentation.

0034d2a4aedc7f08ddd528bca396d3d841b1eded05cc1324c5822692668c0a3a.jpg

Is there any visible hair abnormality on the face?

Increased hair growth, potentially hypertrichosis, appears to be present on the face in the image.

0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg

What is the condition of the conjunctiva in the right eye in the image?

The conjunctiva in the right eye appears to be red and inflamed.

0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg

Is there any visible swelling around the eyes in the image?

Yes, there appears to be some swelling visible above the right eye.

0036f16bd3e1c5adf9f373d96bda849d6ed6340bf82621fbf619a0097b8afb19.jpg

Are there any skin lesions or discolorations visible on the skin surrounding the eyes?

Yes, there are visible skin blemishes and discolorations on the skin surrounding both eyes.

00373470125ec0cae07d53c2e49f069abe68e1c3c7a62861752ba3fdfb03ff04.jpg

What is the primary visible characteristic on the plantar surface of the foot in the image?

The primary visible characteristic is a large, open wound or perforation located on the plantar surface of the foot.