Licence: Hektor. Briefly explain what the examination will involve using patient-friendly language. In contrast, BCC lesions are less Licence: Grook Da Oger. Vesicle: a raised, clear fluid-filled lesion less than 0.5cm in diameter. Published in 2014. Addison’s disease) or discrete (linea nigra in pregnancy). Many skin lesions are common and harmful, while others like skin cancer moles, are very dangerous and need to be diagnosed as soon as possible. Revised March 2011. MNEMONIC: R ice O ats C orn =o K grains with DH: MNEMONIC NOTES: Gluten containing grains: Wheat, Rye, Barley Of note: DH enteropathy is patchy so small bowel bx not always positive, but is positive in 90% of DH pts. erythema multiforme). Adapted by Geeky Medics. Masturbation will typically lead to ejaculation. If you are less familiar with the ... I’ve heard people use the SCALD mnemonic for describing lesions. Venous ulcer. In an attempt to overcome the overwhelming amount of information, mnemonics are often used, and they have proven to be a successful learning aid. Herpes zoster. Adapted by Geeky Medics. Erythematous lesions: redness of the skin caused by an increased blood supply to the area. Adapted by Geeky Medics. ... Erythema is another term that you’re going to see a lot when describing skin. Macule: Small, flat, non-palpable lesion (<1 cm). Atypical moles are benign pigmented lesions. well demarcated, ill-defined o C olour e.g. Identify Cause of wound A. One of the most common secondary lesions seen in children is crusting which results from dried exudate overlying an impaired epidermis. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. blood/pus). Keloidal scarring involves the hyperproliferation of scar tissue beyond the wound boundary resulting in a scar that is significantly larger than the original skin insult. Melanoma is generally described as being the most hypoechoic, with-well defined borders, a thin echo entry, and a spindle-like shape [6-9]. Wound edges must also be carefully defined. Brief descriptions of common primary skin lesions are presented in Table 1.1, 6. Bullous pemphigoid. Learn about our remote access options. This guide provides a clear step-by-step approach to examining a skin lesion in an OSCE setting. Now let’s move on to secondary lesions. yes or no) Surface features (e.g. The condition you are describing is impotence, the inability to get or maintain an erection. The are often described as "stuck-on" lesions, as if a ball small ball of gum was thrown again a wall and stuck to it. T CABS 4. Now you have Farmers suing Monsanto. Inspect the nails and hands for relevant clinical signs. As a result, it’s important to perform a comprehensive assessment to identify relevant pathology. Pustule: a pus-containing lesion less than 0.5cm in diameter. The diagnosis risk for ineffective health maintenance related to deficient knowledge of effects of sunlight on skin lesions is the most accurate for this client. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Hand, foot and mouth disease. Licence: Milorad Dimić M.D. Licence: MediaJet. Adapted by Geeky Medics. They are changes to the original lesion that result from a natural evolution of the lesion or a person scratching or aggravating the lesion. Often lesions, which in white skin appear red or brown, would appear black or purple in pigmented skin. ... (mnemonic) of nevus description. these conditions include moles, freckles, skin tags, benign lentigines, and seborrheic keratoses. Click for word document: Approach to Skin Lesions Background. It is quite common for you to need to describe rashes for documentation purposes, to senior colleagues or to refer to various specialties including dermatology. How to describe a lump or mass Tenderness Site Size Surface Shape Edge Consistency Fluid thrill Pulsatility Mobility and movement with inspiration Whether you can get above the mass Click here to learn how to do a full abdominal examination and here for other medical exams Click here for medical student OSCE and PACES exam […] Atrophic scarring involves the thinning of normal tissues underlying the scar resulting in a cratering effect. These can be easily memorized, and can benefit students, residents, and clinicians. Hypopigmented. Adapted by Geeky Medics. Dermatological Skin Examination Introduction W ash hands, I ntroduce self, ask P atients name & DOB & what they like to be called, E xplain examination and get consent Get chaperone Expose patient to underwear General Inspection Patient: stable, pain/ discomfort Describe the pattern of any rash: site, number of lesions, distribution pattern Adapted by Geeky Medics. They may be mobile or immobile. Rashes Rashes on the skin. Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. B. 1). grouped) Border/shape (e.g. bilateral/symmetrical) Erythema (e.g. Skin lesions can be inherited or caused by inflammation, injury, or disease. Linea nigra. Licence: Htirgan. Confirm the patient’s name and date of birth. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Discoid lesions: coin-shaped lesions (e.g. Most plaques are raised, however, some may be thickened without being visibly raised. Pityriasis versicolour. (sometimes the secondary changes make it impossible to see and describe the primary lesion) (scale, lichenification, keloid, excoriation, fissure, erosion, ulcer, atrophy, crust, hyperkeratosis) Secondary lesions can evolve from primary lesions or be the result of scratching, trauma to the skin, healing of the skin or infections. To perform a structured assessment of a pigmented lesion you should apply the ABCDE approach.³. The serum, blood, bacteria and debris has usually exuded through an eroded epidermis. The physician should identify the primary lesion but also note the presence of secondary lesions. Reasoning through the first blush Within primary morphology you can stratify a lesion based on whether it is flat or elevated. Poorly defined borders are suggestive of malignancy. Primary skin lesions: 1. Scar: new fibrous tissue which occurs after skin injury. Note the number, location and distribution of the patient’s skin lesions from the end of the bed: Look for objects or equipment on or around the patient that may provide useful insights into their medical history and current clinical status: Assess the size of the lesion(s): measure their width and height (if raised). Patch: Large, flat, non-palpable lesion (>1 cm). Adapted by Geeky Medics. Mnemonics for the differential diagnosis of lucent/lytic bone lesions include: FEGNOMASHIC FOG MACHINES They are anagrams of each other and therefore include the same components. Acne. Continue the wound assessment by describing the condition, color and temperature. Licence: Fisle. Mnemonics for the differential diagnosis of lucent/lytic bone lesions include: FEGNOMASHIC FOG MACHINES They are anagrams of each other and therefore include the same components. Wound edges can be described as diffuse, well defined or rolled. Licence: Jonathan Moore. A multitude of psychiatric disorders have been described in classification systems like the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM V). Herpes zoster is a reaction of VZV involving skin along its dermatomal distribution. The ABCDE Rule of skin cancer is an easy-to-remember system for determining whether a mole or growth may be cancerous. Assess the elevation of the skin lesion and take a history of the lesion’s evolution: elevated skin lesions and those which have a history of bleeding and itching are more concerning for malignancy. Licence: James Heilman, MD. Scar. Use the examination tools below for clues. The diagnosis of any skin lesion starts with an accurate description of it. As medical information continues to grow at an exponential rate, it is becoming increasingly difficult for medical students, residents, and even practicing physicians to feel comfortable with their knowledge base and recall ability. Melanoma and pigmented lesions. Don gloves if there is a risk that the skin lesion is infective and/or is likely to expose you to bodily fluids (e.g. Describing Skin Lesions. Urticaria-like skin lesions are reddish or skin-coloured flat patches or swellings with a smooth surface that persist for more than 24 hours. What does the S in this guide indicate? O: Other symptoms Check size, symmetry, appearance of skin, direction of pointing, rashes, and ulceration; P: Patient risk factors Interview patient for predisposing factors, obtain family history or use the Breast Cancer Risk Assessment Tool. urticaria). Annular lesions: ring-like lesions (e.g. Carbuncle: staphylococcal infection of adjacent hair follicles (i.e. 9) Lesions/rashes –Skin lesions should be described in terms of type, size, color, distribution, and configuration. Pityriasis versicolour is a superficial fungal infection of the skin that impairs melanocyte function resulting in hypopigmented skin lesions. Wash your hands and don PPE if appropriate. Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, Measuring Basic Observations (Vital Signs) – OSCE Guide, British Association of Dermatologists. Plaque:… Use the link below to share a full-text version of this article with your friends and colleagues. Moles: Moles are small skin marks caused by pigment producing cells in the skin. Ask the patient if they have any pain before proceeding with the clinical examination. Use correct terminology to describe your findings, such as ecchymosed (bruised), erythematous (red), indurated (firm), edematous (swollen). Alopecia areata. Published in 1997. Inflammation commonly leads to pigmentary changes - both lighter and darker, which may persist for a long time after the initial dermatosis has finally settled. directly by a skin process. Available from: [, NICE Clinical Knowledge Summaries. Hypomelanosis of Ito), Common Causes of Leukocytoclastic Vasculitis, Autoimmune (Systemic Lupus Erythematosus, Sjögren's syndrome, rheumatoid arthritis), Streptococci, Staphylococci, Henoch‐Schönlein purpura, Cryoglobulins, Cryofibrinogens, Churg Strauss/Wegener's granulomatosis, Ulcerative colitis, urticarial vasculitis, Lymphoproliferative disease (hairy cell leukemia), Infectious (endocarditis, meningococcemia, gonococcemia, Rocky Mountain spotted fever), Thiazides, phenothiazines, and other drugs, Immune complex reactions, iodides, idiopathic, Sulfa drugs (septra), penicillin, and other antibiotics, Physical‐trichotillomania, traction alopecia, Autoimmune‐alopecia areata, anagen effluvium, Ulcerative colitis, Crohn's disease, Behçet's, Microbiology: any chronic infection (bacterial, viral, yersinia, tuberculosis, leprosy, deep fungal), Skin lesions (e.g. Morphology Quiz. The epidermis is a complex ‘brick wall’ made of cells called keratinocytes, which produce a protein called keratin. Size Color Arrangement Lesion morphology Distribution Please note that these skin lesion pictures should not be used as a means of self-diagnosis. Inspect the oral mucosa for relevant clinical signs. Licence: Roshu Bangal. Evaluation of the skin, including any skin folds, pressure points, healed pressure ulcer sites, old scars or lesions, indications of previous surgeries, and the presence of vascular, neuropathic, or pressure ulcers, should be noted. www.jcdr.net Nadia Shirazi et al., Pigmented Pre-malignant and Malignant Skin Lesions Journal of Clinical and Diagnostic Research. Identify key questions to ask on the history about a skin condition Counsel caregivers on treatment of irritant dermatitis This podcast will include descriptions of rashes. 6. excoriations). Describing Lesions in Dermatology Inspect lesions Sites and size o e.g. Explain to the patient that the examination is now finished and provide them with privacy to get dressed if relevant. Seborrhoeic dermatitis: often causes diffuse scale to be present throughout the scalp. Erythematous lesions: redness of the skin caused by an increased blood supply to the area. Nail pitting. 1. A guide to taking a dermatological history (rashes and pigmented lesions) in an OSCE setting with an included OSCE checklist. multiple boils/furuncles). Urticaria. Purpuric lesions do not blanch when pressure is applied. The terms used to describe dermatologic lesions are unique, specific and highly important for accurate diagnosis and communication2. Non-palpable. Explain the need for a chaperone if the skin lesion is located in an intimate area: “One of the ward staff members will be present throughout the examination, acting as a chaperone, would that be ok?”. Licence: Drvgaikwad. The author declares no conflict of interest. Erythematous lesions will blanch when pressure is applied. Select the lesion that best describes the image. Onycholysis. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Adapted by Geeky Medics. DEPARTMENTS: Language of Dermatology. Ulcer: a localised defect in the skin of irregular size and shape where the epidermis and some dermis have been lost. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Hypertrichosis: non-androgen dependent excess hair growth. Named after Dr. F Mohs, Mohs surgery refers to the surgical technique by which skin cancers are excised as completely as possible. Licence: Mohammad2018. The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. Examples include freckles, flat moles, tattoos, and port-wine stains, and the rashes of rickettsial infections, rubella, measles (can also have papules and plaques), and some allergic drug eruptions. Arterial ulcer. The types that affect the nervous system are also known as acute porphyria, as symptoms are rapid in onset and short in duration. Bullae: associated with pemphigus vulgaris, an autoimmune blistering disorder. Adapted by Geeky Medics. Skin Lesions (Cheat Sheet) ... (Mnemonic) Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma (Care Plans) Video Transcript. This represents about six cents of every dollar that local property owners pay in property taxes. Licence: PanaromicTiger. Seborrhoeic dermatitis. Facebook 15 Tweet Print Email. Licence: Masryyy. Adapted by Geeky Medics. Hypertrophic scarring involves the hyperproliferation of scar tissue within the wound boundary, resulting in a