Medical Advices Blog

Clinical examination of the child

We will examine the child naked and check:

- What is the most important skin lesion and its location.

- Distribution of the rash: if it is symmetrical or asymmetrical.

- If you are affected or mucous membranes, scalp, palms or soles of the feet.

- The shape of the lesion: as a line as a target, like lace, etc..

- The color of the lesion.

- The evolution of the rash as time passes.

What elements are form rash?

We can differentiate in the rash:

- The primary skin lesion is the most important and first to appear.

- Secondary skin lesions, which appear as the primary lesion evolves, and result from scratching, superinfection or treatment.

Different types of primary lesions

Depending on the type of skin damage can distinguish different types of rashes. In summary we can differentiate the following injuries:

- Macula: area of ??redness, limited, flat and up to 1 cm in diameter.

- Spot: Same as above but larger than 1 cm.

- Papule: Like the macula but with relief. If called transient wheal.

- Motherboard: same spot but with relief.

- Node: a solid lesion, prominent and well defined that extends in depth.

- Tumor: a solid lesion and deeper than 1 cm. They can be level with the skin, raised or deep.

- Bladder: hump of well-defined skin less than 1 cm and containing serous fluid (clear).

- Blister: Like the gallbladder, but more than 1 cm.

- Pustule: same content but with purulent (pus).

- Petechiae: a deposit of blood or blood-borne pigments, well-defined, as tiny red spots that do not go to the vitropresión, ie when stretched skin area where they do not disappear (the hives or terminations Capillary example, they disappear).

- Purple: same as petechiae, but more than 1 cm.

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