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Identifying skin neoplasms benign vs. malignancy - page 5 / 24

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PHYSICAL EXAMINATION 

The most important and useful characteristics on an exam is the type of lesion and distribution of lesions

Type

Flat, elevated or depressed

Color and blanching

Consistency/palpation (soft, firm, hard, fluctuant, hot, cold, mobility, tenderness, depth of lesion)

Distribution

Extent: isolated, localized, regional, generalized, universal

Pattern: symmetrical, exposed areas, sites of pressure, intertriginous area

Shape (round, oval, polygonal, polycyclic, annular, serpiginous, umbilicated)

Arrangement of multiple lesions

Group: Herpetiform, zosteriform, arciform, annular, reticulated, linear, serpiginous

Disseminated: Scattered discrete lesions or diffuse

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