Exam
Macule - Answer Primary lesion; color change, flat, <1.5cm
Eg: freckles, petechiae, purpura
Papule - Answer Primary lesion; raised, solid, <1cm
Eg: nevus, wart
Patch - Answer Primary Lesion; flat, >1.5cm
Eg: cafe au lait, Mongolian spot
Plaque - Answer Primary lesion; slightly raised, disk shapes, >1cm, scaling
Eg: psoriasis, lichen
Nodule - Answer Primary lesion; palpable, solid, elevated, >1cm
Eg: nevi, basal cell carcinoma
Tumor - Answer Primary lesion; large papule/nodule, fixed, >1cm, firm/soft, deep in
dermis
Eg: basal cell, squamous cell carcinoma
Wheal - Answer Primary lesion; pink/red, superficial, raised, swelling, slightly irregular
shape, fluid-filled, pruritic, lasts <24hours
Eg: Mosquito bite, allergic rxn
Pustule - Answer Primary lesion; raised lesion, <0.5cm, contains yellow cloudy fluid
Eg: folliculitis, acne
Urticaria - Answer Primary lesion; intensely pruritic
Eg: Hives
Cyst - Answer Primary lesion; elevated, semi-solid, varies in size
Eg: Sebaceous cyst
Vesicle - Answer Primary lesion; elevated cavity containing clear fluid
Eg: herpes, varicella, contact dermatitis
Bulla - Answer Primary lesion; vesicle >0.5cm, superficial
Eg: Blister
Crust - Answer Secondary lesion; thickened, dried out lesion, yellow, brown or honey-
colored
Eg: Impetigo, herpes zoster
Scale - Answer Secondary lesion; flakes, dry or greasy, silvery or white, shedding
Eg. psoriasis
, Advanced Health Assessment Final
Exam
Fissure - Answer Secondary lesion; linear crack w/abrupt edges
Eg: angular chelitis, eczema
Erosion - Answer Secondary lesion; partial break in epidermis
Eg: Herpes simplex/zoster
Ulcer - Answer Secondary lesion; deeper depression extending into dermis
Excoriation - Answer Secondary lesion; self-inflicted abrasion, superficial, crusted
Eg: Contact dermatitis
Scar - Answer Secondary lesion; permanent fibrotic change, replaced w/collagen
Atrophic scar - Answer Secondary lesion; skin level depressed w/loss of tissue
Lichenification - Answer Secondary lesion; prolonged intense scratching thickens skin
Eg: Eczema
Keloid - Answer Secondary lesion; hypertrophic scar, results in elevated scar tissue
Localized Lesion Distribution - Answer Appears in one small area
Eg: tinea corporis, impetigo, herpes simplex
Regional Lesion Distribution - Answer Involves specific region of the body
Eg: Acne vulgaris, herpes zoster, psoriasis
Generalized Lesion Distribution - Answer Appears widely distributed in numerous areas
Eg: Urticaria, disseminated drug eruptions
Round/Discoid Lesion - Answer Coin or ring-shaped
Eg: Nummular eczema
Oval Lesion - Answer Oval shaped
Eg: pityriasis rosacea
Annular Lesion - Answer Round, active margins w/central clearing
Eg: tinea corporis
Zosteriform Lesion - Answer Following nerve/segment of the body
Eg: Herpes zoster
Polycyclic Lesion - Answer Interlocking or coalesced circles
Eg: psoriasis, urticaria