Name That Lesion
Primary Problems
Secondary Changes
Unexpected findings
Nurse Detective
100

pinpoint red-purple bleeding under skin

Petechiae

100

raised irregular edema, often allergy

Wheal

100

dried serum/blood/drainage

Crust

100

Yellowish skin color, a increase in bilirubin 

Jaundice

100

Non-blanchable erythema 

Stage 1 pressure injury 

200

flat color change <1 cm

Macule

200

flat color change >1 cm

Patch

200

flakes of keratin

Scale

200


ecchymosis of the flanks

Grey Turner Sign 

200

Shallow depression only present in the epidermis layer. Appears moist but without bleeding.

Erosion 

300

raised solid lesion <1 cm

Papule

300

raised disc-shaped lesion >1 cm

Plaque

300

linear crack extending into dermis

Fissure

300

Define Cullen Sign 

Ecchymosis around the umbilicus 

300

Deeper depression involving loss of epidermis and dermis. May bleed.

Ulceration 

400

fluid-filled lesion >1 cm

Bulla

400

small fluid-filled lesion <1 cm

Vesicle 

400

Lichenification

thickened skin from chronic rubbing/scratching

400

This is an early indication that the patient has a bleeding or platelet problem. 

Petechiae

400

An over growth of scar tissue 

Keloid 

500

encapsulated lesion containing fluid/semisolid material

Cyst

500

Small (less than 2 cm) firm area arising from deeper in the dermis

Nodule

500

Excoriation

Loss of epidermis in linear crusted areas

500

abnormal purplish/bluish discoloration to the skin/mucus membranes.

Cyanosis 

500

>180° nail angle; investigate underlying cardiopulmonary/systemic disease

Clubbed nails 

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