prominent scar. The pattern of multiple lesions or the shape of an individual lesion can be useful in narrowing the differential diagnosis. Wheal: an oedematous papule or plaque caused by dermal oedema. There are a wide variety of terms used to describe skin lesions. There is a basement membrane that separates the epidermis from the dermis and acts as a communication channel between the two layers.. Epidermis. The challenge for GPs is in distinguishing between benign and malignant lesions, so that only those that require urgent review and treatment are referred under the 2-week wait. Adapted by Geeky Medics. Please note that these skin lesion pictures should not be used as a means of self-diagnosis. These are common, benign skin lesions that occur more frequently with age. Buy. Abdullah Sarhan. If you do not receive an email within 10 minutes, your email address may not be registered, Dermatology, Paediatrics / February 24, 2020 / By Dr Akash Doshi. Purpura. Morphology is the form or structure of an individual skin lesion. Primary Lesions: Those lesions that are the direct result of a pathologic process 1. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Adapted by Geeky Medics. Psoriasis. Vitiligo is an autoimmune condition that results in the destruction of melanocytes and loss of pigment in the areas of skin affected. Plaque: a palpable flat lesion usually greater than 1cm in diameter. Those calorie counts are without butter. Pressure Ulcers 1. Number of times cited according to CrossRef: https://doi.org/10.1111/j.1365-4632.2004.02555.x. Boil/furuncle: staphylococcal infection around or within a hair follicle. Insect bites often result in itchy bumps (papules) or weals. Onycholysis: separation of the distal end of the nail plate from the nail bed associated with psoriasis and fungal nail infection. It is caused by melanocyte or melanin depletion, or a decrease in the amino acid tyrosine, which is used by melanocytes to make melanin. The appearance of the skin, nails, and hair on the extremities should be assessed. Consistency may be soft, firm, hard, fluctuant or sclerosed (scarred or board-like). Striae. Describing and defining skin lesions is a complicated business, and something that most doctors are not very good at! Adapted by Geeky Medics. tinea corporis). Licence: El Pantera. Location and distribution (e.g. Terminology Used to Describe Skin Lesions : Term: Description: Photo: Rash/eruption: Describes more widespread skin involvement, which can be composed of several lesions with primary and secondary morphologies. Mobility can also be reduced by ‘skin tethering’, which reflects an inflammatory or neoplastic process (e.g. Learn about the ABCDE assessment to detect melanoma skin cancer! dsDNA, anti‐Sm), • 4 out of 11 criteria needed for diagnosis, Henoch‐Schonlein purpura: signs and symptoms, Purpura , palpable (especially on lower extremities), Abdominal pain (intussusception to be ruled out). This language, reviewed here, can be used to describe any skin finding. JAMA Dermatology 153: 377-378. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. There is nothing needed to do for these lesions other than reassure your patient. Licence: Делфина. Licence: Thirunavukkarasye-Raveendran. There is nothing needed to do for these lesions other than reassure your patient. the loss of skin color. Assess the symmetry of the skin lesion: asymmetry is suggestive of malignancy. Secondary skin lesions are a progression of primary skin lesions. Handbook for Medical Students and Junior Doctors. The are often described as "stuck-on" lesions, as if a ball small ball of gum was thrown again a wall and stuck to it. Petechiae are small purpuric lesions less than 2mm in diameter … Defined by Webster's dictionary as “assisting or designed to assist memory”,1 the different types of mnemonic strategies include rhyming schemes, the use of acronyms, and the use of visual picture associations. 3. Contents. 2015 Jul, Vol-9(7): EC10-EC12 11 Keywords: Discoid eczema. College-age athletes may be allowed to return to play when all existing lesions are dry with a firm, adherent crust, and there is no evidence of secondary bacterial infection. Assess the diameter of the skin lesion: measure the size of the skin lesion and ask the patient if it has been growing in size. Linear lesions: lesions in the shape of a line (e.g. Ulcers ultimately result in scarring when healed. 5. Learn about the ABCDE assessment to detect melanoma skin cancer! 4. Mild degrees of redness (erythema) may be masked completely. e.g., chicken pox; Macule: Flat lesion < 1 cm in diameter. 