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← Dermatology, Venereology & Leprosy / 4th Year / MBBS

OBSERVE / REASON / EXPLAIN

Describe a skin lesion

Give an objective morphology-based description.

Original teaching scenario / OSCE

Your practical station

An examiner asks you to describe a teaching photograph without naming a diagnosis. Give a structured description.

Recognise and interpret

Description precedes diagnostic interpretation.

  • Site and distribution
  • Morphology
  • Context
1

Site and distribution

State anatomical sites, symmetry and pattern.

2

Morphology

Describe primary lesion, size, colour, surface and border.

3

Context

Ask about evolution, symptoms, medicines and relevant exposures.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / What is a macule?

A flat circumscribed colour change.

02 / How is a papule different?

It is a small raised solid lesion.

03 / Why record secondary changes?

Scale, crust, erosion or excoriation may modify the original appearance.

04 / Is colour alone diagnostic?

No. Assess all features in context.

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