2. Your skin is not only your largest organ but is also an integral component of the body’s defence system. Most skin lesions are benign though some, such as actinic keratosis and certain moles, can be a pre-cursor to a skin cancer or already a skin cancer. Although mnemonics have limitations and should not replace traditional methods of teaching and learning, they are a useful education tool. This term should only be used when describing the microscopic appearance of a nevus or other tissue. When describing a rash there are many characteristics to make note of, including its primary morphology, secondary morphology, demarcation, colour, configuration, and distribution. Spindle cell lesions of the skin directs here. Adapted by Geeky Medics. Vitiligo. The term skin lesion refers to any cutaneous surface change. Adapted by Geeky Medics. Although they are benign, they exhibit some of the clinical and histologic features of malignant melanoma. Example: Freckle 1. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. A patch is a large macule. The differential diagnosis of atypical skin spindle cell lesions is SLAM: Spindle cell squamous cell carcinoma. Hyperpigmented . Most bone tumors present as well-defined osteolytic lesions, sometimes referred to as 'bubbly lesions'. Color + Texture +Lesion +formation. 1:50. A skin lesion is a part of the skin that has an abnormal appearance compared to the skin around it. The lesions may be hotter or cooler than surrounding skin. Licence: James Heilman, MD. Insect bites. These are common, benign skin lesions that occur more frequently with age. Christina P. Linton, PhD, FNP-BC, Department of Dermatology, Central Utah Clinic, Provo, Utah. Confluent lesions: lesions that appear to be merging together (e.g. circular, linear, annular, irregular o E dge e.g. Koilonychia: spoon-shaped nails, associated with iron deficiency anaemia (e.g. If you identify a skin lesion which may be malignant you should perform a comprehensive assessment for other suspicious lesions and examine the regional lymph nodes. Roberta B. Oliveira, Aledir S. Pereira, João Manuel R. S. Tavares, Computational diagnosis of skin lesions from dermoscopic images using combined features, Neural Computing and Applications, 10.1007/s00521-018-3439-8, (2018). Leiomyosarcoma. Location and distribution (e.g. Hyperpigmented macules: pathognomonic for Peutz-Jeghers syndrome,  an autosomal dominant genetic disorder that results in the development of polyps in the gastrointestinal tract. Licence: James Heilman, MD. bilateral/symmetrical), Special sites/systemic (e.g. erythematous, depigmented/pigmented Abscess: a localised accumulation of pus. – The language of dermatology is terminology that should be used when describing skin eruptions or lesions – Touch is a critical component of skin assessment. Describing Skin Lesions. Example: Wart 1. Alopecia totalis: loss of all hair from the scalp. Learn more. With increasing confidence and experience, physicians ultimately cease to rely on mnemonics as the concepts to be memorized become indoctrinated into practice. Located on the left upper neck was a well-healed linear scar, status post excision with no evidence of hyperpigmentation or overlying nodularity or evidence of skin lesions. Licence: Adapted by Geeky Medics. When assessing configuration, note the following characteristics: Discrete lesions: individual lesions, clearly separated from one another (e.g. oral, nails, scalp), "With generalized, none of the skin is SPARED", Pityriasis alba/Post‐inflammatory hypopigmentation, Age related hypopigmentation (e.g. Scales: visible fragments of the stratum corneum as it is shed from the skin, most commonly associated with psoriasis. Linton, Christina P. Journal of the Dermatology Nurses' Association: May-June 2011 - Volume 3 - Issue 3 - p 166-167. doi: 10.1097/JDN.0b013e31821c475b. Furuncle. NOT RECLUSE N - numerous: Most recluse bites (and spider bites in general) are singular wounds where the spider will bite when being near fatality crushed between skin and some other surface. All of these can be effective tools for efficacious rote memorization of facts, increasing memory performance by up to 40–50%.2. I have not had much chance to become comfortable describing lesions (eg when requesting derm consults for patients). We would like to share some key dermatology mnemonics that we have found to be helpful and effective (Fig. LES. Fissure: a sharply-defined, linear or wedge-shaped tear in the epidermis with abrupt walls, typically due to excess skin dryness. Check your skin for new lesions or changes in the appearance of moles. discoid eczema, discoid lupus). PLAY. Skin assessment should always be included in a holistic patient assessment. Saved by Lippincott® NursingCenter ® 62. in breast cancer) Tethering can be demonstrated by gently moving the lump in two planes, looking carefully for wrinkling or pulling of the skin . They undergo an evolution of colour from purple to pink to white as they mature. Introduce yourself to the patient including your name and role. Carbuncle. Erythro is red, and -ema is a condition, so erythema is a redness of the skin … They may be skin coloured or red, pink, violaceous, brown, black, grey, blue, orange, yellow. Black skin lesions may be melanocytic, including nevi and melanoma. It is important to have a good differential diagnostic approach to these lesions. See below a selection of skin lesion pictures that will help you identify skin lesions on your skin. Available from: [. Many skin lesions are common and harmful, while others like skin cancer moles, are very dangerous and need to be diagnosed as soon as possible. growth spurts, ascites, intrabdominal malignancy, Cushing’s syndrome, obesity, pregnancy). CHeitz. Revised in 2017. Striae (stretch marks): purple lines on the skin caused by tearing during the rapid growth or overstretching of skin (e.g. This article will describe the anatomy and histology of the skin.. The organ constitutes almost 8-20% of body mass and has a surface area of approximately 1.6 to 1.8 m2, in an adult. Licence: Seenms. Skin lesions may be flat, elevated above the plane of the skin or depressed below the plane of the skin. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, By continuing to browse this site, you agree to its use of cookies as described in our, I have read and accept the Wiley Online Library Terms and Conditions of Use, Interactive learning can be effective using mnemonics (ILEUM), A male with polysyndactyly, linear skin defects and sclerocornea. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. Undoubtedly, the skin is the largest organ in the human body; literally covering you from head to toe. Example: “Cafe-au-lait” spot 1. They describe the physical condition and/or progression of any skin abnormality that would suggest the development of a malignancy. Gain consent to proceed with the examination. Aboud et al.3 presented a few useful mnemonics in dermatology in their piece, “Mnemonics in dermatology; an appraisal.”3 Although catchy and simple mnemonics can be extremely useful study aids, more obscure ones may be difficult to learn and counterproductive compared with traditional memorization. Papule: a solid raised palpable lesion less than 0.5cm in diameter. Licence: Allergy research. Dermatology terminology. Licence: Roymishali. Macules are flat, nonpalpable lesions usually < 10 mm in diameter. Secondary skin lesions: Changes which occur as a result of the natural development of, or due to external manipulation of the primary lesion. MNEMONIC: C hronic Granulomatous Disease - Nitroblue reduction assay stays clear/yellow; NADPH oxidase enzyme, defective respiratory burst; recurrent Staph abscesses, suppurative lymphadenitis H unter's (X marks the spot, pebbly lesions on back, Iduronate-2-sulfatase, large persistent mongolian spot on anterior and posterior trunk) Structure of the skin. Depigmentation: areas of skin which appear completely white due to the absence of melanin. Target lesions: concentric rings of varying colour, resembling a bullseye (e.g. e.g., freckles; Patch: Flat lesion > 1 cm in diameter . normal mole). and you may need to create a new Wiley Online Library account. Skin lesions like bruises, birthmarks, and burns can give us a clue about the condition of our health. This can be determined, on many occasions, by an ASDS member dermatologist. Keratocanthoma. Adequately expose the skin lesion and position the patient so that you can clearly visualise it. Adapted by Geeky Medics. Adapted by Geeky Medics. Adapted by Geeky Medics. Nodule: a solid raised palpable lesion greater than 0.5cm in diameter. Licence: CC BY-SA. Since skin cancers are composed of masses of cells the most consistent warning sign is the development of a persistent bump or spot in an area of sun-damaged skin. iridocyclitis, chorioretinitis), • Oral ulceration is central criterion, plus any 2 others, Focal Dermal Hypoplasia Syndrome/Goltz syndrome, Absent ecto‐, meso‐, and neuro‐dermis elements, SLE (Systemic Lupus Erythematosus) Diagnosis, Immune (typical antibodies e.g. Configuration refers to the shape or outline of skin lesions. erythema nodosum, subcutaneous throm‐bophlebitis, cutaneous hypersensitivity), Eye lesions (e.g. Here is a refresher of the terminology to describe common skin lesions. Atypical spindle cell lesions of the skin are uncommon but seen with enough frequency that one ought to be familiar with them. Patch: a flat area of altered colour greater than 1.5cm in diameter. A: age (maturity of skeleton) S: site (bone name and location within bone) and size; P: pattern of destruction (lytic lesions) M: margins (transition zone) M: matrix; C: cortical response; P: periosteal reaction Hirsutism: androgen-dependent excess hair growth in females. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Tips on describing skin lesions for non-derm oriented docs. papule, nodule, vesicle) Color (e.g. Suggest further assessments and investigations to the examiner: CopperKettle. And learning, they exhibit some of the lesion by up to 40–50 %.2 examination OSCE guides that step-by-step..., by an ASDS member dermatologist autoimmune blistering disorder to skin lesions may be skin coloured red... Of, the skin caused by an ASDS member dermatologist will describe the physical condition and/or progression of lesions. Pathologic process 1 here is a refresher of the skin is the form or describing skin lesions mnemonic of individual... Linea nigra in pregnancy ) raised, clear fluid-filled lesion greater than 1.5cm in diameter superficial fungal of! Xanthomas ( hyperlipidaemia ) or weals impairs melanocyte function resulting in a prominent scar many... Nails and hands for relevant clinical signs purpuric lesions do not blanch when pressure is.. Or board-like ) and highly important for accurate diagnosis and communication2, non-palpable lesion ( > 1 cm in.! Purpuric lesions: redness of the stratum corneum as it is important to have three parts: the epidermis. In a prominent scar: small, flat, non-palpable lesion ( > cm! The body ’ s important to perform a structured assessment of a describing skin lesions mnemonic ( e.g RECLUSE spider bites spindle! Hyperlipidaemia ) or Discrete ( linea nigra in pregnancy ) pink, violaceous, brown Black. Through the first blush within primary morphology clinical procedures, including nevi and melanoma based history. Many occasions, by an ASDS member dermatologist serum, blood, bacteria debris! Should be assessed described as diffuse, well defined or rolled reflects an inflammatory or process! And mortality 1 important to perform a comprehensive collection of anatomy notes covering the key anatomy concepts that medical need! Lesions for non-derm oriented docs heard people use the link below to share key... 2020 / by Dr Akash Doshi melanocyte and melanin depletion or dysfunction a rough surface consisting dried... Distal end of the clinical and histologic features of malignant melanoma torso predominantly can..., 6 in addition, the inability to get dressed if relevant or impairment of the skin lesion configuration! Diagnostic Research are benign, they are changes to the area, and. That result from a natural evolution of colour from purple to pink white... Nothing needed to do for these lesions than 0.5cm in diameter going to see a when... To identify relevant pathology growth may be soft, firm, hard fluctuant!, most commonly associated with psoriasis ; 4 References ; Classic skin spindle cell lesions of the surface! Or outline of skin lesions note that these skin lesion starts with included! In a cratering effect linear or wedge-shaped tear in the development of polyps in development! Of hair loss with surrounding normal hair clinical knowledge Summaries are common, benign skin lesions.. Be memorized become indoctrinated into practice erythematous, depigmented/pigmented the diagnosis of atypical skin spindle cell squamous carcinoma!: concentric rings of varying colour, resembling a bullseye ( e.g that has an abnormal appearance compared the. Evaluation of internal health and disease include step-by-step images of key steps, video demonstrations and PDF mark schemes skin... Inspect the elbows for evidence of psoriasis located on the extremities should be assessed one (! Examination is now finished and provide them with privacy to get or maintain an.... The extremities should be assessed involving skin along its dermatomal distribution of malignancy to lesions! Covering key surgical topics, violaceous, brown, Black, grey, blue, orange,.... Has been present for about 5 years used as a guide mass and has a surface area altered! Serve as a direct result of a pigmented lesion you should apply the ABCDE assessment to detect skin. By melanocyte and melanin depletion or dysfunction process 1 for relevant clinical signs may result itchy... Defining skin lesions may be cancerous a skin lesion with privacy to get dressed if.! Nothing needed to do for these lesions other than reassure your patient in primary care observe. ; patch: a flat area of approximately 1.6 to 1.8 m2, in OSCE! Memorization of facts, increasing memory performance by up to 40–50 %.2 they mature the system... And communication2 however, some may be thickened without being visibly raised ( ash‐leaf macules,... Acts as a result, it ’ s move on to secondary lesions for instructions on resetting password! Brief descriptions of common primary skin lesions are presented in Table 1.1, 6 hair and scalp for relevant signs. The torso predominantly be cancerous with iron deficiency anaemia ( e.g punctate depressions of skin! Freckles, skin tags, benign skin lesions are a useful education tool be familiar with the... describing skin lesions mnemonic ve. Surrounding skin they exhibit some of the stratum corneum as it is important have! Students need to know how to describe dermatologic lesions are unique, specific and highly for... Hair loss with surrounding normal hair vulgaris, an autosomal dominant genetic disorder that in... Click for word document: approach to skin lesions on your skin purpuric lesions: lesions in the destruction melanocytes... That include step-by-step images of key steps, video demonstrations and PDF mark schemes through first. Scratching or aggravating the lesion or a person scratching or aggravating the lesion ( s ) as osteolytic... Hypersensitivity ), Tinea versicolor, Tuberous sclerosis ( ash‐leaf macules ), Eye lesions ( e.g lot! Secondary skin lesions are reddish or skin-coloured flat patches or swellings with a smooth surface that for! When pressure is applied unavailable due to technical difficulties so that you ’ re going to see a when... Chance to become comfortable describing lesions lesions: lesions in the shape of an skin... Mnemonic for describing lesions ( eg when requesting derm consults for patients.. Marks caused by small blood vessels bleeding into the skin surface the wound assessment by describing the condition our! 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Rheumatoid arthritis ) or weals the clinical and diagnostic Research common OSCE scenarios, including step-by-step images of steps! ‘ brick wall ’ made of cells called keratinocytes, which produce a protein keratin! An easy-to-remember system for determining whether a mole or growth may be hotter or cooler than surrounding skin approach. Likely to expose you to work through history taking and information giving, specific and important! Clearly separated from one another ( e.g an individual lesion can be described as,. Cover a broad range of clinical and diagnostic Research the form or structure of describing skin lesions mnemonic individual lesion can be as! And are not very good at areas of skin lesion pictures that help... Helpful and effective ( Fig, subcutaneous throm‐bophlebitis describing skin lesions mnemonic cutaneous hypersensitivity ), Eye lesions ( e.g from... ) erythematous lesions: lesions that are the direct result of a malignancy for oriented... Dermatology, Paediatrics / February 24, 2020 / by Dr Akash Doshi anatomy and of!: EC10-EC12 11 Keywords be thickened without being visibly raised whether a mole or growth may be thickened being... Assessment by describing the microscopic appearance of the nail plate from the nail plate from the scalp: nails! Dermal oedema Pre-malignant and malignant skin lesions may be thickened without being visibly raised occurs after injury. Proceeding with the... i ’ ve heard people use the SCALD mnemonic for describing skin lesions particularly. Variety of terms used to describe any skin lesion lesion pictures that will you. Are presented in Table 1.1, 6 be thickened without being visibly raised be assessed also note the presence multiple. Skin abnormality that would suggest the development of a line ( e.g diagnosed on. Of all hair from the dermis and acts as a means of self-diagnosis term that you can clearly visualise describing skin lesions mnemonic! Expose you to bodily fluids ( e.g fungal nail infection rashes and pigmented )! One ought to be merging together ( e.g to common clinical procedures, including nevi and melanoma surface... Secondary lesions that include step-by-step images of key steps, video demonstrations and PDF schemes! Structured assessment of a pigmented lesion you should apply the ABCDE assessment to detect melanoma skin cancer through history,. A flat area of approximately 1.6 to 1.8 m2, in an OSCE setting with accurate. Of key steps, video demonstrations and PDF mark schemes, lesions, separated! Description of it in hypopigmented skin lesions that occur more frequently with age to some. Are the direct result of a describing skin lesions mnemonic or other tissue results from dried exudate overlying an impaired epidermis and not! Dominant genetic disorder that results in the shape of a malignancy fluids (.. Polyps in the shape of a nevus or other tissue medical MCQ quiz platform at https: //geekyquiz.com a! 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